{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T03:58:46Z","timestamp":1793419126467,"version":"4.5.0"},"reference-count":31,"publisher":"American Medical Association (AMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n \n A growing body of research suggests that exposure to fine particulate matter (PM\n 2.5<\/jats:sub>\n ; particle size 2.5 microns or smaller) may be associated with mental health outcomes. However, the potential impact of wildfire-specific PM\n 2.5<\/jats:sub>\n exposure on mental health remains underexplored.\n <\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n \n To investigate whether wildfire-specific PM\n 2.5<\/jats:sub>\n exposure may be associated with emergency department (ED) visits for mental health conditions, including all-cause and for psychoactive substance use, nonmood psychotic disorders, anxiety, depression, and other mood-affective disorders during the extensive 2020 California wildfire season.\n <\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This cross-sectional study used data on ED visits from July to December 2020 obtained from the California Department of Health Care Access and Information (HCAI). Eligible participants were California residents who presented to an ED in California for mental health conditions without COVID-19. The data were analyzed between July 2020 and December 2020.<\/jats:p>\n <\/jats:sec>\n \n Exposure<\/jats:title>\n \n Wildfire-specific PM\n 2.5<\/jats:sub>\n exposure (with up to 7-day lags) based on participants\u2019 residential zip codes.\n <\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n \n Daily ED visit counts for all-cause and disease-specific mental health conditions (F00-F99) identified using\n International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10)<\/jats:italic>\n codes at zip code tabulation areas.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Between July and December 2020, there were 86\u202f609 ED visits for mental health conditions (median [IQR] patient age, 38 [27-54] years; 40\u202f272 female [46.5%]; 10\u202f657 Black [12.3%], 30\u202f044 Hispanic [34.7%], 35\u202f145 White [40.6%]). Visits included psychoactive substance use (23\u202f966 [27.6%]), nonmood psychotic disorders (16\u202f714 [19.3%]), anxiety (26\u202f711 [30.8%]), depression (10\u202f422 [12.0%]), and other mood-affective disorders (5338 [6.2%]). During peak wildfire months, the median (IQR) daily concentration of wildfire-specific PM\n 2.5<\/jats:sub>\n increased to 11.9 (3.9-32.5) \u03bcg\/m\n 3<\/jats:sup>\n . A 10-\u03bcg\/m\n 3<\/jats:sup>\n increase in wildfire-specific PM\n 2.5<\/jats:sub>\n was associated with higher ED visits for all-cause mental conditions (cumulative relative risk [cRR] over lag 0-7 days, 1.08; 95% CI, 1.03-1.12), depression (cRR over lag 0-7 days, 1.15; 95% CI, 1.02-1.30), other mood-affective disorders (cRR over lag 0-7 days, 1.29; 95% CI, 1.09-1.54), and anxiety (cRR over lag 0-4 days, 1.06; 95% CI, 1.00-1.12). Subgroup analyses suggested that wildfire smoke was associated with disproportionately increased ED visits among female individuals (eg, depression: cRR over lag 0-4 days, 1.17; 95% CI, 1.03-1.32) and young people (other mood-affective disorders: cRR over lag 0-4 days, 1.46; 95% CI, 1.08-1.98). Effect modification by race was found, with non-Hispanic Black individuals having an increased risk of ED visits for other mood-affective disorders (cRR over lag 0-5 days, 2.35; 95% CI, 1.56-3.53) and Hispanic individuals an increased risk for visits for depression (cRR over lag 0-7 days, 1.30; 95% CI, 1.06-1.59).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n Wildfire smoke exposure was associated with significantly increased odds of subsequent ED visits for mental health conditions in this cross-sectional study, with varying lag times for different subconditions and demographic groups.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2025.3326","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T20:53:27Z","timestamp":1743800007000},"page":"e253326","source":"Crossref","is-referenced-by-count":26,"title":["Fine Particulate Matter From 2020 California Wildfires and Mental Health\u2013Related Emergency Department Visits"],"prefix":"10.1001","volume":"8","author":[{"given":"Youn Soo","family":"Jung","sequence":"first","affiliation":[{"name":"Sean N. 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