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medRxiv PreprintsInternational10 November 2026

Association of Outpatient Crisis Services with Emergency Department Revisits in Suicidal Youth

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Abstract Background and Objective: Pediatric emergency department (ED) visits for suicidal ideation and behavior have increased substantially, highlighting the need for scalable outpatient interventions that reduce recurrent ED use. We tested whether referral to outpatient crisis services was associated with fewer mental health-related ED revisits, hypothesizing that referred youth would have lower revisit rates than those receiving usual community care. Methods: We conducted a quasi-experimental study of 3,125 youth presenting with suicidal ideation or behavior to a large academic childrens h
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