Saartje Berendsen Russell BHscNsg, MEd, Shanti Pun BN, Farina Jeyaraj BN, MN, Margaret Murphy MHlscEd, PhD, Nicole Bohlken BN, Emma Jenkins BN, Kerrie Bubb BN, Naomi Derrick BN, William Royle MPH, Radhika V Seimon PhD, Kendall Bein MBBS, Michael M Dinh MBBS, MPH, MD, PhD
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The present study aimed to examine clinical characteristics and contributing factors in relation to MH ED presentations of children and young adults, aged 10–24 years, before and after the long Sydney COVID-19 lockdown period in 2021.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This was a retrospective chart review of electronic medical records (eMR) of MH presentations to three metropolitan EDs during January to April 2021 (phase 1) and October to December 2021 (phase 2).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Of the 1748 total ED presentations, 19% were ≤16 years, over half were female (63%) and 60% presented after hours. A third (37%) were detained under the Mental Health Act. The most common presenting problems were ‘suicidal ideation’ (33%), followed by drug or alcohol poisoning or intoxication (18%) and ‘self-harm’ (15%). COVID-19 as a contributing factor for presentation increased in phase 2 (from 5% to 25%).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>In this multicentre retrospective study of children and young adults, we found a relatively high re-presentation rate and an increase in COVID-19-related issues as specific contributing factors to ED presentation during the COVID-19 pandemic in 2021.</p>\n </section>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 3","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical characteristics of mental health presentations of children and young adults to the emergency department during the COVID-19 pandemic in Sydney, Australia\",\"authors\":\"Saartje Berendsen Russell BHscNsg, MEd, Shanti Pun BN, Farina Jeyaraj BN, MN, Margaret Murphy MHlscEd, PhD, Nicole Bohlken BN, Emma Jenkins BN, Kerrie Bubb BN, Naomi Derrick BN, William Royle MPH, Radhika V Seimon PhD, Kendall Bein MBBS, Michael M Dinh MBBS, MPH, MD, PhD\",\"doi\":\"10.1111/1742-6723.70050\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>Recent studies have demonstrated the prevalence of children and young adults with mental health (MH)-related problems presenting to EDs is increasing in Australia and overseas. 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Clinical characteristics of mental health presentations of children and young adults to the emergency department during the COVID-19 pandemic in Sydney, Australia
Objectives
Recent studies have demonstrated the prevalence of children and young adults with mental health (MH)-related problems presenting to EDs is increasing in Australia and overseas. The present study aimed to examine clinical characteristics and contributing factors in relation to MH ED presentations of children and young adults, aged 10–24 years, before and after the long Sydney COVID-19 lockdown period in 2021.
Methods
This was a retrospective chart review of electronic medical records (eMR) of MH presentations to three metropolitan EDs during January to April 2021 (phase 1) and October to December 2021 (phase 2).
Results
Of the 1748 total ED presentations, 19% were ≤16 years, over half were female (63%) and 60% presented after hours. A third (37%) were detained under the Mental Health Act. The most common presenting problems were ‘suicidal ideation’ (33%), followed by drug or alcohol poisoning or intoxication (18%) and ‘self-harm’ (15%). COVID-19 as a contributing factor for presentation increased in phase 2 (from 5% to 25%).
Conclusion
In this multicentre retrospective study of children and young adults, we found a relatively high re-presentation rate and an increase in COVID-19-related issues as specific contributing factors to ED presentation during the COVID-19 pandemic in 2021.
期刊介绍：
Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine.
Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.
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