Minoritised young people face a double burden of discrimination through increased risk of stress and differential treatment access. However, acute care pathways for minoritised young people with urgent mental health needs are poorly understood.

To explore variation in stress-related presentations (SRPs) to acute hospitals across racial-ethnic groups in England.

We examined rates, distribution, duration and types of SRPs across racial-ethnic groups in a retrospective cohort of 11- to 15-year-olds with one or more emergency hospital admissions between April 2014 and March 2020. SRPs were defined as emergency admissions for potentially psychosomatic symptoms, self-harm and internalising, externalising and thought disorders.

White British (8–38 per 1000 births) and Mixed White–Black (9–42 per 1000 births) young people had highest rates of SRPs, whereas Black African (5–14 per 1000 births), Indian (6–19 per 1000 births) and White other (4–19 per 1000 births) young people had the lowest rates of SRPs. The proportion of readmissions were highest for Pakistani (47.7%), White British (41.4%) and Mixed White–Black (41.3%) groups. Black Other (36.4%) and White Other (35.8%) groups had the lowest proportions of readmissions. The proportion of admission durations ≥3 days was higher for Black Other (16.6%), Bangladeshi (16.3%), Asian Other (15.9%) and Black Caribbean (15.8%) groups than their White British (11.9%) and Indian (11.8%) peers. The type of SRPs varied across racial-ethnic groups.

Patterns of SRP admissions systematically differed across racial-ethnic groups, indicative of inequitable triage, assessment and treatment processes. These findings highlight the need for implementation of race equality frameworks to address structural racism in healthcare pathways.

少数族裔年轻人面临双重歧视负担，包括压力风险增加和获得差别治疗。然而，对有紧急心理健康需求的少数族裔年轻人的急性护理途径知之甚少。

探讨英格兰不同种族族裔群体对急症医院的压力相关表现 （SRP） 的差异。

我们检查了 2014 年 4 月至 2020 年 3 月期间有一次或多次急诊住院的 11 至 15 岁儿童回顾性队列中不同种族族裔群体的 SRP 发生率、分布、持续时间和类型。SRPs 被定义为因潜在的心身症状、自残和内化、外化和思维障碍而紧急入院。

英国白人（每 1000 名新生儿中有 8-38 人）和白人-黑人混血儿（每 1000 名新生儿中有 9-42 名）年轻人的 SRP 率最高，而非洲黑人（每 1000 名新生儿中有 5-14 名）、印度人（每 1000 名新生儿中有 6-19 名）和其他白人（每 1000 名新生儿中有 4-19 名）年轻人的 SRP 率最低。巴基斯坦人 （47.7%）、英国白人 （41.4%） 和白人-黑人混血儿 （41.3%） 的再入院比例最高。黑人其他组 （36.4%） 和白人组 （35.8%） 的再入院比例最低。黑人其他 （16.6%）、孟加拉国 （16.3%）、亚洲其他 （15.9%） 和加勒比黑人 （15.8%） 群体的入院时间为 ≥3 天的比例高于英国白人 （11.9%） 和印度 （11.8%） 同龄人。SRP 的类型因种族-族裔群体而异。

SRP 入院模式在不同种族-族裔群体之间系统性地存在差异，表明分诊、评估和治疗过程不公平。这些发现强调了实施种族平等框架以解决医疗保健途径中的结构性种族主义的必要性。