Adolescents in mental health crisis: the role of routine follow-up calls after emergency department visits

2010 ◽  
Vol 28 (2) ◽  
pp. 159-160 ◽  
Author(s):  
S. M. Hopper ◽  
I. Pangestu ◽  
J. Cations ◽  
C. Stewart ◽  
L. N. Sharwood ◽  
...  
CJEM ◽  
2017 ◽  
Vol 21 (1) ◽  
pp. 75-86 ◽  
Author(s):  
Mario Cappelli ◽  
Paula Cloutier ◽  
Amanda S. Newton ◽  
Eleanor Fitzpatrick ◽  
Samina Ali ◽  
...  

AbstractObjectivesThe goal of this study was to examine the mental health needs of children and youth who present to the emergency department (ED) for mental health care and to describe the type of, and satisfaction with, follow-up mental health services accessed.MethodsA 6-month to 1.5-year prospective cohort study was conducted in three Canadian pediatric EDs and one general ED, with a 1-month follow-up post-ED discharge. Measures included 1) clinician rating of mental health needs, 2) patient and caregiver self-reports of follow-up services, and 3) interviews regarding follow-up satisfaction. Data analysis included descriptive statistics and the Fisher’s exact test to compare sites.ResultsThe cohort consisted of 373 children and youth (61.1% female; mean age 15.1 years, 1.5 standard deviation). The main reason for ED presentations was a mental health crisis. The three most frequent areas of need requiring action were mood (43.8%), suicide risk (37.4%), and parent-child relational problems (34.6%). During the ED visit, 21.6% of patients received medical clearance, 40.9% received a psychiatric consult, and 19.4% were admitted to inpatient psychiatric care. At the 1-month post-ED visit, 84.3% of patients/caregivers received mental health follow-up. Ratings of service recommendations were generally positive, as 60.9% of patients obtained the recommended follow-up care and 13.9% were wait-listed.ConclusionsChildren and youth and their families presenting to the ED with mental health needs had substantial clinical morbidity, were connected with services, were satisfied with their ED visit, and accessed follow-up care within 1-month with some variability.


2020 ◽  
Vol 71 (11) ◽  
pp. 1203-1206
Author(s):  
Amanda Ribbers ◽  
David Sheridan ◽  
Ajit Jetmalani ◽  
Julie Magers ◽  
Amber Laurie Lin ◽  
...  

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S294-S294
Author(s):  
Kaj Svedberg ◽  
William Hancox ◽  
Hugh Grant-Peterkin

AimsWith the advent of the COVID-19 Pandemic the NHS long term Plan commitments of January 2019 to improve crisis care nationwide became all the more pressing. The aim of this study was to thematically investigate what mental health crisis presentations might be diverted from the Emergency department to external crisis hubs in order to reduce the COVID-19 contamination risks.MethodAll referrals made to the Homerton University Hospital (HUH) mental health liaison service were looked at between 1/3/20-11/6/20 (n = 846), coinciding with the first peak of the COVID-19 Pandemic.Referral data was anonymised and sorted independently into naturally emerging thematic classes by two junior liaison doctors.Cases that did not clearly fit any of the 14 themes generated were further looked into to determine outcome of referral and discussed to try and match to an appropriate class.Result14 frequent themes for mental health crisis referrals were identified. The distribution of these ranged from most common (suicidality) to neurocognitive presentation and identified shifts in themes over the course of the pandemic peak such as increases of low mood, anxiety and intoxication requiring medical attention over the three month period.ConclusionAlthough themes for presentations may be identified in acute referrals to mental health liaison services it is problematic determining how these may be parsed safely to crisis hubs without risking overlooking cases that may require medical attention. The most common theme that was identified and remained throughout the first wave of the COVID-19 Pandemic was acute suicidal presentation. The remaining themes would require careful consideration around risk thresholds for what a service may wish to accept in devolving the emergency department liaison and balance these against future risks of repeat COVID-19 waves.


Author(s):  
Rohmah Najihah Misran ◽  
Jamilah Hanum Abdul Khaiyom ◽  
Zul Azlin Razali

Religiosity is a construct that has interesting implications in the mental health issues of youths. This study examines the role of religiosity on anxiety, depression, and stress using 148 Muslim students studying Islamic studies at undergraduate provision in an Islamic University as sample. Results indicated that the level of religiosity among the participants ranged from moderately religious to highly religious. The mean levels of anxiety, depression, and stress among the participants were moderate, and a significant number of students suffered from severe psychological distress. Female students were reported to experience significantly slightly more stress than male students. Furthermore, the relationship between religiosity, anxiety, and depression was significantly negative but not stressful. Further analysis found that religiosity serves as a protective factor for depression. Meanwhile, some religiosity components (i.e., avoidance of sinful acts and frequent conduct of recommended acts) were found to be a significant protective factor against anxiety and depression, respectively. Thus, in retrospect, mental health and religion appear to converge on managing psychological distress. As so to speak, this is a vital point in the emerging mental health services in which the incorporation of religious components into clinical practice may show good promising results in aiding the recovery process of psychological health issues. Likewise, embedding religiosity in one’s life, or being religiously minded, reflected in daily life manifestation, is linked with better mental health outcomes.


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