Association Between Co-Occurring Anxiety and Depression With Drug Overdose Encounters in the Emergency Department Among Adolescents and Young Adults in the Era of COVID-19

Jacob Workman, Jasmine M. Reese, Sarah Sobalvarro, A. J. Caberto, Janelle Garcia, Javier A. Cepeda

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: COVID-19 risk mitigation efforts could have negatively impacted anxiety, depression, and substance use among adolescents and young adults. Methods: We analyzed 45,223 emergency department visits from April 2018 to March 2022 of patients aged 12–21 in Pinellas County, Florida. Results: Frequency of overdose, anxiety, and depression significantly increased from the pre-COVID-19 to the COVID-19 period. Anxiety (adjusted odds ratio: 1.49, 95% confidence interval: 1.11, 1.98) and depression (adjusted odds ratio: 2.89, 95% confidence interval: 2.15, 3.88) were associated with significantly higher odds of overdose during COVID-19. Discussion: Mental health and overdose among adolescents and young adults worsened during COVID-19, necessitating greater screening and treatment in primary care.

Original languageEnglish (US)
Pages (from-to)989-992
Number of pages4
JournalJournal of Adolescent Health
Volume72
Issue number6
DOIs
StatePublished - Jun 2023

Keywords

  • Adolescents and young adults
  • COVID-19
  • Mental health
  • Overdose
  • Substance use

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Pediatrics, Perinatology, and Child Health

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