How has emergency department use for children’s mental health changed during the COVID-19 pandemic?

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The early COVID-19 pandemic brought overall declines in children’s mental health–related emergency department visits, according to a study in Psychiatric Research and Clinical Practice that analyzed electronic health records from four U.S. academic health systems.

Children’s mental health–related emergency department use declined from the spring through the fall of 2020 (−25.5%) compared with 2019, with substantial variation by season, sex, race, ethnicity, age group, and diagnosis.

When controlling for demographic shifts, visits among children with intellectual disabilities, developmental disorders, and childhood‐onset disorders (including attention-deficit hyperactivity disorder) were especially reduced during the early pandemic.

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