Addressing the Unique Challenges of Paediatric Mental Health Emergency Care: Response to Bourke et al.'s Study on Young Children's Emergency Department Presentations

I appreciate the timely study by Bourke et al. [1], which investigates mental health (MH) presentations among young children in emergency department (ED) settings. The focus on children aged 12 or younger is particularly relevant, as it sheds light on the growing challenges faced by healthcare providers globally, including in Taiwan.

Building upon their work, this correspondence aims to further address gaps in intervention strategies, especially for children with neurodevelopmental disorders like autism spectrum disorder (ASD) presenting with acute behavioural disturbances. Below, I propose evidence-supported recommendations to enhance emergency care and reduce the burden on EDs.

Bourke et al. [1] underscore the lack of adequate post-discharge support, which contributes to repeated ED visits. Strengthening connections between EDs and community mental health services is imperative. In Taiwan, initiatives that integrate caregivers, schools, and paediatric MH specialists have shown promise in preventing crises from escalating to the ED level. Evidence indicates that proactive follow-up systems significantly lower readmission rates and improve long-term outcomes [6].

While Bourke et al. provide valuable insights, this correspondence emphasises the need for actionable solutions to improve outcomes for young children experiencing mental health crises. By adopting non-pharmacological de-escalation techniques, engaging caregivers, integrating multidisciplinary teams, and ensuring robust follow-up systems, healthcare providers can enhance the quality of care and alleviate the burden on EDs. Collaborative efforts between EDs and community MH services remain essential to addressing the unique challenges faced by this vulnerable population.

The authors declare no conflicts of interest.