Thank to @auerbachlab.bsky.social, Jackie Kirshenbaum, & @epikerrykeyes.bsky.social
David Pagliaccio
@dpagliaccio.bsky.social
680 Followers
360 Following
Research Scientist at NYSPI/Columbia psychiatry 🧠🗽🌈 neuroscience of emotion-related disorders in youth- #rstats package:scipub @queerpsychneuro slack mod. He/him
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Unfortunately, many kids will end up back in the ER w/i a few months for additional care (similar to older teens). Early suicide thoughts or behaviors are the biggest risk factor in these data. More nuanced data can help us better understand risk and ways to help these families.
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Overall, we see that many children seek mental health care in the ER and suicide risk is commonly observed even in young children. These rates are increasing over time. EHR are powerful but do likely underestimate the issue with potential undercoding in ICD diagnoses.
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18% of kids had multiple mental health ER visits. 10% had multiple suicide-related visits. Mostly often returns were w/i 3 months of discharge. ER return w/i 1 year was most common for kids with suicide risk, more mental health diagnoses, without private insurance, and for girls.
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Injury due to suicide behavior was present but not highly common–this was almost exclusively ingestion (overdose) or object (e.g., cutting) injuries. Suicide risk in the ER shows temporal patterns, most common during the day (vs. night) and school days (vs. weekends and summers).
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Mental health and suicide risk are on the rise in the ER, accounting for 5% of all ER visits in 2010 to 10% in 2020. This also comes with an increase in patient related costs year over year $$. Increasing % of suicide risk / all mental health visits by year x state.
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Our new paper is out in ‪@jamanetworkopen.com‬now jamanetwork.com/journals/jam... We used the amazing HCUP dataset to analyze >600K electronic health records from 8-12-year-olds in the emergency room for mental health or suicide risk. This covered a decade of data from 12 states in the US.
Childhood Suicide Risk in the Emergency Department
This cohort study examines electronic health records from children presenting to the emergency department (ED) for suicide thoughts and behaviors to identify risks of return ED visits.
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Come work with us!
We are hiring multiple research assistants to join our team focused on youth depression and suicide projects using real-time monitoring and neuroimaging. Come join our team. Please share! opportunities.columbia.edu/jobs/researc...
Research Assistant - Columbia University Medical Center, New York, United States
Job Type: Support Staff - Union Bargaining Unit: SSA Regular/Temporary: Regular End Date if Temporary: Hours Per Week: 35 Standard Work Schedule: Building: Salary Range: $59,845.49 - $59,845.49 The s...
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library(tidyverse) library(tidytext) library(readtext) library(openxlsx)
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nsf <- str_replace_all(readtext('NSF_keywords.docx')$text,"\n","|") doc <- as_tibble(readtext("Grant.docx")$text) df <- unnest_tokens(doc,"sentences",out,value) df <- df %>% filter(str_detect(df$out,nsf)) df$replace <- str_match(df$out,nsf) write.xlsx(df,"check.xlsx")
