Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown

Abstract Background Mental health crisis requiring emergency access to psychiatric service can occur at any time. Psychiatric Emergency Service (PES) is described as one that provides an immediate response to an individual in crisis within the first 24 h. Presently, several types of PESs are available in the United Kingdom (UK) with the aim of providing prompt and effective assessment and management of patients. Therefore, this study aims to provide a detailed narrative literature review of the various types of Psychiatric Emergency Service (PES) currently available in the UK. Method Electronic search of five key databases (MEDLINE, PsychINFO, EMBASE, AMED and PUBMED) was conducted. Studies were included if it described a mental health service in the UK that provides immediate response in mental health crisis within the first 24 h. Excluded studies did not describe a PES, non-English, and were not conducted in UK. Results Nine types of PESs were found. Amongst the 9 services, more papers described crisis resolution home treatment. Majority of the papers reported services within England than other countries within the UK. Conclusion All types of PESs were described as beneficial, particularly to mental health service users, but not without some shortcomings. There is a need to continue carrying out methodological research that evaluate impact, cost-effectiveness as well as identify methods of optimising the beneficial outcomes of the various types of PESs. This may help inform researchers, policy makers and commissioners, service users and carers, service providers and many more on how to ensure current and future PESs meet the needs as well as aid recovery during crisis.

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Psychiatric Emergency Service Use After Implementation of Managed Care in a Public Mental Health System

Psychiatric Services ◽

10.1176/appi.ps.56.6.691 ◽

2005 ◽

Vol 56 (6) ◽

pp. 691-698 ◽

Cited By ~ 10

Author(s):

Cynthia A. Claassen ◽

T. Michael Kashner ◽

Saundra K. Gilfillan ◽

Gregory L. Larkin ◽

A. John Rush

Keyword(s):

Mental Health ◽

Managed Care ◽

Health System ◽

Mental Health System ◽

Emergency Service ◽

Service Use ◽

Public Mental Health ◽

Psychiatric Emergency ◽

Public Mental Health System ◽

Psychiatric Emergency Service

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Food Insecurity and Mental Health: A Pilot Study of Patients in a Psychiatric Emergency Unit in Israel

Community Mental Health Journal ◽

10.1007/s10597-010-9339-8 ◽

2010 ◽

Vol 47 (5) ◽

pp. 513-519 ◽

Cited By ~ 8

Author(s):

Nimrod Grisaru ◽

Roni Kaufman ◽

Julia Mirsky ◽

Eliezer Witztum

Keyword(s):

Mental Health ◽

Pilot Study ◽

Food Insecurity ◽

Psychiatric Emergency ◽

Emergency Unit

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DESIGNING THE MINIMUM DATA SET OF PSYCHIATRIC EMERGENCY RECORD

Medical Technologies Journal ◽

10.26415/2572-004x-vol1iss4p117-118 ◽

2017 ◽

Vol 1 (4) ◽

pp. 117-118

Author(s):

Zahra Ebnehoseini ◽

Marziyhe Meraji ◽

Farzad Akbarzadeh ◽

Malihe Irajzade

Keyword(s):

Mental Health ◽

Mental Illness ◽

Literature Review ◽

Work Experience ◽

Psychiatric Emergency ◽

Clinical Psychologist ◽

Emergency Psychiatry ◽

Data Element ◽

Data Set ◽

History Of

Introduction: Psychiatric emergencies are acute mental health disturbances, behavior and social relationship that require immediate intervention. The major role of psychiatric emergency services is to provide mental health care services for patients with acute mental health problems. Design emergency psychiatry core dataset has improved the coordination and integration of services and improved the outcomes for the patient with severe and persistent mental illness with complex needs. So the aim of this study was to design data elements (DEs) in emergency psychiatry for Iran. Methods: This is an applied study. Emergency psychiatry (DEs) collected via literature review and then psychologist and psychiatrist (16 experts) assign the score from 0 to 5 to them according to the value of each data element. (DEs) selected as core Emergency psychiatry (DEs) that were achieved 4 or 5 scores from 75% specialist. Results: According to the literature review, 110 (DEs) included studying. 13 experts (8 psychologists, 8 Clinical Psychologist) evaluated psychiatric emergency (DEs) set. The average work experience of psychiatrists and psychologists was 16 years and their work experience ranged from 2 to 25 years (table 1). according to the experts opinion, 54 (DEs) with at least 75% of the agreement were identified as the psychiatric emergency (DEs). Emergency psychiatric (DEs) and average agreement of each of them were: demographic characteristics (6 DEs with an agreement average of 82.5%), history of mental illness (9 DEs with an agreement average of 79%), family history of psychology (3 DEs with an average agreement of 77.08%), medical history (1 DEs with an average agreement of 81.25 %) Assessment of mental status ( 20 DEs with an average agreement of 82%), assessment of the self harm risk or harm risk for others ( 13 DEs with an average agreement of 93.6%) and diagnosis and treatment (3 DEs with an average agreement of 81.25%). Conclusion: Given the importance of psychiatric disorder and lack of the national system for gathering psychiatric information, perform the same study abut psychiatric data element is very important. The results of this study can be used for design psychiatric emergency forms and gather accurate and complete patient information.

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Characteristics of Pediatric Psychiatric Emergency Population in a Mental Health Hospital

Eurasian Journal of Emergency Medicine ◽

10.5152/eajem.2015.71354 ◽

2015 ◽

Vol 14 (3) ◽

pp. 123-130

Author(s):

Caner Mutlu ◽

Ali Guven Kilicoglu ◽

Hatice Gunes ◽

Hilal Adaletli ◽

Handan Metin ◽

...

Keyword(s):

Mental Health ◽

Psychiatric Emergency ◽

Mental Health Hospital ◽

Health Hospital

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Reaction to Severe Stress and Adjustment Disorders After the September 2017 Earthquakes in a Psychiatric Emergency Department in Mexico City

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2018.136 ◽

2019 ◽

Vol 13 (4) ◽

pp. 686-690 ◽

Cited By ~ 1

Author(s):

Ana Fresán ◽

Rebeca Robles-García ◽

Claudia Becerra-Palars ◽

Manuel Alejandro Muñoz-Suárez ◽

Omar Rangel-Cupa ◽

...

Keyword(s):

Public Health ◽

Mental Health ◽

Emergency Department ◽

Mexico City ◽

Mental Health Professionals ◽

Health Professionals ◽

Psychiatric Emergency ◽

Adjustment Disorders ◽

Severe Stress ◽

Disaster Victims

ABSTRACTObjectiveEarthquakes may lead to a reaction to severe stress and adjustment disorders (RSSAD). On September 7, 19, and 23, 2017, Mexico was struck by many severe earthquakes. The aim of this study was to examine whether there was an increase in the number of consultations and RSSAD in a psychiatric emergency department in Mexico City after these earthquakes.MethodsWe studied retrospectively the diagnosis and triage assessment from a Mexican psychiatric emergency department database from September 1 to November 30, 2017, and analyzed RSSAD and the number of consultations after the earthquakes.ResultsA total of 1,811 psychiatric emergency consultations were registered from the period of study. A total of 141 consultations represented RSSAD. There was a significant increase of RSSAD after the September 23, 2017, earthquake. The triage assessment revealed that the urgency of the consultations was higher immediately after the earthquakes.ConclusionNatural disasters, such as earthquakes, may trigger diverse RSSAD leading to increased emergency consultations, especially when those disasters are repetitive. Mental health professionals should be adequately trained and sensitized for possible acute disaster victims. (Disaster Med Public Health Preparedness. 2019;13:686–690).

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