We sought to observed and expected monthly rates hospital admissions for self-harm were evalua te rates of pediatric acute care overall and by age group (10–13 yr and higher than expected for both those aged visits for self-harm during the pandemic 14–17 yr), sex and mental health service 10–13 years and those aged 14–17 years, according to age, sex and mental health use (new and continuing). [...] Outpatient mental health claims gency department visits and hospital admissions for self-harm refer to physician billings associated with diagnostic codes that among children and adolescents during the COVID-19 pandemic, have been validated for use in Ontario health administrative and to compare the observed and expected rates overall and by data.27,34 Acute claims refer to broadly categorized dia. [...] rates of emergency department visits and hospital admissions Absolute rates of emergency department visits and hospital for self-harm during the pandemic period in the absence of admissions were lower among youth aged 10–13 years than restrictions, overall and by sociodemographic strata. [...] This study also does not capture the com- reported prevalence of self-harm75,76 and more suicide attempts and munity prevalence of self-harm that did not require acute mental health service use among adolescent females,77,78 all of hospital -based care92 and likely underestimates the extent of which were trending upward before the pandemic.79–85 Indeed, the problem. [...] Appendix I: A summary of studies on the quality of health health care services among children and adolescents before and during the care administrative databases in Canada.
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