急诊科就诊趋势能告诉我们关于儿童心理健康的什么信息
What Can Trends in Emergency Department Visits Tell Us About Child Mental Health?
Journal of Human Resources · 2025 · [{"name": "Han Choi", "affiliation": ["Princeton University"]}, {"name": "Adriana Corredor‐Waldron", "affiliation": ["North Carolina State University", "Princeton University"]}, {"name": "Janet Currie", "affiliation": ["North Carolina State University", "Princeton University"]}, {"name": "Chris Felton", "affiliation": ["Baylor University"]}]
中文摘要
急诊科中心理健康诊断和自杀行为的增加，常被援引为儿童心理健康危机加剧的证据。我们探讨急诊科就诊趋势是否准确反映了美国儿童心理健康的变化。这些指标深受心理疾病筛查、界定和编码惯例变化的深刻影响。我们的结论是：儿童心理健康确实在恶化，但其幅度并未达到某些指标（如自杀意念）的跳升和趋势所暗示的惊人程度。尽管2006年至2021年间报告的自杀行为上升了228%，但心理健康障碍的真实增幅不太可能超过同期观察到的青少年自杀66%的上升幅度。
Abstract
<h3>Abstract</h3> Increases in mental health diagnoses and suicidal behaviors in Emergency Departments are often cited as evidence of an accelerating child mental health crisis. We ask whether trends in ED visits provide an accurate picture of changes in U.S. child mental health. These measures have been profoundly affected by changing conventions about screening, defining, and coding of mental illness. We conclude that child mental health has been deteriorating, but not by the startling magnitudes suggested by jumps and trends in some measures such as suicidal ideation. Although reported suicidal behaviors rose 228% from 2006-2021, the true rise in mental health disorders is unlikely to exceed the 66% rise in youth suicide observed over the same period.