TABLE 1

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

6–11 y12–17 y18–24 yOverall
Count of total visits (weighted)35 497 17139 393 22281 201 713156 092 106
Count of psychiatric ED visits (weighted)825 6163 881 6088 434 36213 141 586
Estimated youth in the United States, 2011–2015123 138 640125 212 948154 601 355402 952 943
Psychiatric ED visits, % of all visits (count)
 20112.0 (133 225)9.0 (727 111)9.4 (1 655 670)7.8 (2 516 006)
 20122.0 (132 235)8.2 (607 112)9.7 (1 575 440)7.6 (2 314 787)
 20132.8 (179 852)9.4 (675 333)9.8 (1 507 892)8.1 (2 363 077)
 20142.3 (181 471)9.1 (755 863)10.7 (1 770 647)8.3 (2 707 981)
 20152.5 (198 833)13.2 (1 116 189)12.5 (1 924 713)10.1 (3 239 735)
Psychiatric ED visits per 1000 US youth
 20115.428.954.031.3
 20125.424.250.928.7
 20137.327.048.529.3
 20147.330.257.033.5
 20158.044.662.540.2
Region, % of psychiatric ED visits
 Northeast29.620.618.820.0
 Midwest22.425.924.725.0
 South29.333.933.733.5
 West18.719.522.721.5
Sex,* %
 Female28.456.749.750.0
 Male71.643.350.850.0
Race, %
 Non-Hispanic White55.758.664.362.1
 Non-Hispanic African American22.919.419.719.8
 Hispanic16.519.813.815.8
 Non-Hispanic other4.92.12.12.3
Insurance,* %
 Private32.238.632.534.3
 Public56.452.738.043.6
 Self-pay6.75.921.215.9
 Other4.62.88.36.4
Visit on a weekend,* %
 No83.576.771.974.0
 Yes16.523.328.126.0
Arrival time,* %
 Morning (<11 am)18.620.132.728.1
 Afternoon (11 am–4 pm)28.331.729.229.9
 Evening (5 pm–12 am)53.048.238.042.0
Urgent,* %
 No34.321.933.530.1
 Yes65.778.166.569.9
Arrive by ambulance,*%
 No85.978.771.225.6
 Yes14.121.328.874.4
Length of visit, %
 <90 min18.517.421.920.4
 90–179 min25.728.328.928.5
 180–359 min36.930.528.329.4
 ≥6 h18.823.721.121.7
Mental health provider seen,* %
 No84.575.187.483.5
 Yes15.424.912.616.5
Admit to hospital,* %
 No81.674.684.381.3
 Yes or transfer to another hospital6.38.99.28.9
 Transfer or admit to a psychiatric facility12.116.46.59.8
Any psychiatric diagnosis or RFV,*,a %
 Mood*45.462.748.552.5
 Behavior*42.319.78.213.7
 SUD*4.526.650.740.6
 Psychosis6.25.17.36.6
 Suicide attempt or self-injury*4.222.78.912.7
 Other*40.839.724.830.2
 Count of psychiatric diagnoses or RFVs, mean1.391.531.391.42
Primary diagnosis is psychiatric,* %
 No37.923.338.934.2
 Yes62.176.761.165.8
  • a Reflects the presence of any of the listed diagnoses or RFVs.

  • * P < .05.