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Fema flood xsection data6/15/2023 ![]() ††ĭuring January 2019–February 2023, adolescent ED visits for MHCs (overall and specific), suicide-related behaviors (including suspected suicide attempts), and drug overdoses (including opioid-involved overdoses) varied over time and by school semester ( Figure) (Supplementary Figure, ). This activity was reviewed by CDC and conducted consistent with applicable federal law and policy. Analyses were conducted using R software (version 4.1.2 The R Foundation). Visit ratios (VRs)** with 95% CIs were calculated to describe the proportion of ED visits of interest among all adolescent ED visits in the surveillance versus comparison periods. ¶ Changes were classified as decreased (≤−10%), stable (>−10% to <10%) or increased (≥10%) to support meaningful change identification and reduce identification of changes resulting from normative national ED visit fluctuations. CDC calculated percent change in mean weekly ED visits overall and by sex. ED visits of interest were identified using a combination of free-text reason-for-visit (chief complaint), and administrative diagnosis codes (determined using codes from the International Classification of Diseases, Ninth Edition, Clinical Modification International Classification of Diseases, Tenth Edition, Clinical Modification and the Systematized Nomenclature of Medicine) (Supplementary Table, ), and did not differentiate by the primary or secondary diagnosis when multiple medical conditions were present as part of the visit record. K–12 education semesters (spring semester, summer vacation, fall semester). School semester surveillance periods were used after visual inspection of visits related to MHCs, suicide-related behaviors, and drug overdoses for adolescents, which indicated substantial seasonal variation in visit patterns that mirrored U.S. In addition to displaying continuous trends, school semester surveillance periods in 2022 (spring included calendar weeks 1–23 summer, weeks 24–36 and fall, weeks 37–53) were compared with corresponding periods in 20 to monitor recent changes in ED visits and differences from the prepandemic baseline, respectively. To reduce artifactual impact from changes in reporting patterns, analyses were restricted to facilities with a coefficient of variation for ED visits of ≤40 and average weekly informative discharge diagnosis ≥75% complete throughout the study period. A collaboration among CDC, local, and state health departments, and federal, academic, and private sector partners, NSSP receives anonymized medical record data from approximately 75% of EDs nationwide, although fewer than 50% of facilities from California, Hawaii, Minnesota, and Oklahoma currently participate. ![]() Early identification and trauma-informed interventions, coupled with expanded evidence-based, comprehensive prevention efforts, are needed to support adolescents’ mental and behavioral health.ĬDC examined ED visit data for adolescents from facilities consistently reporting data to the National Syndromic Surveillance Program (NSSP) during January 2019–early February 2023. These findings suggest some improvements as of fall 2022 in the trajectory of adolescent mental and behavioral health, as measured by ED visits however, poor mental and behavioral health remains a substantial public health problem, particularly among adolescent females. Differences by sex were observed levels among females were at or higher than prepandemic baselines for these conditions. Mean weekly ED visits in fall 2022 for suicide-related behaviors and MHCs overall were at or lower than the 2019 prepandemic baseline, respectively, and drug overdose visits were higher. During this same period, increases in weekly ED visits for opioid-involved overdoses were detected. Compared with fall 2021, by fall 2022, decreases in weekly ED visits were reported among all adolescents, and females specifically, for MHCs overall, suicide-related behaviors, and drug overdoses weekly ED visits among males were stable. emergency department (ED) visits for mental health conditions (MHCs) overall and for nine specific MHCs, § suicide-related behaviors (including suspected suicide attempts), and drug-involved overdoses (including opioids) among children and adolescents aged 12–17 years (adolescents) during January 2019–February 2023, overall and by sex. adolescent mental and behavioral health crisis is ongoing,* with high pre–COVID-19 pandemic baseline rates † ( 1) and further increases in poor mental health ( 2), suicide-related behaviors ( 3), and drug overdose deaths ( 4) reported during 2020–2021.
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