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Risk of future ED visits for common chronic conditions in adolescence (headaches, asthma, epilepsy, diabetes, and gastrointestinal disorders, assessed using <jats:italic>ICD\u20109<\/jats:italic> diagnoses) were compared between three adolescent study groups presenting to an ED in 2010: self\u2010harm patients (n\u202f=\u202f5,484), patients with psychiatric complaints but no self\u2010harm (n\u202f=\u202f14,235), and patients with other complaints (n\u202f=\u202f16,452). Cohort follow\u2010up ended on Sept. 30, 2015. Analyses were adjusted for patients' prior histories of ED utilization for chronic conditions as well as patient\u2010 and area\u2010level sociodemographic characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Risk of subsequent ED visits was higher among self\u2010harm patients compared to non\u2010psychiatric control patients for subsequent epilepsy\u2010 (aRR\u202f=\u202f1.77, 95% CI [1.42, 2.21]). Risk of subsequent ED visits was higher among psychiatric patients compared to non\u2010psychiatric control patients for subsequent headache\u2010 (aRR\u202f=\u202f1.31, 95% CI [1.21, 1.42]), and epilepsy\u2010related problems (aRR\u202f=\u202f1.85, 95% CI [1.55, 2.21]). Self\u2010harm patients were at higher risk than psychiatric patients for subsequent gastrointestinal disorder (aRR\u202f=\u202f1.76, 95% CI [1.03, 3.01]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings suggest that self\u2010harm behavior and psychiatric disorders are associated with increased ED utilization for subsequent chronic disease\u2010related ED utilization. Chronic disease among adolescent psychiatric patients should be attended to, potentially involving new models of clinical follow\u2010up care.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.adolescence.2019.03.005","type":"journal-article","created":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T13:46:21Z","timestamp":1553089581000},"page":"132-140","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Associations between self\u2010harm and chronic disease among adolescents: Cohort study using statewide emergency department data"],"prefix":"10.1002","volume":"72","author":[{"given":"Cristina","family":"Lid\u00f3n\u2010Moyano","sequence":"first","affiliation":[{"name":"Department of Public Health School of Social Sciences, Humanities, and Arts University of California, Merced Merced CA 95343 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