{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T03:12:41Z","timestamp":1783393961557,"version":"3.54.6"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["Masters Awards (CGS\u2010M)"],"award-info":[{"award-number":["Masters Awards (CGS\u2010M)"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>While screening tools are available for the early identification of eating disorders, it may not be feasible to employ them in an emergency department (ED). Establishing a risk profile may improve the screening process. The purpose of this study was to investigate ED service utilization among patients with eating disorders and create a risk profile to help detect eating disorders at an earlier and more treatable stage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We applied a concurrent mixed methods research design, however, only the quantitative findings will be presented. Our study involved a retrospective cohort analysis of administrative ED health data for patients (<jats:italic>n<\/jats:italic>\u00a0=\u00a0243) aged 12\u201324\u2009years in an eating disorders program. Two control groups: (1) all\u2010cause (<jats:italic>n\u2009=<\/jats:italic>\u00a0716), (2) and mental health (<jats:italic>n\u2009=<\/jats:italic>\u00a0679) were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>68.7% of eating disorder patients were discharged from the ED without follow\u2010up being arranged. Comorbidities were recorded as the primary or secondary diagnosis, and patients presented with suicidality more frequently than controls (<jats:italic>\u03c7<\/jats:italic>\u00a0=\u00a031.2, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Patients accessed ED services five times more often than controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Despite eating disorder patients accessing the ED more frequently than controls, eating disorder diagnoses were not always assigned or documented. Our findings highlight the importance of enhanced eating disorder training for ED health care staff to better understand the risk profile, and the consideration of comorbidities and suicide risk when assessing patients to ensure early detection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As eating disorders are often undetected, more comprehensive training and access to screening tools may help improve detection, mitigate symptom progression, and enhance patient safety.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23588","type":"journal-article","created":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T09:47:13Z","timestamp":1627292833000},"page":"1219-1228","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Considering a risk profile based on emergency department utilization in young people with eating disorders: Implications for early detection"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2546-9118","authenticated-orcid":false,"given":"Carlie","family":"Redekopp","sequence":"first","affiliation":[{"name":"Department of Community Health Sciences Cumming School of Medicine, University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Dimitropoulos","sequence":"additional","affiliation":[{"name":"Faculty of Social Work University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Patten","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences Cumming School of Medicine, University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliya","family":"Kassam","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences Cumming School of Medicine, University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0034004"},{"key":"e_1_2_9_3_1","volume-title":"Diagnostic and statistical manual of mental disorders, 4th ed. text revision (DSM\u2010IV\u2010TR)","author":"American Psychiatric Association","year":"2000"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-53552-0_5"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4212\/cjhp.v68i3.1457"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558709332440"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22026"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22070"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22501"},{"issue":"5","key":"e_1_2_9_11_1","first-page":"259","article-title":"Uncovering hidden eating disorders using the SCOFF questionnaire: Cross\u2010sectional survey of adolescents and comparison with nurse assessments","volume":"19","author":"Hautala L.","year":"2007","journal-title":"Journal of Nursing Science"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-040279"},{"key":"e_1_2_9_13_1","unstructured":"International Classification of Diseases (ICD). 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