Mental health-related visits to emergency rooms by children, teenagers and young adults soared from 2011 to 2020, according to a new report. The findings indicated an “urgent” need for expanded crisis services, according to the researchers.
The entrance to the emergency room at the Melrose Hospital in Melrose, Minn., Nov. 25, 2020.
Mental health-related visits to emergency rooms by children, teenagers and young adults soared from 2011 to 2020, according to a report published Monday in the Journal of the American Medical Association. The sharpest increase was for suicide-related visits, which rose fivefold. The findings indicated an “urgent” need for expanded crisis services, according to the team of researchers and physicians who published the report.
The research, drawn from data from the National Hospital Ambulatory Medical Care Survey, looked at the annual number of mental health-related ER visits by people 6 to 24 years old. From 2011 to 2020, the figure rose from 4.8 million to 7.5 million, the team found, a period in which the overall number of pediatric ER visits fell. In effect, the proportion of ER visits for mental health-related issues roughly doubled, from 7.7% to 13.1%.
The number of visits rose for many conditions, including mood and behavioral disorders, substance use and psychosis. But the increase in suicide-related issues was most pronounced, increasing to 4.2% of all pediatric emergency room visits in 2020 from 0.9% in 2011.A growing number of children and adolescents are grappling with mental distress, but medical systems have not kept up.
The JAMA investigation describes a “critical need” to expand nonhospital treatment options, including programs in schools and more outpatient centers and urgent care clinics, with round-the-clock service. Legislators in some states and at the federal level are exploring ways to expand coverage to deal with changing risks faced by young people.
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