The Management of Psychiatric Emergencies in Situations of Public Calamity

Baldaçara, Leonardo; Silva, Antônio Geraldo da; Pereira, Lucas A.; Malloy-Diniz, Leandro Fernandes; Teng, Chei Tung

doi:10.3389/fpsyt.2021.556792

Front. Psychiatry

2021

DOI: 10.3389/fpsyt.2021.556792

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The Management of Psychiatric Emergencies in Situations of Public Calamity

Leonardo Baldaçara

Antônio Geraldo da Silva

Lucas A. Pereira

et al.

Abstract: The prevalence of mental health problems in the general population during a public calamity is high. In calamities, the number of patients who present with mental disorder outbreaks or crises may increase, but the necessary support systems to help them may be impaired if they have not been planned for. Although there are several models for addressing psychiatric emergencies, the general rules are the same, especially when it comes to making these services easily available to the affected population. In this ar… Show more

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2023

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Editorial: Current challenges and evidence-based medicine in psychiatric emergencies

Baldaçara

2023

Front. Psychiatry

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Editorial on the Research Topic Current challenges and evidence-based medicine in psychiatric emergenciesAcute disruptions in cognition, behavior, mood, or social interactions that require immediate treatment and care to rescue the patient and/or others are psychiatric emergencies. Between 10 and 30% of all emergencies may be psychiatric emergencies (considering variations in each setting) (1). The percentage of the population (annual prevalence) that is afflicted by mental problems is anywhere from 8.6 to 57.3% when a public tragedy occurs (arises two-to three times more), with most cases being emergencies (2). However, in emergency settings, they are not always diagnosed correctly, and the consequences of mental illness are severe (3-5).Suicidal behavior, severe depressive or manic episodes, self-mutilation, severely impaired judgment, severe self-neglect, substance intoxication or withdrawal symptoms, and aggressive behavior are among the most common psychiatric emergencies (3-6). Its consequences are devastating: physical (malnutrition, hydro-electrolyte disorders, trauma, and other physical complications), psychiatric (self-harm, suicide, substance abuse, aggression), and social consequences (social exposure, disappearance, and intensifying stigma) (3-5). It is unusual for students graduating from schools of health care to get instruction on psychiatric emergencies, and the majority of judgments are made based on non-technical and empirical data. This is due to the lack of research interest in the field, the effects of stigma, and the limited number of sectors with the necessary infrastructure to conduct studies and instruction (7, 8).For instance, the total number of psychiatric consultations dropped during and after the lockdown, while the number of consultations for manic episodes and suicidality rose during this period. The study's authors argue that it's crucial to keep mental health care a priority, especially in the present, and prevent abandonment, negligence, and consequential new emergencies (Balestrieri et al.). In addition, the findings of another author revealed, despite the fact that they were not statistically significant, that psychiatrists who had been in practice for a longer period of time had a greater understanding of advanced directives. However, just a little more than a third of the participants were knowledgeable about this subject (Domingues et al.). It reinforces the need for teaching and training (7-9).

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Editorial: Current challenges and evidence-based medicine in psychiatric emergencies

Baldaçara

2023

Front. Psychiatry

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The Management of Psychiatric Emergencies in Situations of Public Calamity

Cited by 1 publication

References 55 publications

Editorial: Current challenges and evidence-based medicine in psychiatric emergencies

Editorial: Current challenges and evidence-based medicine in psychiatric emergencies

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