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Trends in US Emergency Department Visits for Mental Health, Overdose, and Violence Outcomes Before and During the COVID-19 Pandemic

Overview of attention for article published in JAMA Psychiatry, April 2021
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#10 of 2,190)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Mentioned by

news
132 news outlets
blogs
6 blogs
twitter
731 tweeters
facebook
4 Facebook pages
reddit
1 Redditor

Citations

dimensions_citation
21 Dimensions

Readers on

mendeley
125 Mendeley
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Title
Trends in US Emergency Department Visits for Mental Health, Overdose, and Violence Outcomes Before and During the COVID-19 Pandemic
Published in
JAMA Psychiatry, April 2021
DOI 10.1001/jamapsychiatry.2020.4402
Pubmed ID
Authors

Kristin M. Holland, Christopher Jones, Alana M. Vivolo-Kantor, Nimi Idaikkadar, Marissa Zwald, Brooke Hoots, Ellen Yard, Ashley D’Inverno, Elizabeth Swedo, May S. Chen, Emiko Petrosky, Amy Board, Pedro Martinez, Deborah M. Stone, Royal Law, Michael A. Coletta, Jennifer Adjemian, Craig Thomas, Richard W. Puddy, Georgina Peacock, Nicole F. Dowling, Debra Houry

Abstract

The coronavirus disease 2019 (COVID-19) pandemic, associated mitigation measures, and social and economic impacts may affect mental health, suicidal behavior, substance use, and violence. To examine changes in US emergency department (ED) visits for mental health conditions (MHCs), suicide attempts (SAs), overdose (OD), and violence outcomes during the COVID-19 pandemic. This cross-sectional study used data from the Centers for Disease Control and Prevention's National Syndromic Surveillance Program to examine national changes in ED visits for MHCs, SAs, ODs, and violence from December 30, 2018, to October 10, 2020 (before and during the COVID-19 pandemic). The National Syndromic Surveillance Program captures approximately 70% of US ED visits from more than 3500 EDs that cover 48 states and Washington, DC. Outcome measures were MHCs, SAs, all drug ODs, opioid ODs, intimate partner violence (IPV), and suspected child abuse and neglect (SCAN) ED visit counts and rates. Weekly ED visit counts and rates were computed overall and stratified by sex. From December 30, 2018, to October 10, 2020, a total of 187 508 065 total ED visits (53.6% female and 46.1% male) were captured; 6 018 318 included at least 1 study outcome (visits not mutually exclusive). Total ED visit volume decreased after COVID-19 mitigation measures were implemented in the US beginning on March 16, 2020. Weekly ED visit counts for all 6 outcomes decreased between March 8 and 28, 2020 (March 8: MHCs = 42 903, SAs = 5212, all ODs = 14 543, opioid ODs = 4752, IPV = 444, and SCAN = 1090; March 28: MHCs = 17 574, SAs = 4241, all ODs = 12 399, opioid ODs = 4306, IPV = 347, and SCAN = 487). Conversely, ED visit rates increased beginning the week of March 22 to 28, 2020. When the median ED visit counts between March 15 and October 10, 2020, were compared with the same period in 2019, the 2020 counts were significantly higher for SAs (n = 4940 vs 4656, P = .02), all ODs (n = 15 604 vs 13 371, P < .001), and opioid ODs (n = 5502 vs 4168, P < .001); counts were significantly lower for IPV ED visits (n = 442 vs 484, P < .001) and SCAN ED visits (n = 884 vs 1038, P < .001). Median rates during the same period were significantly higher in 2020 compared with 2019 for all outcomes except IPV. These findings suggest that ED care seeking shifts during a pandemic, underscoring the need to integrate mental health, substance use, and violence screening and prevention services into response activities during public health crises.

Twitter Demographics

The data shown below were collected from the profiles of 731 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 125 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 125 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 26 21%
Student > Master 18 14%
Student > Bachelor 12 10%
Student > Ph. D. Student 10 8%
Other 10 8%
Other 17 14%
Unknown 32 26%
Readers by discipline Count As %
Medicine and Dentistry 27 22%
Psychology 15 12%
Social Sciences 12 10%
Nursing and Health Professions 8 6%
Economics, Econometrics and Finance 3 2%
Other 16 13%
Unknown 44 35%

Attention Score in Context

This research output has an Altmetric Attention Score of 1590. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 June 2021.
All research outputs
#3,581
of 17,944,265 outputs
Outputs from JAMA Psychiatry
#10
of 2,190 outputs
Outputs of similar age
#269
of 341,043 outputs
Outputs of similar age from JAMA Psychiatry
#1
of 58 outputs
Altmetric has tracked 17,944,265 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,190 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 103.2. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 341,043 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.