A Research Agenda for Acute Pediatric Mental and Behavioral Health Emergencies

Jennifer A Hoffmann1, Ashley A Foster2, Polina Krass3

  • 1Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Northwestern University Feinberg School of Medicine, Chicago, IL.

Insights

This study outlines a research agenda for pediatric mental health emergencies. It prioritizes improving care for children at risk of harm in emergency departments and pre-hospital settings.

Area of Science:

  • Pediatric Emergency Medicine
  • Child and Adolescent Psychiatry
  • Health Services Research

Background:

  • Emergency departments (EDs) face increasing challenges in managing children with mental and behavioral health conditions.
  • There is a critical need for evidence-based research to guide the care of these vulnerable youth.
  • Existing research priorities require consensus and refinement to address current gaps.

Purpose of the Study:

  • To establish a consensus-based research agenda for the emergency care of children with mental and behavioral health conditions.
  • To identify high-priority research questions through expert consensus.
  • To inform future research directions and improve clinical practice.

Main Methods:

  • A modified Delphi method was employed with 23 expert partners, including parents and clinicians.
  • Initial research priorities were informed by a literature review and then modified, added to, and rated by experts over three survey rounds.
  • Consensus was defined by specific median ratings on priority, need, urgency, research impact, and family-centeredness.

Main Results:

  • Fifty-one research priorities reached consensus, with 31 identified as top-tier.
  • Key areas include out-of-hospital care, general ED care, management of acute agitation, suicide prevention, and post-discharge follow-up.
  • Expert panel composition ensured diverse perspectives, including lived experience.

Conclusions:

  • A consensus-driven research agenda has been developed to guide future studies in pediatric emergency mental health.
  • This agenda highlights the need for improved identification and management strategies for children at risk of harm.
  • The findings emphasize the importance of integrated care across out-of-hospital and ED settings.
Abstract

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