Mental health emergency department visits: An exploration of case definitions in North Carolina.
Am J Emerg Med
; 57: 103-106, 2022 07.
Article
in English
| MEDLINE | ID: covidwho-1872909
ABSTRACT
BACKGROUND:
Mental health (MH) disorders comprise a high disease burden and have long-lasting impacts. To improve MH, it is important to define public health MH surveillance.METHODS:
We compared MH related definitions using ICD-10-CM codes The Council of State and Territorial Epidemiologists' (CSTE) surveillance indicators for all MH, mood or depressive, schizophrenic, and drug/alcohol-induced disorders; and North Carolina's (NC) syndromic surveillance system's definition for anxiety/mood/psychotic disorders, and suicide/self-harm. We compared code definitions and frequent codes in 2019 emergency department (ED) data for those age ≥ 10 years.RESULTS:
CSTE's definition resulted in over one million MH-related visits (23% of all ED visits) and NC's definitions in 451,807 MH-related visits (9% of all ED visits). Using CSTE's broadest definition, nicotine use was the most common visit type; using NC's definitions, it was major depressive disorder.CONCLUSIONS:
Standardizing population-level MH indicators benefits surveillance efforts. Given its prevalence, efforts should focus on documenting MH to improve treatment and prevention.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Mental Health
/
Depressive Disorder, Major
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Am J Emerg Med
Year:
2022
Document Type:
Article
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