Children's Hospitals Today - Spring 2023 - 5

DATA DIVE / ROUNDS
The latest pediatric mental health data
Since 2019, suicide attempts, suicide ideation, and self-injury have become the most
common mental health conditions among ED discharges at children's hospitals.
N
ew data from 2022 reveals disconcerting trends in pediatric
mental health. As children's hospitals have been
experiencing firsthand, mental health cases among emergency
department discharges were 20% higher in 2022 than 2019
(before the pandemic started), according to data from CHA's
Pediatric Health Information System (PHIS).
Among all the mental health cases identified using the
Child and Adolescent Mental Health Disorders Classification
System (CAMHD-CS), suicide (attempts and ideation) and selfinjury
has seen the greatest increase and has become the most
common ED mental health condition in children's hospitals.
Since 2019, ED cases of suicide and self-injury have risen 50%
and inpatient cases have risen 30%. Since 2016, ED cases at
children's hospitals have nearly tripled.
" Not only are the numbers increasing, but we are also seeing
worse acuity-children don't get to us until their illness is more
advanced, such as having persistent suicidal ideation instead
of initially fleeting thoughts, " says Heather Huszti, chief of
psychology at Children's Hospital of Orange County (CHOC).
" As tempting as it might be to pin this increase on one
specific thing, it is likely to be a complex interaction of several
factors. Children's hospitals must continue to invest in
and advocate for children's mental health. More than half of
children who make a suicide attempt or die by suicide have
a visit to a physical health provider in the six months before
their attempt or death. Children's health care is the early
warning system for suicidal ideation. " -G.H.
Send questions or comments to magazine@childrenshospitals.org.
Children's Hospital Suicide-Self Injury
Emergency Department Cases by Year
25,000
20,000
15,000
10,000
5,000
2016
2017
2018
2019
2020
2021
Source: Pediatric Health Information System (PHIS)
2022
CHILDREN'S HOSPITALS TODAY Spring 2023
5

Children's Hospitals Today - Spring 2023

Table of Contents for the Digital Edition of Children's Hospitals Today - Spring 2023

Contents
Children's Hospitals Today - Spring 2023 - Cover1
Children's Hospitals Today - Spring 2023 - Cover2
Children's Hospitals Today - Spring 2023 - Contents
Children's Hospitals Today - Spring 2023 - 2
Children's Hospitals Today - Spring 2023 - 3
Children's Hospitals Today - Spring 2023 - 4
Children's Hospitals Today - Spring 2023 - 5
Children's Hospitals Today - Spring 2023 - 6
Children's Hospitals Today - Spring 2023 - 7
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Children's Hospitals Today - Spring 2023 - 31
Children's Hospitals Today - Spring 2023 - 32
Children's Hospitals Today - Spring 2023 - Cover3
Children's Hospitals Today - Spring 2023 - Cover4
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