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Pediatric Psychiatry Emergency Services (PediPES) at Hasbro Children’s

Overview

The Pediatric Psychiatry Emergency Services (PediPES) dataset consists of electronic health record (EHR) data for patients younger than 18 years old evaluated in the emergency department at Hasbro Children's Emergency Department in Providence, Rhode Island for psychiatric concerns. The dataset includes visit-level demographic, socioeconomic, geographic, and clinical variables, providing a comprehensive view of the pediatric mental health population served by the hospital. The dataset also captures a diverse range of mental health presentations, including suicidal ideation, suicide attempts, self-injurious behaviors, mood disorders, anxiety disorders, psychotic disorders, and behavioral concerns. This dataset is part of LEAPPES (Leveraging EHRs and AI for Pediatric Psychiatry Emergency Services), a multi-institutional and multi-disciplinary collaboration and offers valuable insight into the mental health needs, care patterns, and outcomes of those under the age of 18 presenting for emergency psychiatric evaluation.

Methodology and Generation

The dataset was generated from electronic health record (EHR) data collected during routine clinical care. Variables were derived from both structured and unstructured data sources. Structured variables were obtained from standardized drop-down menus and other discrete fields within the EHR, while additional clinical information was extracted from free-text documentation using basic natural language processing (NLP) techniques. This approach enabled the inclusion of demographic, socioeconomic, geographic, and clinical variables that may not have been consistently captured in structured fields alone.

Terminology

Diagnoses

  • Mental health and medical diagnoses are documented using the International Classification of Diseases, Clinical Modification (ICD-10-CM)

  • Final (Billing) Diagnoses ICD-10 Codes - F Codes: Mental, Behavioral, and Neurodevelopmental Disorders; These are psychiatric and behavioral health diagnoses, which are particularly relevant in a pediatric psychiatric emergency setting.

  • Final (Billing) Diagnoses ICD-10 Codes - Z Codes: Factors Influencing Health Status and Contact with Health Services; These codes describe social circumstances, healthcare encounters, or reasons for seeking care rather than diseases.

  • Final (Billing) Diagnoses ICD-10 Codes - Other Codes: All non-F and non-Z ICD-10 codes, representing medical conditions, injuries, poisonings, symptoms, and other health problems.

Suicide Risk Assessment

  • Suicide risk is assessed using the Columbia-Suicide Severity Rating Scale (C-SSRS): standardized tool that evaluates an individual's risk of suicide by assessing the severity and type of suicidal thoughts and behaviors.

PediPES Disposition

  • Boarding: A patient remains in the emergency department or another temporary hospital location after being evaluated and determined to need a higher level of psychiatric care, but appropriate placement is not immediately available.

  • Inpatient: The patient is admitted to a psychiatric hospital or psychiatric unit for 24-hour supervision, stabilization, and intensive treatment.

  • Outpatient: The patient is discharged from the emergency psychiatric service and receives treatment while continuing to live at home.

  • Partial programs: A structured, intensive treatment program that provides several hours of psychiatric care and therapy during the day while allowing the patient to return home each evening. Partial programs serve as an intermediate level of care between inpatient hospitalization and traditional outpatient treatment.

Resources

Articles

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