{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Ni Chobhthaigh S"],"funding":["Medical Research Council","NIHR Great Ormond Street Hospital Biomedical Research Centre"],"pagination":["63-71"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC7617073"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["226(2)"],"pubmed_abstract":["<h4>Background</h4>Minoritised young people face a double burden of discrimination through increased risk of stress and differential treatment access. However, acute care pathways for minoritised young people with urgent mental health needs are poorly understood.<h4>Aims</h4>To explore variation in stress-related presentations (SRPs) to acute hospitals across racial-ethnic groups in England.<h4>Method</h4>We examined rates, distribution, duration and types of SRPs across racial-ethnic groups in a retrospective cohort of 11- to 15-year-olds with one or more emergency hospital admissions between April 2014 and March 2020. SRPs were defined as emergency admissions for potentially psychosomatic symptoms, self-harm and internalising, externalising and thought disorders.<h4>Results</h4>White British (8-38 per 1000 births) and Mixed White-Black (9-42 per 1000 births) young people had highest rates of SRPs, whereas Black African (5-14 per 1000 births), Indian (6-19 per 1000 births) and White other (4-19 per 1000 births) young people had the lowest rates of SRPs. The proportion of readmissions were highest for Pakistani (47.7%), White British (41.4%) and Mixed White-Black (41.3%) groups. Black Other (36.4%) and White Other (35.8%) groups had the lowest proportions of readmissions. The proportion of admission durations ≥3 days was higher for Black Other (16.6%), Bangladeshi (16.3%), Asian Other (15.9%) and Black Caribbean (15.8%) groups than their White British (11.9%) and Indian (11.8%) peers. The type of SRPs varied across racial-ethnic groups.<h4>Conclusions</h4>Patterns of SRP admissions systematically differed across racial-ethnic groups, indicative of inequitable triage, assessment and treatment processes. These findings highlight the need for implementation of race equality frameworks to address structural racism in healthcare pathways."],"journal":["The British journal of psychiatry : the journal of mental science"],"pubmed_title":["Emergency hospital admissions for stress-related presentations among secondary school-aged minoritised young people in England."],"pmcid":["PMC7617073"],"funding_grant_id":["MR/S003797/1","MR/N013867/1"],"pubmed_authors":["Blackburn R","Jay MA","Ni Chobhthaigh S"],"additional_accession":[]},"is_claimable":false,"name":"Emergency hospital admissions for stress-related presentations among secondary school-aged minoritised young people in England.","description":"<h4>Background</h4>Minoritised young people face a double burden of discrimination through increased risk of stress and differential treatment access. However, acute care pathways for minoritised young people with urgent mental health needs are poorly understood.<h4>Aims</h4>To explore variation in stress-related presentations (SRPs) to acute hospitals across racial-ethnic groups in England.<h4>Method</h4>We examined rates, distribution, duration and types of SRPs across racial-ethnic groups in a retrospective cohort of 11- to 15-year-olds with one or more emergency hospital admissions between April 2014 and March 2020. SRPs were defined as emergency admissions for potentially psychosomatic symptoms, self-harm and internalising, externalising and thought disorders.<h4>Results</h4>White British (8-38 per 1000 births) and Mixed White-Black (9-42 per 1000 births) young people had highest rates of SRPs, whereas Black African (5-14 per 1000 births), Indian (6-19 per 1000 births) and White other (4-19 per 1000 births) young people had the lowest rates of SRPs. The proportion of readmissions were highest for Pakistani (47.7%), White British (41.4%) and Mixed White-Black (41.3%) groups. Black Other (36.4%) and White Other (35.8%) groups had the lowest proportions of readmissions. The proportion of admission durations ≥3 days was higher for Black Other (16.6%), Bangladeshi (16.3%), Asian Other (15.9%) and Black Caribbean (15.8%) groups than their White British (11.9%) and Indian (11.8%) peers. The type of SRPs varied across racial-ethnic groups.<h4>Conclusions</h4>Patterns of SRP admissions systematically differed across racial-ethnic groups, indicative of inequitable triage, assessment and treatment processes. These findings highlight the need for implementation of race equality frameworks to address structural racism in healthcare pathways.","dates":{"release":"2025-01-01T00:00:00Z","publication":"2025 Feb","modification":"2025-07-07T03:09:02.944Z","creation":"2025-04-06T01:58:33.203Z"},"accession":"S-EPMC7617073","cross_references":{"pubmed":["39523214"],"doi":["10.1192/bjp.2024.123"]}}