@article{ref1,
title="Mental health emergency department visits: An exploration of case definitions in North Carolina",
journal="American journal of emergency medicine",
year="2022",
author="Brown, Carrie and Seibert, Julie and Fliss, Mike and Cox, Mary E. and LeMasters, Katherine and Proescholdbell, Scott",
volume="57",
number="",
pages="103-106",
abstract="BACKGROUND: Mental health (MH) disorders comprise a high disease burden and have long-lasting impacts. To improve MH, it is important to define public health MH surveillance. <br><br>METHODS: We compared MH related definitions using ICD-10-CM codes: The Council of State and Territorial Epidemiologists' (CSTE) surveillance indicators for all MH, mood or depressive, schizophrenic, and drug/alcohol-induced disorders; and North Carolina's (NC) syndromic surveillance system's definition for anxiety/mood/psychotic disorders, and suicide/self-harm. We compared code definitions and frequent codes in 2019 emergency department (ED) data for those age ≥ 10 years. <br><br>RESULTS: CSTE's definition resulted in over one million MH-related visits (23% of all ED visits) and NC's definitions in 451,807 MH-related visits (9% of all ED visits). Using CSTE's broadest definition, nicotine use was the most common visit type; using NC's definitions, it was major depressive disorder. <br><br>CONCLUSIONS: Standardizing population-level MH indicators benefits surveillance efforts. Given its prevalence, efforts should focus on documenting MH to improve treatment and prevention.<p /><p>Language: en</p>",
language="en",
issn="0735-6757",
doi="10.1016/j.ajem.2022.04.053",
url="http://dx.doi.org/10.1016/j.ajem.2022.04.053"
}