The Emergency Department

Asarnow, Joan Rosenbaum; Babeva, Kalina N.; Horstmann, Elizabeth

doi:10.1016/j.chc.2017.05.002

Cited by 38 publications

(24 citation statements)

References 39 publications

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“…Public health messaging emphasizes contacting emergency services and presenting to ED when experiencing suicidal crisis, yet EDs have not been designed or resourced to meet these needs. This has led to calls for alternative models of care [ 87 , 88 ], which have received investment and are being trialed in Australia and elsewhere in the world [ 89 ]. However, the evidence base for appropriate and effective alternatives is currently limited.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Account of Young People’s Experiences Seeking Care from Emergency Departments for Self-Harm

Byrne

Bellairs-Walsh

Rice

et al. 2021

IJERPH

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Many young people who engage in self-harm do not seek help from health services. For those that do, emergency departments (EDs) are a key point of contact. Substantial gaps remain in current knowledge related to young consumers’ experiences and views on optimal treatment of self-harm in the ED. In this study, semi-structured interviews were conducted with thirteen young people (Mage = 21.2 years), who were engaged with care at headspace early intervention centers and had presented to an ED with a self-inflicted physical injury. Participants were asked to describe their experience in the ED and the care they received. Data were analyzed thematically. Three inter-related themes were identified: 1. The ED was experienced through a lens of significant distress, 2. The ED environment and processes were counter-therapeutic, and 3. Staff were perceived to be disinterested, dismissive, and lacking in knowledge. The study highlights the overwhelmingly negative nature of participants’ experiences, and presents recommendations for service and practice improvements, such as the provision of staff training and increased aftercare.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Account of Young People’s Experiences Seeking Care from Emergency Departments for Self-Harm

Byrne

Bellairs-Walsh

Rice

et al. 2021

IJERPH

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“…Furthermore, adolescents could profit from online interventions and services to lower barriers to treatment. It has been discussed, that the admission to emergency care due to suicidal behavior can be a stressful situation for those seeking acute care (21), especially if specialized services for youth are lacking (22). Youth stressed the importance of information and compassionate clinicians in this situation, and stated that repeated questioning from different clinicians was perceived as negative (23).…”

Section: Discussionmentioning

confidence: 99%

Emergency Presentations to Child and Adolescent Psychiatry: Nonsuicidal Self-Injury and Suicidality

et al. 2020

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Nonsuicidal Self-Injury (NSSI) and suicidality are common reasons for emergency presentations in child and adolescent psychiatry. Therefore, we focused on reasons for emergency presentations as well as specific characteristics of those presenting with NSSI or suicidality to an emergeny psychiatric service. We analyzed data from a German university hospital regarding emergency presentations during a 78 months' period. NSSI and suicidality were rated according to the Columbia Classification Algorithm of Suicide Assessment (C-CASA). Data from 546 emergency presentations was recorded, of which 347 (63.5%) presented for NSSI or suicidality. Given the high percentage, thorough assessment of sucidality as well as providing adequate treatment in emergency settings to establish further care, is of utmost importance.

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“…. Yet often EDs do not provide this support or assistance to individuals visiting EDs for suicidal crisis [16,17].…”

Section: Introductionmentioning

confidence: 99%

“A Sustained, Productive, Constructive Relationship with Someone Who Can Help”—A Qualitative Exploration of the Experiences of Help Seekers and Support Persons Using the Emergency Department during a Suicide Crisis

Rheinberger

MacDonald

McGillivray

et al. 2021

IJERPH

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For Australians experiencing a suicide crisis, the emergency department (ED) is the recommended point of contact for intervention and to ensure personal safety. However, negative ED experiences can deter individuals from returning, thus impacting future suicide risk. In order to improve the ED environment for individuals in suicidal crisis, an in-depth understanding of this experience is needed. In-depth semi-structured interviews with 17 help seekers and 16 support persons were conducted. A grounded theory approach uncovered a core organising concept—all participants wanted a “a sustained, productive, constructive relationship with someone who can help” during the ED visit—which guided analysis. Thematic analysis resulted in two themes and four subthemes exploring the systemic and interpersonal aspects of the ED visit and the roadblocks and pathways to development of the relationship. Interpersonal factors included aspects of staff interaction and presence of a support person. Systemic factors related to aspects controlled by the physical space and internal policies and procedures and included aspects such as the chaotic environment, long waiting times, and access to staff. Overwhelmingly, there were more roadblocks than pathways reported by participants. Improving the ED environment, increasing staff training and encouraging the presence of support persons may help mitigate some of these roadblocks.

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The Emergency Department

Cited by 38 publications

References 39 publications

A Qualitative Account of Young People’s Experiences Seeking Care from Emergency Departments for Self-Harm

A Qualitative Account of Young People’s Experiences Seeking Care from Emergency Departments for Self-Harm

Emergency Presentations to Child and Adolescent Psychiatry: Nonsuicidal Self-Injury and Suicidality

“A Sustained, Productive, Constructive Relationship with Someone Who Can Help”—A Qualitative Exploration of the Experiences of Help Seekers and Support Persons Using the Emergency Department during a Suicide Crisis

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