The Management of Psychiatric Emergencies

Mavrogiorgou, Paraskevi; Brüne, Martin; Juckel, Georg

doi:10.3238/arztebl.2011.0222

Cited by 39 publications

(63 citation statements)

References 16 publications

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“…The other participating countries (Germany, Austria, and Greece) were poorly represented. There are similar findings from these countries in the literature but there are substantial differences between the emergency national health systems of each country which make the comparison difficult [21, 39]. …”

Section: Discussionmentioning

confidence: 90%

State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study

San¹,

Marksteiner²,

Zwanzger³

et al. 2016

CPEMH

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Background:Agitation is an array of syndromes and types of behaviors that are common in patients with psychiatric disorders. In Europe, the estimation of prevalence of agitation has been difficult due to the lack of standard studies or systematic data collection done on this syndrome.Objective:An observational, cross-sectional, multicenter study aimed to assess the prevalence of agitation episodes in psychiatric emergencies in different European countries.Method:For 1 week, all episodes of acute agitation that were attended to at the psychiatric emergency room (ER) or Acute Inpatient Unit (AIU) in the 27 participating centers were registered. The clinical characteristics and management of the agitation episode were also described. A descriptive analysis was performed.Results:A total of 334 agitation episodes out of 7295 psychiatric emergencies were recorded, giving a prevalence rate of 4.6% (95% CI: 4.12-5.08). Of them, 172 [9.4% (95% CI: 8.2-10.9)] were attended at the ER and 162 [2.8% (95% CI: 2.4-3.3)] at AIU. Only data from 165 episodes of agitation (those with a signed informed consent form) was registered and described in this report. The most common psychiatric conditions associated with agitation were schizophrenia, bipolar disorder and personality disorder. The management of agitation included from non-invasive to more coercive measures (mechanical, physical restraint or seclusion) that were unavoidable in more than half of the agitation episodes (59.5%).Conclusion:The results show that agitation is a common symptom in the clinical practice, both in emergency and inpatient psychiatric departments. Further studies are warranted to better recognize (using a standardized definition) and characterize agitation episodes.

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Section: Discussionmentioning

confidence: 90%

State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study

San¹,

Marksteiner²,

Zwanzger³

et al. 2016

CPEMH

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“…Urgências e emergências psiquiátricas são comuns nos cenários de atendimentos especializados em psiquiatria e em serviços gerais de pronto atendimento, sendo quadros que demandam medidas imediatas durante o atendimento para evitar desfechos graves (2) . Nos Estados Unidos, estima-se que a prevalência de transtornos mentais graves na população geral seja de 4,2% (3) .…”

Section: Introductionunclassified

Enfermeiros De Serviços De Urgência E Emergência Psiquiátrica: Análise De Perfil Profissional E Educacional

Vargas¹,

Soares²,

Ponce

et al. 2017

Cogitare Enferm.

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RESUMO: O estudo caracterizou o perfil profissional e educacional de enfermeiros de urgência e emergência psiquiátrica, identificando sua associação com a prática clínica. Estudo transversal realizado com 184 enfermeiros, em 17 serviços de atendimento de urgências e emergências psiquiátricas no estado de São Paulo, entre fevereiro e outubro de 2012. Evidenciou-se associação significativa entre o perfil dos enfermeiros e a prática clínica no atendimento de urgências e emergência psiquiátrica e os maiores preditores dessa associação foram: sexo masculino (OR=9,05), tempo de profissão maior que 10 anos (OR=2,67) e ser egresso de instituições públicas de ensino (OR=2,14). Enfermeiros do sexo masculino continuam sendo a linha de frente dos atendimentos em urgência e emergência psiquiátrica, sugerindo a perpetuação do modelo embasado na força física. A experiência profissional e maior carga horária durante a graduação são fatores que podem se constituir em melhor prática clínica em emergências psiquiátricas. DESCRITORES: Enfermagem psiquiátrica; Psiquiatria; Prática Profissional; Cuidados de Enfermagem; Serviços de Emergência Psiquiátrica. ENFERMEIROS DE SERVIÇOS DE URGÊNCIA E EMERGÊNCIA PSIQUIÁTRICA: ANÁLISE DE PERFIL PROFISSIONAL E EDUCACIONAL PSYCHIATRIC URGENCY AND EMERGENCY CARE NURSES: AN ANALYSIS OF THEIR PROFESSIONAL AND EDUCATIONAL PROFILEABSTRACT: The present study characterized the professional and educational profile of nurses working at psychiatric urgency and emergency services, identifying its association with clinical practice. A cross-sectional study was carried out with 184 nurses in 17 psychiatric urgency and emergency healthcare services in the state of São Paulo from February to October 2012. A significant association was found between the profile of nurses and clinical practice in psychiatric urgency and emergency care, and the greatest predictors of this association were: male gender (OR=9.05), length of time in the profession longer than 10 years (OR=2.67), and having graduated at public educational institutions (OR=2.14). El estudio caracterizó el perfil profesional y educacional de enfermeros de urgencia y emergencia psiquiátrica, identificando su asociación con la práctica clínica. Estudio transversal realizado con 184 enfermeros en 17 servicios de atención de urgencias y emergencias psiquiátricas del estado de São Paulo, entre febrero y octubre de 2012. Se evidenció asociación significativa entre el perfil de los enfermeros y la práctica clínica en atención de urgencias y emergencias psiquiátricas, los mayores predictores de esta asociación fueron: sexo masculino (OR=9,05), tiempo desde graduación superior a 10 años (OR=2,67) y ser egresado de instituciones públicas de enseñanza (OR=2,14). Los enfermeros de sexo masculino continúan constituyendo la primera línea de atención en urgencias y emergencias psiquiátricas, sugiriendo la continuidad del modelo basado en la fuerza física. La experiencia profesional y mayor carga horaria durante el curso de grado son factores que pueden constituirse e...

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“…Zira örneğin eroin yoksunluğunda olan bir hastaya eroin entoksikasyonu düşünülerek nalokson verilmesi, hastanın belirtilerinin daha da şiddetlenmesine neden olabilir. Yine eroin yoksunluğunda gözlenen ajitasyon tablosu, kokain ve ekstasi gibi maddelerin entoksikasyonuna bağlı olarak ortaya çıkmış olabilir (10).…”

Section: Madde Bağımlısı Hastayı Değerlendirmede Genel Prensiplerunclassified

Approaches to Substance Abusers in an Emergency Setting

Şengül¹,

Serinken²,

Büber³

et al. 2013

JAEM

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Substance dependency is a serious problem that should be taken into consideration in an emergency service. Patients with substance dependence are seen by emergency services in many different clinical situations. Studies show that emergency service personnel are faced with substance-dependents most frequently. For this reason, substance dependency is a very important topic for emergency service personnel. A number of approaches have been reported regarding substance dependency treatment in the literature. The aim of this article is to review research about the management of substance dependency in an emergency service. (JAEM 2013; 12: 215-9)

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The Management of Psychiatric Emergencies

Cited by 39 publications

References 16 publications

State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study

State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study

Enfermeiros De Serviços De Urgência E Emergência Psiquiátrica: Análise De Perfil Profissional E Educacional

Approaches to Substance Abusers in an Emergency Setting

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