Adolescent mental health presentations to a New Zealand emergency department: A 16-year retrospective observational study.

IF 1.2 4区 医学 Q4 PSYCHIATRY
William Young, Laura R Joyce, Chris Frampton, Roger Mulder
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引用次数: 0

Abstract

ObjectiveTo examine trends in adolescent mental health presentations to Christchurch Emergency Department (ED) and contribute to the limited data on long-term trends in adolescent mental health within New Zealand.MethodA retrospective observational study of mental health presentations by adolescents aged 10-17 years to the Christchurch ED over 2007-2022. Data on patient demographics, rates of frequent presenters (≥5 presentations in a calendar year) and hospital admissions were analysed using simple descriptive statistics.ResultsRates of adolescent mental health ED presentations increased by 289% over 16 years, while rates of adolescent all-cause ED presentations increased by 9.8%. Female presentations increased over five-fold while male rates nearly doubled. Rates of medical hospital admissions increased by 70% and numbers of frequent presenters increased from 0 in 2007 to a peak of 19 in 2022.ConclusionThere has been a significant increase in adolescent mental health ED presentations over the study period. Demographic trends - including higher presentation rates for females and Māori - are consistent with those observed in the Youth2000 survey series. Ongoing monitoring of adolescent mental health ED presentation rates will be an important way of assessing the efficacy of any changes to the mental health system.

新西兰急诊科青少年心理健康报告:一项16年回顾性观察研究
目的研究基督城急诊科(ED)青少年心理健康报告的趋势,并对新西兰青少年心理健康长期趋势的有限数据做出贡献。方法对2007-2022年间10-17岁青少年在克赖斯特彻奇ED的心理健康情况进行回顾性观察研究。使用简单的描述性统计分析了患者人口统计学数据、频繁讲演率(一日历年讲演≥5次)和住院率。结果青少年心理健康ED的发生率在16年间增加了289%,而青少年全因ED的发生率增加了9.8%。女性的演讲增加了五倍多,而男性的演讲几乎翻了一番。住院率增加了70%,经常演讲的人数从2007年的0人增加到2022年的19人。结论在研究期间,青少年心理健康ED的报告有显著增加。人口趋势- -包括女性和Māori较高的出席率- -与青年2000调查系列所观察到的一致。持续监测青少年心理健康ED呈现率将是评估心理健康系统任何变化的有效性的重要方式。
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来源期刊
Australasian Psychiatry
Australasian Psychiatry 医学-精神病学
CiteScore
2.80
自引率
5.60%
发文量
159
审稿时长
6-12 weeks
期刊介绍: Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.
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