Multistakeholder Perspectives on Interventions to Support Youth During Mental Health Boarding

Brady, Robert E.; Ivany, Amanda St.; Nagarajan, Meera K; Acquilano, Stephanie C; Craig, James T.; House, Samantha A.; Mudge, Laurie A.; Leyenaar, JoAnna K

doi:10.1016/j.jpeds.2022.10.004

Cited by 6 publications

(1 citation statement)

References 19 publications

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“…To reduce ED capacity, previous studies have supported efficacy of initiatives during ED visits such as suicide prevention interventions [ 39 ] and improved primary care provider follow-up [ 40 ]. Literature has proposed psychosocial interventions during boarding including psychoeducation, behavioral activation, and relaxation training [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Emergency department visits and boarding for pediatric patients with suicidality before and during the COVID-19 pandemic

Zipursky,

Olson,

Bode

et al. 2023

PLoS ONE

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Objective To quantify the increase in pediatric patients presenting to the emergency department with suicidality before and during the COVID-19 pandemic, and the subsequent impact on emergency department length of stay and boarding. Methods This retrospective cohort study from June 1, 2016, to October 31, 2022, identified patients ages 6 to 21 presenting to the emergency department at a pediatric academic medical center with suicidality using ICD-10 codes. Number of emergency department encounters for suicidality, demographic characteristics of patients with suicidality, and emergency department length of stay were compared before and during the COVID-19 pandemic. Unobserved components models were used to describe monthly counts of emergency department encounters for suicidality. Results There were 179,736 patient encounters to the emergency department during the study period, 6,215 (3.5%) for suicidality. There were, on average, more encounters for suicidality each month during the COVID-19 pandemic than before the COVID-19 pandemic. A time series unobserved components model demonstrated a temporary drop of 32.7 encounters for suicidality in April and May of 2020 (p<0.001), followed by a sustained increase of 31.2 encounters starting in July 2020 (p = 0.003). The average length of stay for patients that boarded in the emergency department with a diagnosis of suicidality was 37.4 hours longer during the COVID-19 pandemic compared to before the COVID-19 pandemic (p<0.001). Conclusions The number of encounters for suicidality among pediatric patients and the emergency department length of stay for psychiatry boarders has increased during the COVID-19 pandemic. There is a need for acute care mental health services and solutions to emergency department capacity issues.

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Section: Discussionmentioning

confidence: 99%