The burden of behavioral emergencies: need for specialist emergency services

Vibha, Pandey; Saddichha, Sahoo

doi:10.1007/s11739-010-0397-2

Cited by 4 publications

(3 citation statements)

References 32 publications

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“…It neither receives priority by professionals nor by family members, and hence, many individuals continue to suffer in silence. Although the recent deinstitutionalization movements have drawn attention to the role of emergency psychiatrists and ensured the continued importance of the psychiatric emergency services, there is a marked discrepancy in the amount of research in this area 67, 68 . Although the findings are indicative of the urgent need for specialist psychiatric emergency services, challenges also are present in terms of understanding the problems related to its etiology, consequences, and utilization of services available.…”

Section: Discussionmentioning

confidence: 99%

Behavioral Emergencies in India: Would Psychiatric Emergency Services Help?

Saddichha

Vibha

2011

Prehosp. Disaster med.

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Abbreviations: DALY = disability-adjusted life years NGO = non-governmental organization PTSD = post-traumatic stress disorder WHO = World Health Organization Abstract Introduction: Behavioral emergencies constitute an important component of emergencies worldwide. Yet, research on behavioral emergencies in India has been scarce. This article discusses the burden, types, and epidemiology of behavioral emergencies in India. Methods: A computerized search of Medline, Psychinfo, and Cochrane from 1975 to 2009 was performed, and all articles were evaluated and collated. The results were summarized. Results and Conclusions: There is an acute need for psychiatric emergency services in India. Suicides, acute psychoses, and substance-related problems form the major portion of behavioral emergencies, while current trends show a rise in disaster-and terrorism-related emergencies. Saddichha S, Vibha P: Behavioral emergencies in India: Would psychiatric emergency services help? Prehosp Disaster Med 2010;26(1):65-70.

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Section: Discussionmentioning

confidence: 99%

Behavioral Emergencies in India: Would Psychiatric Emergency Services Help?

Saddichha

Vibha

2011

Prehosp. Disaster med.

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“…Depression is projected to contribute the highest disease burden in 2020 as measured by disability-adjusted life years (DALY) [23] and is associated with poor medication compliance in RA [24]. Similarly, patients suffering from arthritis report poorer health-related quality of life (HRQOL) and are more emotionally unwell compared with persons without [25].…”

Section: Depression Functionality and Disease Severity In Ramentioning

confidence: 99%

Rheumatoid Arthritis, Depression, and the Role of Celecoxib

Al-Baz

Karim

2020

SN Compr. Clin. Med.

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Rheumatoid arthritis (RA) is a chronic autoimmune disease, causing joint destruction and associated physical, mental, and financial distress. Depression is not uncommonly found in patients with RA as both disorders share sociodemographic, functional, and biologic factors. There is growing evidence on the role of anti-inflammatory agents in managing depression, particularly celecoxib, which has been shown to significantly alleviate depressive symptoms as an augmenting agent. Compared with traditional nonsteroidal anti-inflammatory drugs (tNSAIDs), however, celecoxib offers modest improvement in clinical symptoms, with uncertain results for pain management, physical function, and adverse effects in patients with RA. Further research is needed to assess the effectiveness of celecoxib in the management of RA, particularly in patients suffering from comorbid depression.

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“…Although psychiatric emergency services handle a sizeable chunk of behavioral emergencies, the available services remain inadequate. Furthermore, there is minimal research and paucity of data in this field [2]. In India, acute psychiatric emergencies constitute about 9% of all emergencies [3].…”

Section: Introductionmentioning

confidence: 99%

Patterns and prevalence of psychiatric illnesses presenting to the emergency department

Patil¹,

Patil²,

Nayak³

et al. 2019

Arch Psych Psych

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Background: Psychiatric emergencies are often difficult to study, owing to their acute and quite frequent syndromic presentation. There is a scarcity of data regarding the prevalence and patterns of psychiatric emergencies attending general hospital psychiatric units. Objective: To identify the pattern and prevalence of psychiatric illnesses presenting to the emergency departments in a general hospital care setting. Material and Methods: This cross-sectional study included 82 psychiatric patients aged 10 to 60 years and above. Sociodemographic details were obtained, and psychiatric diagnoses were based on the International Classification of Diseases 10 th edition diagnostic criteria. Statistical analysis was performed using Epi Info 7 software. Results: The overall prevalence of psychiatric emergencies was found to be 1.59%. They were most prevalent among males and females aged 20-39, females involved in household work, males involved in agriculture, patients with lower socioeconomic status and residents of rural areas. A significant gender difference was observed regarding patients' occupational and living status. Common diagnoses included substance use disorders (21.9%), dissociative disorders (18.3%), bipolar disorder (17.1%), psychotic disorders (17.1%), and depressive disorders (14.6%). Conclusion: Overall, this study provides insight into various types of presentations of psychiatric disorders in patients visiting the emergency department. Moreover, it is a contribution to determining the prevalence of psychiatric emergencies in a general hospital setting.

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The burden of behavioral emergencies: need for specialist emergency services

Cited by 4 publications

References 32 publications

Behavioral Emergencies in India: Would Psychiatric Emergency Services Help?

Behavioral Emergencies in India: Would Psychiatric Emergency Services Help?

Rheumatoid Arthritis, Depression, and the Role of Celecoxib

Patterns and prevalence of psychiatric illnesses presenting to the emergency department

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