Pediatric Mental Health Hospitalizations at Acute Care Hospitals in the US, 2009-2019

作者：Mary Arakelyan, Seneca D. Freyleue, Divya Avula, Jennifer McLaren, A. James O’Malley, JoAnna K. Leyenaar · 发表于：JAMA · 年份：2023 · DOI：10.1001/jama.2023.1992 · 被引用次数：119 · 研究领域：Suicide and Self-Harm Studies、Child and Adolescent Psychosocial and Emotional Development、Childhood Cancer Survivors' Quality of Life

Importance: Approximately 1 in 6 youth in the US have a mental health condition, and suicide is a leading cause of death among this population. Recent national statistics describing acute care hospitalizations for mental health conditions are lacking. Objectives: To describe national trends in pediatric mental health hospitalizations between 2009 and 2019, to compare utilization among mental health and non-mental health hospitalizations, and to characterize variation in utilization across hospitals. Design, Setting, and Participants: Retrospective analysis of the 2009, 2012, 2016, and 2019 Kids' Inpatient Database, a nationally representative database of US acute care hospital discharges. Analysis included 4 767 840 weighted hospitalizations among children 3 to 17 years of age. Exposures: Hospitalizations with primary mental health diagnoses were identified using the Child and Adolescent Mental Health Disorders Classification System, which classified mental health diagnoses into 30 mutually exclusive disorder types. Main Outcomes and Measures: Measures included number and proportion of hospitalizations with a primary mental health diagnosis and with attempted suicide, suicidal ideation, or self-injury; number and proportion of hospital days and interfacility transfers attributable to mental health hospitalizations; mean lengths of stay (days) and transfer rates among mental health and non-mental health hospitalizations; and variation in these measures across hospitals. Result...