This query was created as a collaboration between the ISDS Syndrome Definition Committee (SDC) members with input from the CDC, Division of Violence Prevention. The query includes keywords and discharge diagnosis codes (ICD 10, ICD 9, and SNOMED) for self-harm, suicide ideation and suicide attempt. The query has been evaluated using national and local data from several states and counties.
Mental Health
Why was the syndrome created?
Description
Mental health is a common and costly concern; it is estimated that nearly 20 percent of adults in the United States live with a mental illness [1] and that more money is spent on mental illness than any other medical condition [2]. One spillover effect of unmet mental health needs may be increasing emergency department utilization. National analysis by Healthcare Cost and Utilization Project (H-CUP) found a 55% increase in emergency department visits for depression, anxiety, and stress reactions between 2006- 2013 [3]. Local public health agencies (LPHAs) can play an important role in reducing costs and burden associated with mental illness. There is opportunity to use emergency department data at a local level to monitor trends and evaluate the effectiveness of local strategies. ESSENCE, available in 31 states, provides near-real time observation-level emergency department data, which can be analyzed and disseminated according to local needs. Using ESSENCE data from 6 local counties in Colorado, we developed methods to estimate the overall burden of mental health and specific mental health disorders seen in the emergency department.
Objective: In order to meet local mental health surveillance needs, we created multiple mental health-related indicators using emergency department data from the Colorado North Central Region (CO-NCR) Early Notification of Community Based Epidemics (ESSENCE), a Syndromic Surveillance (SyS) platform.
Description
Hepatitis C virus (HCV) infection is a leading cause of liver disease-related morbidity and mortality in the United States and HCV incidence has been increasing. Mental illness may impact the likelihood of initial HCV infection, progress and adherence to treatment along the hepatitis C care cascade, and risk of subsequent reinfection for those cured of hepatitis C. The relationship between HCV infection and mental illness is not well understood and many studies have lacked sufficient sample size to adjust for important confounders. We sought to explore the association between chronic HCV infection and mental illness after adjusting for important confounders.
Objective: Using data from the 2011-2015 IBM MarketScan® Commercial Claims and Encounters, we sought to assess the relationship between mental health outcomes and chronic hepatitis C infection after adjusting for important confounders. Persons with HCV antibody and RNA test results between 2011 and 2015 and continuous enrollment in fee-for-service plans were included in the analysis.
Description
The National Institute for Drug Abuse Report, Common Comorbidities with Substance Use Disorders, states there are many individuals who develop substance use disorders (SUD) are also diagnosed with mental disorders, and vice versa.(1) Prescription opioids are amongst the most commonly used drugs that lead to illicit drug use.(2)Much of the data about the starting point of the prescription opioid addiction is in the patient health history and is recorded within the provider electronic health record and administrative systems.Description: There are a variety of addiction and misuse risk screening tools available and selecting appropriate tools screening can be confusing for providers. Examples of common screening tools: Opioid Abuse Risk Screener (OARS), Opioid Risk Tool (ORT), Screener and Opioid Assessment for Patients with Pain (SOAPP), Current Opioid Misuse Measure (COMM), Diagnosis, Intractability, Risk, and Efficacy (DIRE). These opioid risk screening tools are interview based and vary in how they survey for psychosocial factors. The screening tools are useful, but are meant only to alert the provider to conduct further investigation.(3) Understanding how the comorbidities recorded in the patient's clinical interactions may help improve risk assessment investigations and ongoing monitoring programs. Studying the chronic pain patients' longitudinal clinical, operational, and laboratory records provides the basis for better study controls than those using population based on emergency department admission and mortality events.
Objective: Assessing mental health and opioid addiction comorbidities among chronic pain patients using a large longitudinal clinical, operational, and laboratory data set.
The query was developed by NSSP and CDC Division of Violence Prevention. It was developed to assist rape prevention coordinators and project officers in doing sexual violence and intimate partner violence surveillance using syndromic surveillance. An ESSENCE CCDD category has been created and its called Intimate Partner Violence v1.
The query was updated and developed in collaboration with NSSP & CDC Division of Violence Prevention for a version 2 of the Sexual Violence syndrome. The syndrome is intended for rape prevention coordinators for their surveillance work at local and state health departments. The query has been added to the CCDD category and is named Sexual Violence v2.
Description
The objective of this project was to classify and extract mental health emergency department (ED) visits from the Houston Real-time Outbreak and Disease Surveillance (RODS) system. In addition, this project will offer a
Referenced File
Presented July 10, 2018.
Why global mental health surveillance is important – understanding current issues in global mental health surveillance and learning strategies to improve mental health surveillance worldwide, particularly in low and middle –income countries.
Presenter
Shalini Ahuja, MA-HMPP, DHM, BPT, Global Mental Health Researcher, Centre for Implementation Science, Health Services and Population Research Department, King’s College London
Description
Veterans accessing Veterans Affairs (VA) health care have higher suicide rates and more characteristics associated with suicide risk, including being male, having multiple medical and psychiatric comorbidities, and being an older age, compared with the general U.S. population. The Veterans Crisis Line is a telephone hotline available to Veterans with urgent mental health concerns; however, not all Veterans are aware of this resource. By contrast, telephone triage is a national telephone-based triage system used by the VA to assess and triage all Veterans with acute medical or mental health complaints.
Objective
To characterize Veterans who call telephone triage because of suicidal ideation (SI) or depression and to identify opportunities for suicide prevention efforts among these telephone triage users using a biosurveillance application.