Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder

Research output: Contribution to journalArticle

Abstract

This study reaffirms our previous work documenting a higher number of Emergency Department (ED) visits by adolescent females with Autism Spectrum Disorder (ASD) as compared to adolescent males with ASD, as well as significantly more ED visits by older adolescents than younger adolescents with ASD. Combined externalizing and internalizing psychiatric co-morbidities as well as internalizing conditions alone predict a higher number of ED visits in this study. Illness severity as demonstrated by patterns of visits to primary care physicians and psychiatric referrals prior to ED visits and the prescription of two or more classes of psychotropic medications also predict higher number of ED visits. Finally, as expected, previous ED visits predict future ED visits. The identification of these factors may prove helpful in determining adequacy of current supports and resources for teens with ASD navigating the challenges of adolescence.

Original languageEnglish (US)
Pages (from-to)4455-4467
Number of pages13
JournalJournal of Autism and Developmental Disorders
Volume49
Issue number11
DOIs
StatePublished - Nov 1 2019

Fingerprint

Hospital Emergency Service
Psychiatry
Primary Care Physicians
Autism Spectrum Disorder
Prescriptions
Referral and Consultation
Morbidity

All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology

Cite this

@article{88bedabac8804f319b9d6567ee027628,
title = "Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder",
abstract = "This study reaffirms our previous work documenting a higher number of Emergency Department (ED) visits by adolescent females with Autism Spectrum Disorder (ASD) as compared to adolescent males with ASD, as well as significantly more ED visits by older adolescents than younger adolescents with ASD. Combined externalizing and internalizing psychiatric co-morbidities as well as internalizing conditions alone predict a higher number of ED visits in this study. Illness severity as demonstrated by patterns of visits to primary care physicians and psychiatric referrals prior to ED visits and the prescription of two or more classes of psychotropic medications also predict higher number of ED visits. Finally, as expected, previous ED visits predict future ED visits. The identification of these factors may prove helpful in determining adequacy of current supports and resources for teens with ASD navigating the challenges of adolescence.",
author = "Guodong Liu and Amanda Pearl and Lan Kong and Brown, {Sierra L.} and Djibril Ba and Douglas Leslie and Michael Murray",
year = "2019",
month = "11",
day = "1",
doi = "10.1007/s10803-019-04166-y",
language = "English (US)",
volume = "49",
pages = "4455--4467",
journal = "Journal of Autism and Developmental Disorders",
issn = "0162-3257",
publisher = "Springer New York",
number = "11",

}

TY - JOUR

T1 - Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder

AU - Liu, Guodong

AU - Pearl, Amanda

AU - Kong, Lan

AU - Brown, Sierra L.

AU - Ba, Djibril

AU - Leslie, Douglas

AU - Murray, Michael

PY - 2019/11/1

Y1 - 2019/11/1

N2 - This study reaffirms our previous work documenting a higher number of Emergency Department (ED) visits by adolescent females with Autism Spectrum Disorder (ASD) as compared to adolescent males with ASD, as well as significantly more ED visits by older adolescents than younger adolescents with ASD. Combined externalizing and internalizing psychiatric co-morbidities as well as internalizing conditions alone predict a higher number of ED visits in this study. Illness severity as demonstrated by patterns of visits to primary care physicians and psychiatric referrals prior to ED visits and the prescription of two or more classes of psychotropic medications also predict higher number of ED visits. Finally, as expected, previous ED visits predict future ED visits. The identification of these factors may prove helpful in determining adequacy of current supports and resources for teens with ASD navigating the challenges of adolescence.

AB - This study reaffirms our previous work documenting a higher number of Emergency Department (ED) visits by adolescent females with Autism Spectrum Disorder (ASD) as compared to adolescent males with ASD, as well as significantly more ED visits by older adolescents than younger adolescents with ASD. Combined externalizing and internalizing psychiatric co-morbidities as well as internalizing conditions alone predict a higher number of ED visits in this study. Illness severity as demonstrated by patterns of visits to primary care physicians and psychiatric referrals prior to ED visits and the prescription of two or more classes of psychotropic medications also predict higher number of ED visits. Finally, as expected, previous ED visits predict future ED visits. The identification of these factors may prove helpful in determining adequacy of current supports and resources for teens with ASD navigating the challenges of adolescence.

UR - http://www.scopus.com/inward/record.url?scp=85070904452&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070904452&partnerID=8YFLogxK

U2 - 10.1007/s10803-019-04166-y

DO - 10.1007/s10803-019-04166-y

M3 - Article

C2 - 31414259

AN - SCOPUS:85070904452

VL - 49

SP - 4455

EP - 4467

JO - Journal of Autism and Developmental Disorders

JF - Journal of Autism and Developmental Disorders

SN - 0162-3257

IS - 11

ER -