Table 2. Changes in the Fraction of Youth With 1 or More Mental Health (MH) Emergency Department (ED) Visit (per 10 000 Youth), by Diagnostic Group and Sexa,b.
| Characteristic | Males | Females | ||||
|---|---|---|---|---|---|---|
| Youth with MH ED visit per 10 000: baseline year | % Change (95% CI) | Youth with MH ED visit per 10 000: baseline year | % Change (95% CI) | |||
| Baseline to pandemic year 1 | Baseline to pandemic year 2 | Baseline to pandemic year 1 | Baseline to pandemic year 2 | |||
| Depressive disorder | 12.7 | −31 (−39 to −25)c | −20 (−27 to −13)c | 22.7 | −8 (−13 to −3)c | 16 (11 to 20)c |
| Suicidal ideation/attempt, self-injury | 11.5 | −28 (−35 to −20)c | 3 (−4 to 10) | 19.4 | −6 (−12 to −1)c | 44 (39 to 48)c |
| Bipolar disorder, psychotic disorder | 1.6 | −22 (−45 to −5)c | −20 (−42 to −2)c | 1.6 | −11 (−33 to 6) | −4 (−26 to 12) |
| Anxiety disorder | 6.6 | −24 (−35 to −15)c | −8 (−18 to 1) | 12.1 | −17 (−24 to −10)c | 6 (−1 to 12) |
| Adjustment disorder, trauma-related disorder | 4.3 | −43 (−56 to −31)c | −19 (−32 to −8)c | 5.7 | −20 (−32 to −10)c | 1 (−9 to 11) |
| Conduct disorder, impulse control disorder | 5.0 | −41 (−53 to −30)c | −30 (−42 to −19)c | 2.4 | −29 (−47 to −14)c | −20 (−38 to −5)c |
| Attention-deficit/hyperactivity disorder | 6.1 | −31 (−42 to −21)c | 0 (−10 to 9) | 2.5 | −7 (−24 to 7) | 7 (−9 to 20) |
| Autism spectrum disorder | 3.9 | −20 (−33 to −8)c | −6 (−19 to 5) | 1.0 | −9 (−38 to 11) | 10 (−16 to 29) |
| Eating disorder | 0.4 | −8 (−58 to 23) | 16 (−31 to 43) | 1.9 | 72 (61 to 81)c | 120 (116 to 124)c |
| Other | 5.7 | −32 (−43 to −22)c | −19 (−30 to −9)c | 5.2 | −8 (−19 to 2) | 12 (1 to 21)c |
| Total enrollees, million | 1.5 | 1.4 | 1.4 | 1.5 | 1.4 | 1.3 |
Fraction of youth aged 5 to 17 years with at least 1 ED visit with a primary mental health International Statistical Classification of Diseases and Related Health Problems, Tenth Revision diagnosis on the first claim for the ED visit. Percent change and 95% CIs were calculated using linear regression. Enrollees may count for multiple categories if they have ED visits with different categories of primary diagnoses in 1 year. Diagnostic category other includes personality disorders, gender dysphoria, sexual disorders, tic and movement disorders, and unspecified mental disorders. The code list is available in the eMethods in Supplement 1.
Baseline year indicates March 2019 to February 2020; pandemic year 1, March 2020 to February 2021; and pandemic year 2, March 2021 to February 2022.
Indicates change in rate from baseline is significant with P < .05.