Prevalence of bipolar disorder among patients with suicidal ideation, recent aggression and self-harm, referred to the psychiatric hospital emergency department in Iran

2021 ◽  
Vol 65 ◽  
pp. 102830
Author(s):  
Rahim Badrfam ◽  
Atefeh Zandifar ◽  
Maryam Aminimanesh ◽  
Malihe Farid ◽  
Fatemeh Rahiminejad
Keyword(s):  
Emergency Department ◽  
Bipolar Disorder ◽  
Suicidal Ideation ◽  
Psychiatric Hospital ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Self Harm

scholarly journals Trends in consultations for schizophrenia and non-affective psychoses in Italian emergency departments during and after the 2020 COVID-19 lockdown

2021 ◽  
Author(s):  
Matteo Balestrieri ◽  
Paola Rucci ◽  
Davide Amendola ◽  
Miki Bonizzoni ◽  
Giancarlo Cerveri ◽  
...  
Keyword(s):  
Emergency Department ◽  
Suicidal Ideation ◽  
Psychiatric Disorders ◽  
Hospital Emergency Department ◽  
Schizophrenia Spectrum Disorders ◽  
Hospital Emergency ◽  
Consultation Rate ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders ◽  
Sedative Agents

Abstract Aims To analyse the hospital emergency department (HED) consultations for schizophrenia-spectrum disorders in nine Italian hospitals during the 2020 lockdown and post-lockdown periods, compared to the equivalent periods in 2019. Methods Characteristics of consultations, patients, and drug prescriptions were analysed. Joinpoint models were used to identify changes in the weekly trend of consultations. Results During the 2020 lockdown the overall number of HED consultations for schizophrenia decreased by 40.7% and after the lockdown by 12.2% compared with 2019. No difference was found in the proportion of consultations that led to GHPU admissions or compulsory admissions. Suicidality rates did not differ across the two years, with the exception of ideations and plans (+5.9%) during the post-lockdown period. We found an increase in benzodiazepine prescriptions in 2020 during the lockdown and post-lockdown periods (+10.6% and +20.8%, respectively), and a decrease of prescriptions for short-acting sedative agents in the post-lockdown period (-7.9%). An increase in the weekly trend of consultations occurred from March 11-17 (week 11) to June 26-June 30 (week 26). As a result, the initial gap in the number of consultations between the two years cancelled out at the end of June. Conclusions HED consultation rate for schizophrenia-spectrum disorders declined consistent with that of other psychiatric disorders. In the post-lockdown period the growth of suicidal ideation/planning and increase in the prescriptions of anxiolytic-sedating drugs may foreshadow that for some schizophrenia patients the exit from the lockdown period is not liberating, but rather a source of agitation or perturbation.

Designing Affordance-Based Procedures Using Heuristic Cognitive Work Analysis: Application to Triage in an Emergency Department

2021 ◽  
pp. 155534342110295
Author(s):  
Thierry Morineau ◽  
Mounia Djenidi-Delfour ◽  
Fabrice Arnault
Keyword(s):  
Emergency Department ◽  
Degrees Of Freedom ◽  
Qualitative Evaluation ◽  
Hospital Emergency Department ◽  
Extended Version ◽  
Cognitive Work Analysis ◽  
Hospital Emergency ◽  
Work Analysis ◽  
Cognitive Work ◽  
Analysis Application

This study describes the concept of affordance-based procedure and its implementation in a triage station in a hospital emergency department. Rather than seeking to increase operators’ adherence to procedures, an affordance-based procedure (1) aims to induce task steps using affordances that also (2) support degrees of freedom for action. The design of this procedure was guided by the application of an extended version of cognitive work analysis, named “heuristic cognitive work analysis.” This design process produced a new procedural document: a reception card. Ten months after its implementation, a qualitative evaluation with 10 triage nurses shows that the reception card is viewed as supporting coordination between the different nurses’ tasks and providing an external memory to cope with frequent interruptions during high patient inflow, even though the document is used for convenience and with unexpected and partial uses of its items. The document assessed also afforded emerging benefits, that is, acceleration of ambulance release, higher level of confidentiality, assistance for staff hand-overs. Finally, novice triage nurses are particularly sensitive to the benefits brought by this affordance-based procedure.

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