TABLE 4.

Sex-Related Characteristics of Psychiatric ED Visits Among Youth in the United States

	Female Sex	Male Sex
Count of total visits (weighted)	87 687 560	68 404 546
Count of psychiatric ED visits (weighted)	6 582 345	6 559 241
Estimated youth in the United States, 2011–2015	196 847 905	206 105 038
Psychiatric ED visits*, % of all visits (count)
2011	6.9 (1 259 925)	8.9 (1 256 081)
2012	6.9 (1 184 067)	8.6 (1 130 720)
2013	6.7 (1 122 287)	10.0 (1 240 790)
2014	7.4 (1 320 195)	9.4 (1 387 786)
2015	9.5 (1 695 871)	11.0 (1 543 864)
Psychiatric ED visits per 1000 US youth
2011	32.0	30.5
2012	30.1	27.4
2013	28.4	30.0
2014	33.4	33.6
2015	43.1	37.5
Region,* % of all psychiatric ED visits
Northeast	18.8	21.3
Midwest	24.8	25.1
South	37.8	29.2
West	18.8	24.5
Youth,* y, %
6–11	3.6	9.0
12–17	33.4	25.6
18–24	63.0	65.4
Race, %
Non-Hispanic white	64.2	60.0
Non-Hispanic African American	18.7	20.9
Hispanic	15.0	16.6
Non-Hispanic other	2.1	2.5
Insurance, %
Private	34.1	34.5
Public	46.4	40.6
Self-pay	14.5	17.0
Other	5.0	7.9
Visit on a weekend, %
No	73.4	74.6
Yes	26.5	25.4
Arrival time, %
Morning (<11 am)	28.2	28.1
Afternoon (11 am–4 pm)	31.6	28.1
Evening (5 pm–12 am)	40.2	43.8
Urgent, %
No	31.7	28.4
Yes	68.2	71.6
Length of visit, %
<90 min	20.8	19.9
90–179 min	28.4	28.5
180–359 min	29.5	29.4
≥6 h	21.2	22.2
Arrive by ambulance, %
No	25.4	25.9
Yes	74.6	74.1
Mental health provider seen, %
No	82.5	84.5
Yes	17.4	15.4
Admit to hospital, %
No	81.9	80.7
Yes or transfer to another hospital	7.4	10.4
Transfer or admit to a psychiatric facility	10.7	8.9
Psychiatric diagnosis or RFV,*,a %
Mood*	59.1	45.9
Behavior	12.1	15.3
SUD*	37.1	44.2
Psychosis*	5.1	8.2
Suicide attempt or self-injury	14.6	10.9
Other	30.1	30.3
Count of psychiatric diagnoses or RFVs, mean	1.44	1.44
Primary diagnosis is psychiatric, %
No	35.1	33.4
Yes	64.9	66.6

^aReflects the presence of any of the listed diagnoses or RFVs

^*P < .05