{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:42:29Z","timestamp":1784025749159,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"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\/501100019998","name":"Suicide Prevention Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019998","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","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":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Although child and adolescent mental health and behavioural presentations to hospital emergency departments (EDs) increased during the first 2\u2009years of the COVID\u201019 pandemic (2020 and 2021), little is known about the characteristics of these presentations. We aimed to compare demographic, clinical and psychosocial profiles of paediatric presentations to Australian EDs before and after the onset of the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective observational study of 100 randomly sampled presentations by children (6\u201311\u2010year\u2010olds) and adolescents (12\u201317\u2010year\u2010olds) to 10 Australian EDs between 1 January and 31 December 2019 (pre\u2010COVID\u201019) and 1 January and 31 December 2021 (COVID\u201019). Using a multilevel factor model, we compared the pre\u2010COVID\u201019 and COVID\u201019 cohorts regarding demographic characteristics, diagnoses, precipitants, time\u2010to\u2010treatment, length of stay, and discharge disposition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The COVID\u201019 period was characterised by increased presentations by adolescents and girls. Compared to the pre\u2010COVID\u201019 cohort, the COVID\u201019 cohort experienced increased median waiting times (48 and 72\u2009min, respectively), median length of ED stay (4.7 and 5.4\u2009h), and likelihood of admissions to the ED short stay unit (9.5% and 12.9%). Patients in the COVID\u201019 cohort were more likely to present with self\u2010harm and suicidal thoughts\/behaviours, eating disorders, neurodevelopmental and neurocognitive disorders, and psychosocial stressors, and less likely to have diagnoses of disruptive behaviour, impulse control, and conduct disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Young people presenting to the ED in 2021 for mental health reasons were more likely to wait longer, stay longer, have a diagnosis of intentional self\u2010harm and\/or a neurodevelopmental disorder, and report psychosocial stressors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.70046","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T02:00:50Z","timestamp":1743559250000},"page":"910-918","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Paediatric Emergency Department Mental Health and Behavioural Presentations in Australia Before and After the Onset of the <scp>COVID<\/scp>\u201019 Pandemic: Retrospective Observational Study"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7933-2133","authenticated-orcid":false,"given":"Jackson","family":"Newberry\u2010Dupe","sequence":"first","affiliation":[{"name":"Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health University of Melbourne  Parkville Australia"},{"name":"Centre for Adolescent Health Murdoch Children's Research Institute  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn","family":"Melvin","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"King","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marietta John","family":"White","sequence":"additional","affiliation":[{"name":"Paediatric Emergency Department, Monash Medical Centre, Emergency Service Monash Health  Clayton Victoria Australia"},{"name":"Department of Paediatrics, School of Clinical Sciences Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Parkville Australia"},{"name":"Clinical Sciences Research Murdoch Children's Research Institute  Parkville 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":"Department of Paediatrics University of Melbourne  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