{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:32:45Z","timestamp":1777527165498,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T00:00:00Z","timestamp":1661817600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>This mixed-methods survey study aims to describe the effects of the COVID-19 pandemic on the mental health of a sample of 571 children and adolescent seeking psychiatric emergency care. The study was conducted from July to October 2020 at a large Midwestern academic center. Among the respondents, there were significant increases in mental health symptoms attributed to the COVID-19 pandemic, including anxiety (71% of respondents), depression (66%), suicidal thoughts or behaviors (45%), and aggression (31%). There were significant differences in reported increases in symptoms by age and gender. In addition, 38% of participants reported that the pandemic led to a change or closure of their health care treatment, including mental health providers, with 22% reporting that reduced treatment access led to their emergency visit. Further research is indicated to assess other, more diverse populations, as well as the longer-term mental health impacts of the pandemic.<\/jats:p>","DOI":"10.1177\/00099228221120288","type":"journal-article","created":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T05:12:02Z","timestamp":1661836322000},"page":"241-250","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Impact of the COVID-19 Pandemic on Children and Adolescents Presenting With a Psychiatric Emergency"],"prefix":"10.1177","volume":"62","author":[{"given":"Benjamin W.","family":"Erjavac","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia I.","family":"Rolin","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keerthi","family":"Gondy","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A.","family":"Cranford","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Shobassy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard J.","family":"Biermann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander J.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9711-7736","authenticated-orcid":false,"given":"Victor","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,8,30]]},"reference":[{"key":"bibr1-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-020-00589-w"},{"key":"bibr2-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102092"},{"key":"bibr3-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2020.05.009"},{"key":"bibr4-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113190"},{"key":"bibr5-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113429"},{"key":"bibr6-00099228221120288","doi-asserted-by":"publisher","DOI":"10.24869\/psyd.2020.229"},{"key":"bibr7-00099228221120288","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18073432"},{"key":"bibr8-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2021.1901407"},{"key":"bibr9-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30460-8"},{"key":"bibr10-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-1536"},{"key":"bibr11-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1017\/ipm.2020.29"},{"key":"bibr12-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1177\/1039856220960673"},{"key":"bibr13-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-020-01151-w"},{"key":"bibr14-00099228221120288","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6945a3"},{"key":"bibr15-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2021.03.082"},{"key":"bibr16-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-039628"},{"key":"bibr17-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-029280"},{"key":"bibr18-00099228221120288","unstructured":"Ramachandran S, Bhaskar G. A hidden cost of Covid: shrinking mental-health services. The Wall Street Journal. October 9, 2020. Accessed August 16, 2022. https:\/\/www.wsj.com\/articles\/a-hidden-cost-of-covid-shrinking-mental-health-services-11602255729."},{"key":"bibr19-00099228221120288","unstructured":"Ladouceur CD. COVID-19 adolescent symptom & psychological experience questionnaire. Date unknown. Accessed June 8, 2020. https:\/\/www.phenxtoolkit.org\/toolkit_content\/PDF\/CASPE_Parent_Social.pdf."},{"key":"bibr20-00099228221120288","volume-title":"IBM SPSS Statistics for Windows, Version 27.0","author":"IBM Corp","year":"2020"},{"key":"bibr21-00099228221120288","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17238753"},{"key":"bibr22-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2020.110171"},{"key":"bibr23-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2020.03.013"},{"key":"bibr24-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1177\/0706743720935646"},{"key":"bibr25-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113267"},{"key":"bibr26-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113648"},{"key":"bibr27-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-021-00445-3"},{"key":"bibr28-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.05.048"},{"key":"bibr29-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15296"},{"key":"bibr30-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-019-01469-4"},{"key":"bibr31-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-0025.2012.01167.x"},{"key":"bibr32-00099228221120288","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304470"},{"key":"bibr33-00099228221120288","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.08.001"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228221120288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228221120288","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228221120288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:32:13Z","timestamp":1777393933000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228221120288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,30]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1177\/00099228221120288"],"URL":"https:\/\/doi.org\/10.1177\/00099228221120288","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,30]]}}}