COVID-19 and Adolescent Depression and Suicide Risk Screening Outcomes

Mayne, Stephanie L.; Hannan, Chloe; Davis, Martha F.; Young, Jami F.; Kelly, Mary Kate; Powell, Maura; Dalembert, George; McPeak, Katie E.; Jenssen, Brian P.; Fiks, Alexander G.

doi:10.1542/peds.2021-051507

Cited by 151 publications

(138 citation statements)

References 32 publications

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“…High acceptability of telehealth suggests that the integration of telehealth as an additional care delivery mode may be highly beneficial. In addition, given the increasing rates of adolescent mental health diagnoses, suicidal ideation, and suicide attempts during the pandemic [ 27 - 29 ], telemedicine will be an essential means of delivering evidence-based mental health care to youth, given the dearth of available in-person services [ 1 ]. Whether our health system can rise to this challenge will depend on the continuation of policies that, by lessening geographic restrictions and achieving parity with in-person visit reimbursement rates, enabled widespread telehealth use.…”

Section: Discussionmentioning

confidence: 99%

Acceptability, Feasibility, and Quality of Telehealth for Adolescent Health Care Delivery During the COVID-19 Pandemic: Cross-sectional Study of Patient and Family Experiences

Wood¹,

Pickel²,

Phillips³

et al. 2021

JMIR Pediatr Parent

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Background Data regarding the acceptability, feasibility, and quality of telehealth among adolescents and young adults (AYA) and their parents and caregivers (caregivers) are lacking. Objective The aim of this study was to assess the noninferiority of telehealth versus in-person visits by comparing acceptability with respect to efficiency, effectiveness, equity, patient-centeredness, and confidentiality. Methods Cross-sectional web-based surveys were sent to caregivers and AYA following video visits within an Adolescent Medicine subspecialty clinic in May-July 2020. Proportions of AYA and caregivers who rated telehealth as noninferior were compared using chi-squared tests. Feasibility was assessed via items measuring technical difficulties. Deductive thematic analysis using the Institute of Medicine dimensions of health care quality was used to code open-ended question responses. Results Survey response rates were 20.5% (55/268) for AYA and 21.8% (123/563) for caregivers. The majority of the respondents were White cisgender females. Most AYA and caregivers rated telehealth as noninferior to in-person visits with respect to confidentiality, communication, medication management, and mental health care. A higher proportion of AYA compared to caregivers found telehealth inferior with respect to confidentiality (11/51, 22% vs 3/118, 2.5%, P<.001). One-quarter (14/55) of the AYA patients and 31.7% (39/123) of the caregivers reported technical difficulties. The dominant themes in the qualitative data included advantages of telehealth for efficiency and equity of health care delivery. However, respondents’ concerns included reduced safety and effectiveness of care, particularly for patients with eating disorders, owing to lack of hands-on examinations, collection of vital signs, and laboratory testing. Conclusions Telehealth was highly acceptable among AYA and caregivers. Future optimization should include improving privacy, ameliorating technical difficulties, and standardizing at-home methods of obtaining patient data to assure patient safety.

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Section: Discussionmentioning

confidence: 99%

Acceptability, Feasibility, and Quality of Telehealth for Adolescent Health Care Delivery During the COVID-19 Pandemic: Cross-sectional Study of Patient and Family Experiences

Wood¹,

Pickel²,

Phillips³

et al. 2021

JMIR Pediatr Parent

View full text Add to dashboard Cite

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“…In recent years, electronic medical records (EMR) have become the predominant method of record keeping, and both facilitators and barriers to adoption having been identified [28]. The EMRs contain data collected during routine healthcare visits [29], and many recent studies have utilized EMR information to examine the effects of the pandemic on patients screening positive for health-related issues [30][31][32]. The study presented here used EMR-based data to examine the prevalence of tobacco use over three specific time periods between November 2019 to February 2021, before and during which the COVID-19 pandemic had a significant exacerbation in California and the rest of the United States [26].…”

Section: Introductionmentioning

confidence: 99%

Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic

Fatollahi

Bentley

Doran

et al. 2021

IJERPH

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The prevalence of tobacco use increases in times of stress; however, during the initial stage of the COVID-19 pandemic, tobacco use rates stayed the same in most populations. Previous work focused on the initial months of the pandemic, while this study examined the changes in tobacco use during a later peak period of the pandemic. We used data from 61,852 visits to the VA San Diego Healthcare System from November 2019 to February 2021, divided into pre-, early, and peak pandemic periods. Multinomial logistic regression was used to test whether the odds of being a daily or non-daily tobacco user varied over time, by demographic group, or with the presence of specific psychiatric diagnoses. Younger Veterans had a greater reduction in the prevalence of non-daily tobacco use between the early and peak periods, while older Veterans had a rise in daily use from pre- to the early pandemic, which returned to baseline during the peak. Individuals with substance use disorder and serious mental illness diagnoses were more likely to report tobacco use, but psychiatric diagnoses did not predict change over time. These findings demonstrate factors that potentially contribute to changes in tobacco use during a public health crisis and may help guide future targeted cessation efforts.

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“…Despite reports of increased positive results on adolescent suicide risk screens [30] and emergency department visits and hospitalizations for pediatric mental health concerns [31][32][33][34][35][36][37] PICU admissions for suicide and self-harm in Wisconsin were approximately the same during COVID-2020 as during the record low comparator period and 41% less frequent than anticipated by the no-COVID forecast. These ndings are consistent with decreased calls to poison control centers resulting in hospitalization during COVID [38].…”

Section: Discussionmentioning

confidence: 99%

Pediatric Critical Illness in Wisconsin during the Epoch of COVID-19 in 2020

Godsey¹,

Gabor²,

Oelstrom³

et al. 2022

Preprint

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Background We perceived profound changes in the frequency of and reasons for admissions to pediatric intensive care units (PICUs) during the advent of the COVID-19 pandemic in Wisconsin, and we hypothesized that the rates of total, scheduled, and respiratory viral admissions were lower during the first year of the pandemic than would have been predicted by historical admission data. We also hypothesized that the rates of other categories of PICU admissions were different than would have been predicted by historical data, reflecting broad changes in PICU utilization paradigms during the pandemic. Methods Using mean weekly admission rates with standard deviations and rate ratios with 95% confidence intervals, we compared all Wisconsin PICU admissions during the pandemic epoch in 2020 (COVID-2020) to admissions in seasonally-matched, growth-adjusted “no-COVID” forecasts generated by time series modeling from all Wisconsin PICU admissions in the previous 5 years. Results We studied 27,425 admissions with 294,577 associated diagnoses including 104 admissions associated with a COVID-19 diagnosis (4.3% of admissions in COVID-2020). Total admissions were 60 ± 9 week− 1 in COVID-2020 vs. 103 ± 4 forecasted, RR 0.63 (95% CI: 0.59–0.68), p < 0.001. Scheduled admissions were 17 ± 6 week− 1 in COVID-2020 vs. 28 ± 3 forecasted, RR 0.61 (95% CI: 0.55–0.67), p < 0.001. And respiratory viral admissions were 8 ± 5 week− 1 in COVID-2020 vs. 19 ± 9 forecasted, RR 0.40 (95% CI: 0.33–0.48), p < 0.001. Some admission categories experienced dramatic declines (e.g., respiratory/ENT) while others experienced less decline (e.g., injury/poisoning/adverse effects) or no significant change (e.g., diabetic ketoacidosis). While admission categories demonstrated variability in rate decline during COVID-2020, no category had significantly increased weekly admissions. Conclusions We quantify and describe the extent of PICU admission decline in the first year of COVID in Wisconsin, so informing health care staffing and service planning, decisions regarding pandemic mitigation, and other strategies to combat the evolving pandemic. Total, scheduled, and respiratory viral admissions declined by 37, 39, and 60%, respectively. About half the reduction in total admissions was from easily-predictable categories such as scheduled and respiratory viral admissions.

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COVID-19 and Adolescent Depression and Suicide Risk Screening Outcomes

Cited by 151 publications

References 32 publications

Acceptability, Feasibility, and Quality of Telehealth for Adolescent Health Care Delivery During the COVID-19 Pandemic: Cross-sectional Study of Patient and Family Experiences

Acceptability, Feasibility, and Quality of Telehealth for Adolescent Health Care Delivery During the COVID-19 Pandemic: Cross-sectional Study of Patient and Family Experiences

Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic

Pediatric Critical Illness in Wisconsin during the Epoch of COVID-19 in 2020

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