Graduate Thesis Or Dissertation
 

Trends in Emergency Medical Service Activations for Suicide Attempts in Adolescents Before and After the Start of the COVID-19 Pandemic: An AutoRegressive Integrated Moving Average (ARIMA) Time-Series Analysis

Public Deposited

Downloadable Content

Download PDF
https://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/kk91ft96v

Descriptions

Attribute NameValues
Creator
Abstract
  • The coronavirus pandemic and its associated public health response resulted in disruptions in daily life as well as financial and other insecurities. This corresponded with an increase in adverse mental health outcomes in adolescents in the United States, including a temporary increase in suicidal ideation and behaviors. The pandemic also saw changes in healthcare seeking behavior seen through a temporary decrease in service volumes immediately following the emergency declaration in March, 2020. Adolescents are vulnerable to adverse mental health outcomes due to characteristics of their developmental stage, and there is a potential for longterm physical and mental health consequences due to adverse events experienced prior to adulthood. This study characterized trends in total EMS activations, as well as those specifically for adolescent suicide attempts after the start of the pandemic compared with before. The study also evaluated trends in EMS response times, on scene times, and refusal rates. AutoRegressive Integrated Moving Average (ARIMA) times series analysis was used to examine these trends. Emergency medical services (EMS) activation data were obtained from the National Emergency Medical Services Information System (NEMSIS) for activations involving suicide attempts in adolescents 10-18 years of age. The results from this study found that total weekly EMS activations did not appreciably differ after the start of the coronavirus pandemic compared with forecast predictions based on historical data; when differences were observed, values falling outside of the forecast prediction interval were only seen in the initial observation periods after the pandemic (March and April, 2020). Despite service volume changes in other healthcare settings, EMS continued to see service at baseline levels throughout the initial nine months of the pandemic.
License
Resource Type
Date Issued
Degree Level
Degree Name
Degree Field
Degree Grantor
Commencement Year
Advisor
Committee Member
Academic Affiliation
Rights Statement
Publisher
Peer Reviewed
Language
Embargo reason
  • Pending Publication
Embargo date range
  • 2023-06-16 to 2024-01-17

Relationships

Parents:

This work has no parents.

In Collection:

Items

Thumbnail Title Date Uploaded Visibility Actions
file details JohnsonKellyM2023.pdf 2023-07-05 Public Download