{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:13:21Z","timestamp":1787015601034,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1171228"],"award-info":[{"award-number":["1171228"]}],"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":["2017605"],"award-info":[{"award-number":["2017605"]}],"id":[{"id":"10.13039\/501100000925","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"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To characterise key features of young people presenting to the emergency department (ED) with a mental health complaint when comparing children (aged 7 to 12\u2009years) and teenagers (13\u2009years and greater).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective review of all ED mental health presentations in children aged 7\u201317\u2009years presenting over a 12\u2010month period in 2018 to a tertiary children's hospital in Victoria, Australia. Univariate analyses were carried out to examine the relationship between children and teenagers and a number of key presentation variables. Odds Ratios (ORs) and 95% Confidence Intervals (CIs) were calculated for ED management outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 1691 ED mental health presentations in 2018. Of these presentations, 407 (24%) were children aged 12\u2009years or less. The remaining 76% (1284) were teenagers. The younger aged cohort were more likely to be male (OR 2.43, CI 1.92\u20133.08) and have a past history of autism spectrum disorder (OR 1.92, CI 1.45\u20131.84). They were more likely to have a presenting complaint of acute behavioural disturbance (OR 2.03, CI 1.59\u20132.60), be physically restrained (OR 2.01, CI 1.18\u20133.37) and have sedative medication provided (OR 2.87, CI 1.63\u20135.04). The older aged cohort were more likely to have a past history of depression (OR 0.19, CI 0.12\u20130.29) and a presenting complaint of intentional self\u2010poisoning (OR 0.33, CI 0.15\u20130.65).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Children aged 12\u2009years or less represent one\u2010quarter of all young people presenting to the ED with a mental health concern. They experience high rates of acute behavioural disturbance and are more likely to require restrictive interventions during their presentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.16600","type":"journal-article","created":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T02:35:21Z","timestamp":1719023721000},"page":"415-421","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Emergency department mental health presentations in young children: a retrospective chart review"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5617-0955","authenticated-orcid":false,"given":"Elyssia M","family":"Bourke","sequence":"first","affiliation":[{"name":"Emergency Research Group Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Critical Care University of Melbourne  Melbourne Victoria Australia"},{"name":"Grampians Health  Ballarat Victoria Australia"},{"name":"Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela F","family":"Say","sequence":"additional","affiliation":[{"name":"Grampians Health  Ballarat Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Carison","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinead M","family":"O'Donnell","sequence":"additional","affiliation":[{"name":"Emergency Research Group Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Emergency Department 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":"Emergency Research Group Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Critical Care University of Melbourne  Melbourne Victoria Australia"},{"name":"Emergency Department Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Paediatric Research in Emergency Departments International Collaborative (PREDICT) research network","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpem.2004.05.004"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00589"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.4809"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.07.004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31819e3523"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3181bec82f"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15313"},{"key":"e_1_2_7_9_1","first-page":"20","article-title":"Trends in mental health presentations to a paediatric emergency department","volume":"113","author":"Fitzgerald E","year":"2020","journal-title":"Ir. 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