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

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. C...

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Published in:Journal of Autism & Developmental Disorders Vol. 49; no. 11; pp. 4455 - 4468
Main Authors: Liu, Guodong, Pearl, Amanda M., Kong, Lan, Brown, Sierra L., Ba, Djibril, Leslie, Doug L., Murray, Michael J.
Format: research tables/charts Journal Article
Published: Springer Nature Nov2019
Online Access:View this record in EBSCOhost
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      dt: Nov2019
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      pub: Springer Nature
      place: New York, New York
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        atl: Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder.
      aug:
        au:
          Liu, Guodong
          Pearl, Amanda M.
          Kong, Lan
          Brown, Sierra L.
          Ba, Djibril
          Leslie, Doug L.
          Murray, Michael J.
        affil: Department of Public Health Sciences, College of Medicine, Pennsylvania State University, 90 Hope Drive, 17033, Hershey, PA, USA
      sug:
        subj:
          Emergency Service Utilization
          Autism Spectrum Disorder In Adolescence
          Risk Assessment
          Human
          Female
          Adolescence
          Male
          Comorbidity
          Severity of Illness
          Polypharmacy
          Psychotropic Drugs
          Adolescent: 13-18 years
          Female
          Male
      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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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