{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T22:19:53Z","timestamp":1784326793387,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012503","name":"Royal Hobart Hospital Research Foundation","doi-asserted-by":"publisher","award":["20\u2010205"],"award-info":[{"award-number":["20\u2010205"]}],"id":[{"id":"10.13039\/100012503","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014607","name":"Royal Children's Hospital Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014607","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1171228"],"award-info":[{"award-number":["GNT1171228"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT2008073"],"award-info":[{"award-number":["GNT2008073"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010398","name":"Metro South Health","doi-asserted-by":"publisher","award":["RSS_2020_066"],"award-info":[{"award-number":["RSS_2020_066"]}],"id":[{"id":"10.13039\/100010398","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective was to identify a prioritized list of research themes and key data points (baseline data and research outcomes) for future studies regarding child and adolescent emergency department (ED) mental health presentations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective survey\u2010based Delphi process was undertaken in Australia within the Pediatric Research in Emergency Departments International Collaborative (PREDICT) network. Hospital\u2010based and community\u2010based clinicians, researchers, police, ambulance paramedics, pediatric patients, and their carers were recruited to generate research themes and key data points for future pediatric ED mental health research. Responses were collated and analyzed by a steering group consisting of pediatric mental health, medical, and research\/academic experts. Participants then prioritized the items through three survey rounds using a 9\u2010point Likert\u2010type scale to generate a final prioritized list.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>184 participants (36 patients\/carers and 148 clinicians\/researchers) were recruited and generated 267 items for initial prioritization; 23 completed all survey rounds. The surveys identified a consensus of 71 items: 35 research themes and 36 key data points (11 baseline data points and 25 research outcomes) for future research. The top\u2010rated research themes included patient\/staff safety within the ED, the efficacy of dedicated mental health spaces, and the importance of patient follow\u2010up. Important baseline data points included risk factors for mental health presentations and history of child abuse and\/or family violence. Top\u2010rated research outcomes included the occurrence of severe behavioral disturbance in the ED, the use of parenteral sedation, and ED re\u2010presentation and\/or suicide attempt postdischarge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The Delphi process identified a prioritized list of research themes and key data points that will inform future research on child and adolescent mental health\u2010related ED presentations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.15056","type":"journal-article","created":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T08:37:47Z","timestamp":1733128667000},"page":"542-552","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Research themes and key data points for child and adolescent emergency department mental health presentations: A national Delphi study"],"prefix":"10.1111","volume":"32","author":[{"given":"Marietta R.","family":"John\u2010White","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Monash Medical Centre  Melbourne Victoria Australia"},{"name":"Department of Paediatrics, School of Clinical Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmund","family":"Proper","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, School of Clinical Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Muscara","sequence":"additional","affiliation":[{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-2187","authenticated-orcid":false,"given":"Franz E.","family":"Babl","sequence":"additional","affiliation":[{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki A.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Melbourne School of Psychological Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5893-4226","authenticated-orcid":false,"given":"Catherine L.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith L.","family":"Borland","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Perth Children's Hospital  Perth Western Australia Australia"},{"name":"School of Medicine The University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce J.","family":"Tonge","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie M.","family":"Gray","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Monash University  Melbourne Victoria Australia"},{"name":"University of Warwick  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn A.","family":"Melvin","sequence":"additional","affiliation":[{"name":"Centre for Social and Early Emotional Development (SEED), School of Psychology Deakin University  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kochar","sequence":"additional","affiliation":[{"name":"Department of Acute Care Medicine University of Adelaide  Adelaide South Australia Australia"},{"name":"Department of Emergency Medicine Women's and Children's Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Borschmann","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Psychiatry University of Oxford  Oxford UK"},{"name":"Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Haslam","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma J.","family":"Tavender","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Health Services Research Unit Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Monash University  Melbourne Victoria Australia"},{"name":"Early in Life Mental Health Service Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart R.","family":"Dalziel","sequence":"additional","affiliation":[{"name":"Department of Surgery and Paediatrics The University of Auckland  Auckland New Zealand"},{"name":"Emergency Department Starship Children's Health  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Preventive Health Monash University  Melbourne Victoria Australia"},{"name":"Department of Research and Innovation Silverchain  Melbourne Victoria Australia"},{"name":"Ambulance Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2594-1643","authenticated-orcid":false,"given":"Simon S.","family":"Craig","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Monash Medical Centre  Melbourne Victoria Australia"},{"name":"Department of Paediatrics, School of Clinical Sciences Monash University  Melbourne Victoria Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13669"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15313"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00589"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00434"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH22015"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0286035"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.13016"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13493"},{"key":"e_1_2_12_10_1","first-page":"1","article-title":"PREDICT prioritisation study: establishing the research priorities of paediatric emergency medicine physicians in Australia and New Zealand","volume":"0","author":"Deane HC","year":"2017","journal-title":"Emerg Med J"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2014-204484"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2008.00072.x"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2019-316918"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.01.015"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-023-04957-7"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.5662\/wjm.v11.i4.116"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2006.00823.x"},{"issue":"3","key":"e_1_2_12_20_1","first-page":"280","article-title":"The COMET handbook: version 1.0","volume":"18","author":"Williamson PR","year":"2017","journal-title":"Curr Control Trials Cardiovasc Med"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.15441\/ceem.23.172"},{"key":"e_1_2_12_22_1","volume-title":"Nowhere Else to Go: Why Australia's Health System Results in People with Mental Illness Getting \u2018Stuck\u2019 in Emergency Departments","author":"Duggan M","year":"2020"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-1536"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2019.04.180341"},{"key":"e_1_2_12_25_1","first-page":"105164","volume-title":"Int J Med Inform","author":"Arora A","year":"2023"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-14-76"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-021-01745-2"},{"key":"e_1_2_12_28_1","unstructured":"Adverse Childhood Experiences (ACEs): Risk and Protective Factors. U.S. Centers for Disease Control and Prevention.2023. Accessed October 2 2023.https:\/\/www.cdc.gov\/violenceprevention\/aces\/riskprotectivefactors.html#print"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2021.09.016"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(19)30397-9"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13901"},{"issue":"3","key":"e_1_2_12_32_1","first-page":"655","article-title":"How to use the nominal group and Delphi techniques","volume":"38","author":"McMillan SS","year":"2016","journal-title":"Int J Clin Pharmacol"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acem.15056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T11:19:57Z","timestamp":1747221597000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acem.15056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,2]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/acem.15056"],"URL":"https:\/\/doi.org\/10.1111\/acem.15056","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,2]]},"assertion":[{"value":"2024-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}