Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis

Barratt, Helen; Rojas-García, Antonio; Clarke, Katherine; Moore, Allan F.; Whittington, Craig; Stockton, Sarah; Thomas, James; Pilling, Stephen; Raine, Rosalind

doi:10.1371/journal.pone.0154449

Cited by 79 publications

(83 citation statements)

References 30 publications

(95 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mild diseases included psychiatric disorders among adults and sensory organ disorders among older people. Psychiatric emergency cases mainly involve alcohol or drug-related disorders, panic and stress disorders, emotional disorders, self-injury, and schizophrenia [21], and the chief complaint of ambulance calls include acute alcoholism (38.8% of the total), hyperventilation (15.1%), self-injury (9.8%), chest discomfort (7.2%), and mood disorder (6.2%) in Kitakyushu, Japan [22]. Sensory organ disorders were represented by vertigo, which is known to cause acute symptoms, although the symptoms are reversible.…”

Section: Discussionmentioning

confidence: 99%

Ambulance Transport of Patients with Mild Conditions in Hokkaido, Japan

Yazaki

Nishiura

2020

IJERPH

View full text Add to dashboard Cite

Understanding the epidemiological distributions of ambulance transport for patients with mild conditions according to age, disease, and geographic region could help in achieving optimal use of ambulance services. In the present study, we explored the descriptive epidemiology of ambulance transports in Hokkaido, the northernmost prefecture of Japan, identifying potential factors that determine the frequency of transports for mild diseases. Of the total 153,667 ambulance transports in Hokkaido during 2016, we found that two-thirds were for older people, of which about 60% resulted in hospital admission. There were 74,485 transports for mild cases, which were most commonly for psychiatric disorders among working-age adults (n = 4805), heart diseases among older people (n = 4246), and sensory organ diseases among older people (n = 3589). Examining the ecological correlations over 58 geographic units of ambulance services, the total unemployment rate and distance to the nearest tertiary care hospital were, respectively, positively and negatively correlated with the standardized transport ratio for multiple mild diseases. The proportion of working-age adults was uniquely identified as a possible positive predictor in mild cases of psychiatric disorders. As the identified potential predictors could be helpful in considering countermeasures, the causal links should be examined in future studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Ambulance Transport of Patients with Mild Conditions in Hokkaido, Japan

Yazaki

Nishiura

2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…), contraindications to renal or liver transplant, and frustration by GHPs with repeat attendances at emergency departments (Barratt et al . ).…”

Section: Introductionmentioning

confidence: 97%

Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

Brunero

Ramjan

Salamonson

et al. 2018

Int J Mental Health Nurs

View full text Add to dashboard Cite

Generalist health professionals (GHPs) or those healthcare professionals working in nonmental health facilities are increasingly being required to provide care to consumers with a mental illness. The review aimed to synthesize the qualitative research evidence on the meanings and interpretations made by GHPs (nonmental health professional) who interact with consumers with mental illness in nonmental health settings. A systematic review of the qualitative literature was undertaken for the years 1994-2016. The following electronic databases were searched: CINAHL, MEDLINE, PsycINFO, and Sociological Abstracts. Using narrative synthesis methods, the following themes were identified: mental health knowledge (the GHPs' knowledge level about mental illness and how this impacts their experiences and perceptions); GHPs perceive mental illness as a safety risk (GHPs concern over harm to the consumer and themselves); organizational support (the system response from the environmental design, and expert support and care); and emotional consequences of care (the feelings expressed by GHPs based on their experiences and perceptions of consumers). The results suggest that GHPs provide care in a setting which consists of multiple understandings of what care means. Efforts beyond educational initiatives such as organizational and system-level changes will need to be implemented if we are to progress care for this consumer group.

show abstract

“…Liaison psychiatry services in acute hospitals are now reasonably well established because of a widespread recognition of the morbidity associated with mental health problems in that setting [1]. For example, a recent systematic review of mental health attendances to ED reported that mental health disorders account for 4% of ED attendances, [2]. The largest study in this field is the European Consultation-Liaison Workgroup (ECLW) Collaborative Study, which collected data from 56 different liaison services in 11 European Countries and included 10,560 patients [3].…”

Section: Introductionmentioning

confidence: 99%

The nature and activity of liaison mental services in acute hospital settings: a multi-site cross sectional study

Saraiva

Guthrie

Walker

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: To describe the clinical activity patterns and nature of interventions of hospital-based liaison psychiatry services in England. Methods: Multi-site, cross-sectional survey. 18 acute hospitals across England with a liaison psychiatry service. All liaison staff members, at each hospital site, recorded data on each patient they had face to face contact with, over a 7 day period. Data included location of referral, source of referral, main clinical problem, type of liaison intervention employed, staff professional group and grade, referral onto other services, and standard assessment measures. Results: A total of 1475 face to face contacts from 18 hospitals were included in the analysis, of which approximately half were follow-up reviews. There was considerable variation across sites, related to the volume of Emergency Department (ED) attendances, number of hospital admissions, and work hours of the team but not to the size of the hospital (number of beds). The most common clinical problems were co-morbid physical and psychiatric symptoms, self-harm and cognitive impairment. The main types of intervention delivered were diagnosis/formulation, risk management and advice. There were differences in the type of clinical problems seen by the services between EDs and wards, and also differences between the work conducted by doctors and nurses. Almost half of the contacts were for continuing care, rather than assessment. Eight per cent of all referrals were offered follow up with the LP team, and approximately 37% were referred to community or other services. Conclusions: The activity of LP services is related to the flow of patients through an acute hospital. In addition to initial assessments, services provide a wide range of differing interventions, with nurses and doctors carrying out distinctly different roles within the team. The results show the volume and diversity of LP work. While much clinical contact is acute and confined to the inpatient episode, the LP service is not defined solely by an assessment and discharge function; cases are often complex and nearly half were referred for follow up including liaison team follow up.

show abstract

Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis

Cited by 79 publications

References 30 publications

Ambulance Transport of Patients with Mild Conditions in Hokkaido, Japan

Ambulance Transport of Patients with Mild Conditions in Hokkaido, Japan

Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

The nature and activity of liaison mental services in acute hospital settings: a multi-site cross sectional study

Contact Info

Product

Resources

About