“Families come in with their children who have severe behavioral problems, and the families really just are at their wit’s end, you know,” said Dr. Anna M. Cushing, a pediatric emergency room physician at Children’s Hospital Los Angeles and one of the authors of the study. “Their child’s behavior may be a danger to themselves, but also to the parents, to the other children in the home.”
The findings, published in the journal JAMA Pediatrics, analyzed more than 308,000 mental health visits at 38 hospitals between 2015 and 2020.
Compared with patients presenting with suicidal or self-harming behavior, those with psychotic disorders were 42 percent more likely to revisit the emergency department within six months, the study found; patients with impulse control disorders were 36 percent more likely; and patients with disorders like autism and A.D.H.D. were 22 percent more likely. Patients who required medications to subdue them were 22 percent more likely to revisit than patients who did not.
Tips for Parents to Help Their Struggling Teens Card 1 of 6 Are you concerned for your teen? If you worry that your teen might be experiencing depression or suicidal thoughts, there are a few things you can do to help. Dr. Christine Moutier, the chief medical officer of the American Foundation for Suicide Prevention, suggests these steps: Look for changes. Notice shifts in sleeping and eating habits in your teen, as well as any issues he or she might be having at school, such as slipping grades. Watch for angry outbursts, mood swings and a loss of interest in activities they used to love. Stay attuned to their social media posts as well. Keep the lines of communication open. If you notice something unusual, start a conversation. But your child might not want to talk. In that case, offer him or her help in finding a trusted person to share their struggles with instead. Seek out professional support. A child who expresses suicidal thoughts may benefit from a mental health evaluation and treatment. You can start by speaking with your child’s pediatrician or a mental health professional. In an emergency: If you have immediate concern for your child’s safety, do not leave him or her alone. Call a suicide prevention lifeline. Lock up any potentially lethal objects. Children who are actively trying to harm themselves should be taken to the closest emergency room. Resources If you’re worried about someone in your life and don’t know how to help, these resources can offer guidance:1. The National Suicide Prevention Lifeline: Text or call 988 2. The Crisis Text Line: Text TALK to 741741 3. The American Foundation for Suicide Prevention
The results suggest that researchers should focus more attention on families whose children have cognitive and behavioral problems, and who may turn to emergency rooms for respite, Dr. Cushing said.
“I’m not sure we’ve been spending as much time talking about these agitated and behaviorally disregulated patients, at least on a national scale,” she said.