Repeat Visitors in the Psychiatric Emergency Service: A Critical Review of the Data

1986 ◽  
Vol 37 (1) ◽  
pp. 37-41 ◽  
Author(s):  
James M. Ellison ◽  
Nancy Blum ◽  
Arthur J. Barsky
Keyword(s):  
Critical Review ◽  
Emergency Service ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Service

Outreach Psychiatric Emergency Service

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 375-382
Author(s):  
Remco F. P. de Winter ◽  
Mirjam C. Hazewinkel ◽  
Roland van de Sande ◽  
Derek P. de Beurs ◽  
Marieke H. de Groot
Keyword(s):  
General Practitioner ◽  
General Hospital ◽  
Suicidal Behavior ◽  
Emergency Service ◽  
Attempted Suicide ◽  
Emergency Services ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Services ◽  
Psychiatric Emergency Service ◽  
Suicidal Patients

Abstract. Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency service assessments was recorded; 14,705 assessments were included. Characteristics of patients with/without suicidal behavior and with/without suicide attempts were compared. Outcomes were adjusted for clustering of features within individual patients. Results: Suicidal behavior was assessed in 32.2% of patients, of whom 9.2% attempted suicide. Suicidal behavior was most commonly associated with depression or adjustment disorder and these patients were referred to the service by a general practitioner or a general hospital, whereas those who attempted suicide were less likely to be referred by a general practitioner. Those who attempted suicide were more likely to be female and have had a referral by a general hospital. Self-poisoning by medication was the most common method of attempting suicide. Limitations: Bias could be due to missed or incomplete assessments. Primary diagnoses were based on clinical observation at the time of the assessment or on the primary diagnosis previously recorded. In addition, suicidal behavior or attempted suicide might have been underestimated. Conclusions: Suicidal behavior is commonplace in assessments by psychiatric emergency services. Suicidal patients with/without a suicide attempt differed with respect to demographic features, primary diagnoses, and referring entities, but not with respect to treatment policy. About 40% of the suicidal patients with/without an attempt were admitted following assessment.

Psychiatric emergency service in the city of Copenhagen

1991 ◽  
Vol 45 (2) ◽  
pp. 119-127 ◽  
Author(s):  
Joachim Knop ◽  
Ulf Søgaard ◽  
Anne Stub Sørensen ◽  
Vilhelm Schultz ◽  
Ellen Hasselbalch ◽  
...  
Keyword(s):  
Emergency Service ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Service ◽  
The City

scholarly journals The Psychiatric Emergency Service Patient

2005 ◽  
Vol 50 (5) ◽  
pp. 303-304
Author(s):  
Yves Chaput ◽  
Marie Josée Lebel ◽  
Edith Labonté ◽  
Lucie Beaulieu
Keyword(s):  
Emergency Service ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Service

scholarly journals Psychiatric emergency service users at Groote Schuur Hospital, Cape Town

2005 ◽  
Vol 11 (3) ◽  
pp. 4 ◽  
Author(s):  
Don AB Wilson ◽  
Alan J Flisher ◽  
Mark Welman
Keyword(s):  
Emergency Service ◽  
Occupational Status ◽  
Service Planning ◽  
Psychiatric Emergency ◽  
Skilled Workers ◽  
Cross Sectional ◽  
Psychiatric Emergency Service ◽  
Levels Of Care ◽  
Patient Profile ◽  
Source Distance

Objective. To document and compare the characteristics of patients assessed at a psychiatric emergency service (PES) during April and May of 1988 and 1998.Design. Two cross-sectional surveys.Setting. Groote Schuur Hospital (GSH), Cape Town.Subjects. Patients assessed at the PES, GSH.Outcome measures. These were occupational status, referral source, distance travelled to get to the hospital, and diagnosis.Results. Nine hundred and twenty-five patients made 1 081 visits to the unit during a 2-month period in 1988, while during a similar period in 1998, 364 patients made 477 visits. In the latter period the patients were significantly more likely to be skilled workers or students/scholars, to be referred from within GSH or other health facilities, to have travelled less than 10 km to get to the hospital, and to be suffering from a mood disorder or suicidality (and less likely to be suffering from a substance use disorder).Conclusions. The differences between the two time periods indicate that changes in policy during the period 1988 - 1998 may have impacted on the patient profile at the PES at GSH. It is important to document such changes with a view to informing service planning for both tertiary referral centres and other levels of care.

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