Findings seen in analysis of 11 million pediatric emergency visits across 18 countries, with some differences by sex and age

Non-Hispanic Blacks also have highest rates of emergency department visits for specific disorders, including substance use, anxiety, mood disorders

Ask Suicide-Screening Questions instrument also performs well for universal screening in emergency departments

Following emergency department discharge, 31.2 and 55.8 percent of children had outpatient visit within seven and 30 days, respectively

Predictors of emergency department avoidance include lower income, being uninsured, poor or fair mental/physical health, and younger age

Pediatric mental health visits with length of stay >12 and >24 hours accounted for 20.9 and 7.3 percent of all visits

Psychiatric comorbidities, chemical restraint use, public insurance tied to emergency revisits; substance use disorders associated with lower likelihood of revisits

No significant association observed between average annual emergency department volume and restraint use

Hotline started in July with mental health counselors working around the country and has answered about 8,000 calls a day since then

Increase started in 2019 and continued through pandemic; hospitalizations increased 57 percent between Fall 2019 and Fall 2020