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Predictors of emergency service use in adolescents and adults with autism spectrum disorder living with family

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dc.contributor.authorLunsky, Yona
dc.contributor.authorPaquette-Smith, Melissa
dc.contributor.authorWeiss, Jonathan
dc.contributor.authorLee, Jacques
dc.date.accessioned2017-06-22T19:08:19Z
dc.date.available2017-06-22T19:08:19Z
dc.date.issued2015-10
dc.description.abstractIntroduction. The use of emergency services among adolescents and adults with autism spectrum disorder (ASD) transitioning into adult health services has not been well described. Objectives. To describe emergency service use including emergency departments, paramedics, and police involvement among adolescents and adults with ASD and to examine predictors of using emergency services. Methods. Caregivers of 396 adolescents and adults with ASD were recruited through autism advocacy agencies and support programs in Ontario to complete a survey about their child’s health service use. Surveys were completed online, by mail and over the phone between December 2010 and October 2012. Parents were asked to describe their child’s emergency service use and provide information about potential predictive factors including predisposing, enabling and clinical need variables. Results. According to parents, 13% of their children with ASD used at least one emergency service in a two-month period. Sedation or restraints were used 23% of the time. A combination of need and enabling variables predicted emergency service use, with previous ED use in the last year (OR 3.4, 95% CI 1.7 to 6.8), a history of hurting others (OR 2.3, 95% 1.2 CI to 4.7) and having no structured daytime activities (OR 3.2, 95% CI 1.4 to 7.0) being the strongest multivariate predictors in the model. Conclusions. Patients with ASD and their families are likely to engage with paramedics, or police or visit the ED. Further education and support to families and emergency clinicians is needed to improve and, when possible, prevent such occurrences.en_US
dc.identifier.citationEmergency Medical Journal, 32 (2015):787-792
dc.identifier.urihttp://dx.doi.org/10.1136/emermed-2014-204015en_US
dc.identifier.urihttp://hdl.handle.net/10315/33235
dc.language.isoenen_US
dc.publisherBMJ Publising Group Limiteden_US
dc.rightsThis article has been accepted for publication in Emergency Medicine Journal following peer review. The definitive copyedited, typeset version Lunsky Y, Paquette-Smith M, Weiss JA, et a.Predictors of emergency service use in adolescents and adults with autism spectrum disorder living with family Emerg Med J 2015;32:787-792 is available online at: http://dx.doi.org/10.1136/emermed-2014-204015en_US
dc.rights.articlehttp://emj.bmj.com/content/32/10/787
dc.subjectAutismen_US
dc.subjectemergency departmenten_US
dc.subjectemergency medicineen_US
dc.subjectdevelopmental disabilitiesen_US
dc.titlePredictors of emergency service use in adolescents and adults with autism spectrum disorder living with family
dc.typeArticleen_US

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