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 1. Racial Disparities in Mental Health Care
 2. Healthiest Communities
 3. News
 4. Home


STUDY: BLACK PEOPLE VISIT ER FOR MENTAL HEALTH AT HIGHEST RATES

Black adults visited the emergency department for mental health-related concerns
at a rate nearly double the national average from 2018 to 2020, according to a
new CDC report, and their waits were longer.

By Steven Ross Johnson
|
March 1, 2023
By Steven Ross Johnson
|
March 1, 2023, at 6:00 a.m.
Save
More

Racial Disparities in Mental Health Care

More

From 2018 to 2020, non-Hispanic Black adults visited the emergency department
for any mental health-related concern at nearly double the rate of the national
average, according to the Centers for Disease Control.(Getty Stock)

New research finds Black adults are more likely to visit emergency departments
when experiencing a mental health problem than white adults but face longer
delays, and are less likely to be admitted to a hospital for treatment.


[ 

Read:

Suicide Rates Have Risen Among People of Color ]



A new analysis released Wednesday by the Centers for Disease Control and
Prevention’s National Center for Health Statistics shows that from 2018 to 2020,
non-Hispanic Black adults visited the emergency department for any mental
health-related concern at an annual average rate of 97 visits per 1,000 adults,
nearly double the rate of the national average. By comparison, the rate of
mental health-related emergency department visits among non-Hispanic white
adults was 53.4 per 1,000 from 2018 to 2020, while Hispanic adults had the
lowest rate at 36 visits per 1,000.



Black adults had higher rates of emergency department visits compared with white
and Hispanic adults across all categories of mental health disorders studied,
including substance use disorders, anxiety disorders, mood disorders and
schizophrenia.






Black adults were nearly twice as likely to visit an emergency department for a
substance use disorder than white people, coming in at an annual average rate of
53.1 visits per 1,000 people compared to 27 per 1,000, according to the study.
The rate among Black adults was more than double that of Hispanic adults, who
had an annual average rate of 20 visits per 1,000. Black adults had higher visit
rates for all types of substance use disorders, including alcohol disorder and
nicotine dependence.

Overall, an average of 774,508 mental health-related emergency department visits
occurred each year from 2018 to 2020 among adults in the U.S., according to the
study, which accounted for 12.3% of all emergency department visits made by
adults.



The analysis did not examine contributing factors for the racial disparities
found, but previous research has indicated people of color are routinely
underdiagnosed and undertreated for mental illness, which has in part led to
rising rates of drug overdose death and suicide.



Researchers found racial differences around certain characteristics of emergency
department visits, with Black and Hispanic adults more likely to wait an hour or
longer to see a health care professional compared to white adults. The study did
point out that the difference between the percentage of Hispanic and white
patients was not statistically significant.



[ 

Read:

Suicide Prevention Program Aims for Safe Spaces in the Black Church ]



Higher percentages of Hispanic and Black patients reported having their overall
visit last four hours or more compared to white adults. And only 15.6% of Black
adults were admitted or transferred to a hospital for treatment of a mental
health-related condition, compared to 22.5% of white adults, 21.3% of Hispanic
adults, and 21% of all adults.

By gender, 51.7% of visitors to an emergency department for a mental health
disorder from 2018 to 2020 were men, compared with 48.3% who were women, the
study found. But wider gender disparities were found between Black and Hispanic
men and women. Black men made up 55.8% of Black adults who had a mental
health-related emergency department visit, while women made up 44.2%. Among
Hispanic visitors, 57.1% were men and 42.9% were women.

The chance of visiting the emergency department for mental health emergencies
decreased with age. The study found that a higher share of younger adults
reported visiting an emergency department between 2018 and 2020 for a mental
health concern compared to other age groups, with 56.3% of visits among adults
between the ages of 18 and 44 years, 30.1% of visits among people ages 45 to 64
years, and 13.6% among individuals ages 65 years and older.



–––
If you or someone you know is struggling or in crisis, please call or text 988,
or chat at 988lifeline.org.



Tags: mental health



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