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Demographic predictors of emergency service utilization patterns in youth at risk of suicide.
- Source :
-
Suicide & life-threatening behavior [Suicide Life Threat Behav] 2023 Aug; Vol. 53 (4), pp. 702-712. Date of Electronic Publication: 2023 Jul 11. - Publication Year :
- 2023
-
Abstract
- Objective: To explore demographic predictors of Emergency Department (ED) utilization among youth with a history of suicidality (i.e., ideation or behaviors).<br />Methods: Electronic health records were extracted from 2017 to 2021 for 3094 8-22 year-old patients with a history of suicidality at an urban academic medical center ED in the Mid-Atlantic. Logistic regression analyses were used to assess for demographic predictors of ED utilization frequency, timing of subsequent visits, and reasons for subsequent visits over a 24-month follow-up period.<br />Results: Black race (OR = 1.45, 95% CI = 1.11-1.92), Female sex (OR = 1.59, 95% CI = 1.26-2.03), and having Medicaid insurance (OR = 1.71, 95% CI = 1.37-2.14) were associated with increased utilization, while being under 18 was associated with lower utilization (<12: OR = 0.38, 95% CI = 0.26-0.56; 12-18: OR = 0.47, 95% CI = 0.35-0.63). These demographics were also associated with ED readmission within 90 days, while being under 18 was associated with a lower odds of readmission.<br />Conclusions: Among patients with a history of suicidality, those who identify as Black, young adults, patients with Medicaid, and female patients were more likely to be frequent utilizers of the ED within the 2 years following their initial visit. This pattern may suggest inadequate health care access for these groups, and a need to develop better care coordination with an intersectional focus to facilitate utilization of other health services.<br /> (© 2023 American Association of Suicidology.)
Details
- Language :
- English
- ISSN :
- 1943-278X
- Volume :
- 53
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Suicide & life-threatening behavior
- Publication Type :
- Academic Journal
- Accession number :
- 37431982
- Full Text :
- https://doi.org/10.1111/sltb.12975