Trends in Emergency Department Visits Involving Mental and Substance Use Disorders, 2006-2013

From the Healthcare Cost and Utilization Project:

Highlights
    • The rate of emergency department (ED) visits per 100,000 population related to mental and substance use disorders (M/SUDs) increased substantially between 2006 and 2013. The increase over these 7 years was higher for mental disorders (55.5 percent for depression, anxiety or stress reactions and 52.0 percent for psychoses or bipolar disorders) than for substance use disorders (37.0 percent).
    • The most rapid increases in the population rate of ED visits involving M/SUDs from 2006 to 2013 by age and sex were as follows:
      • SUDs: women aged 45-64 years (50.2 percent increase)
      • Depression, anxiety, or stress reactions: men aged 45-64 years (64.5 percent increase)
      • Psychoses or bipolar disorders: men and women aged 18-44 years (56.7 and 61.6 percent increase, respectively) and men aged 45-64 years (59.2 percent increase)
    • Between 2006 and 2013, increases in the population rate of ED visits involving M/SUDs were largest among those in the lowest income communities, with increases of 40.8 percent (SUDs) to 79.4 percent (depression, anxiety or stress reactions).
    • The percentage of M/SUD-related ED visits covered by private insurance decreased whereas the percentage covered by Medicaid increased.

 

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