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Average boarding durations ranged from 5 to 41 hours in EDs and 2 to 3 days in inpatient units. Risk factors included younger age, suicidal or homicidal ideation, and presentation to a hospital during nonsummer months. Care processes and outcomes were infrequently described. When reported, provision of psychosocial services varied widely. Boarding definitions were heterogeneous, study sample sizes were small, and rural regions and general hospitals were underrepresented. Pediatric mental health boarding is prevalent and understudied. A
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