Project Snapshot – The Kids are Not Ok: Retrospective Study

The Kids Are Not Ok: Emergency Department management of acute mental health crises in children and young people – A retrospective study

  • Retrospective audit of medical records of children and young people below 18 years of age who presented to the ED with mental health concerns in 2018 (index presentation) and 1 year pre and post. The information will be used to describe, in different settings and types of EDs:

(a) current patterns and precipitants of ED mental health presentations;

(b) prevalence of co-morbid conditions;

(c) factors (including demographic, family and other social factors) associated with mental illness and suicidality; and

(d) the care provided within the ED and on follow-up.

  • Monash Health HREC approval has been granted for this multi-site project
  • Approval has also been granted for the amendment to address the impact of COVID on ED mental health presentations.
  • The covid arm REDCap survey is in testing phase currently.
Data entry status for the main study as @ 14.10.2021
  • All sites required to enter 100 patient records or as many as they have available.
  • So far, we have 970 complete entries.
  • To date data entry has been completed by the following sites:
    • VIC – Austin hospital, University hospital Geelong, Frankston Hospital, Royal Children’s Hospital
    • QLD – Sunshine Coast University Hospital
    • WA – Perth Children’s Hospital
    • TAS – Royal Hobart hospital
  • Data entry is currently progressing at the following sites:
    • VIC – Monash Health
    • WA – Albany Hospital
    • NT – Royal Darwin hospital
    • SA – Women’s and Children’s Hospital, North Adelaide
Primary outcome
  • Patterns and precipitants of ED mental health presentations
  • ED treatment (including sedation, restraint, etc)
  • Disposition and clinical outcomes