scholarly journals Emergency Department Presentations and Youth Suicide: A Case-Control Study

2018 ◽  
Vol 64 (2) ◽  
pp. 88-97 ◽  
Author(s):  
Anne E. Rhodes ◽  
Mark Sinyor ◽  
Michael H. Boyle ◽  
Jeffrey A. Bridge ◽  
Laurence Y. Katz ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Health Problem ◽  
Health Problem ◽  
Psychotic Disorders ◽  
Case Control Study ◽  
Mental Health Problems ◽  
Time Frame ◽  
Case Control ◽  
Control Study

Objective: We estimate associations between emergency department (ED) diagnoses and suicide among youth to guide ED care. Method: This ED-based case-control study used data from the Office of the Chief Coroner and all EDs in Ontario, Canada. Cases ( n = 697 males and n = 327 females) were aged 10 to 25 years who died by suicide in Ontario between April 2003 and March 2014, with an ED contact in the year before their death. Same-aged ED-based controls were selected during this time frame. Crude and adjusted odds ratios (aORs) and 95% confidence intervals were calculated. Results: Among youth diagnosed with a mental health problem at their most recent ED contact (41.9% cases, 5% controls), suicide was elevated among nonfatal self-inflicted: ‘other’ injuries, including hanging, strangulation, and suffocation in both sexes (aORs > 14); cut/pierce injuries in males (aOR > 5); poisonings in both sexes (aORs > 2.2); and mood and psychotic disorders in males (aORs > 1.7). Among those remaining, ‘undetermined’ injuries and poisonings in both sexes (aORs > 5), ‘unintentional’ poisonings in males (aOR = 2.1), and assault in both sexes (aORs > 1.8) were significant. At least half of cases had ED contact within 106 days. Conclusions: The results highlight the need for timely identification and treatment of mental health problems. Among those with an identified mental health problem, important targets for suicide prevention efforts are youth with self-harm and males with mood and psychotic disorders. Among others, youth with unintentional poisonings, undetermined events, and assaults should raise concern.

Association between mental health problems of stunted children and common mental disorders of their mothers in Brazil: A case control study

2016 ◽  
Vol 33 (S1) ◽  
pp. S176-S176
Author(s):  
C. Miranda ◽  
L. Santos ◽  
C.S. Paula ◽  
W. Ribeiro ◽  
T. Florencio
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Conduct Problems ◽  
Maternal Education ◽  
Case Control Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Case Control ◽  
Self Report ◽  
Control Study

IntroductionIn deprived environments, mental health problems for both the mother and her stunted child may be related.ObjectiveTo verify possible association between a child's nutritional and mental health status with common maternal mental disorders (and associated impairment).AimsTo contribute to management of malnutrition and mental health in low-income populations.MethodsCase-control study in which 48 malnourished children (aged 48 to 72 months) were compared with 50 eutrophic children. The child's nutritional status, the children's mental health, the maternal mental health, and the associated disability were evaluated by using the WHO criteria, the “Strengths and Difficulties Questionnaire” (SDQ), the “Self-Report Questionnaire”-20 (SRQ-20), and the “Sheehan Disability Scale” (SDS), respectively. In addition, selected socio-economic aspects were considered.ResultsVariables with significant odds ratio (OR) in the univariate analysis were: maternal education (OR: 2.96, 95% CI: 1.30–6.75), number of residents in the household (OR: 0.32, 95% CI: 0.14–0.74), number of children in the household (OR: 0.25, 95% CI: 0.10–0.61), and social class (OR: 2.30, 95% CI: 1.02–5.18). The only SDQ dimension that tended to be associated with malnutrition was conduct problems (P = 0.08). The disability associated with probable common maternal mental disorders (CMD) also showed statistically significant association (P = 0.02). In the logistic regression, child malnutrition remained associated with child conduct problems and disability associated with probable CMD.ConclusionsConduct problems in stunted children are positively associated with CMD and related disability. Longitudinal studies are necessary to confirm these hypotheses.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Caring for People with Mental Health Problems Who Present at the Emergency Department: a Nurse Educator's Journey

2021 ◽  
Author(s):  
◽  
Charlotte Thompson
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
New Zealand ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Standard Of Care ◽  
Health Problems ◽  
Learning Needs ◽  
Mental Health Consultation

<p><b>The New Zealand Emergency Department (ED) nurse is faced daily with the challenge of caring for patients of all ages with a wide variety of presenting complaints. Courses are available for ED specialty work such as trauma and paediatric assessment. However, as this thesis argues, it is difficult to access updated and ongoing education in relation to caring for people with mental health problems who present to the Emergency Department. In addition to this education deficit are the challenges of providing care in an overcrowded ED environment. Such factors contribute to a perceived lack of confidence and sometimes ambivalence or frustration on the part of nursing staff in caring for this group. This may result in an inconsistent standard of care for the the person with a mental health problem unless such issues are addressed.</b></p> <p>The aim of this research paper was to explore the education needs of ED nurses when caring for people with mental health problems. A literature review was undertaken to investigate the broad education strategies available to overcome these challenges. Diverse approaches were identified such as workshops, clinical guidelines, and mental health consultation-liaison roles. Research was also identified that examined ED nursing attitudes and their learning needs in relation to mental health.</p> <p>This paper concludes with a discussion of recommendations for the New Zealand setting with the intention of developing a more confident and competent nursing workforce, who are better prepared to care for the person with a mental health problem.</p>

scholarly journals Caring for People with Mental Health Problems Who Present at the Emergency Department: a Nurse Educator's Journey

2021 ◽  
Author(s):  
◽  
Charlotte Thompson
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
New Zealand ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Standard Of Care ◽  
Health Problems ◽  
Learning Needs ◽  
Mental Health Consultation

<p><b>The New Zealand Emergency Department (ED) nurse is faced daily with the challenge of caring for patients of all ages with a wide variety of presenting complaints. Courses are available for ED specialty work such as trauma and paediatric assessment. However, as this thesis argues, it is difficult to access updated and ongoing education in relation to caring for people with mental health problems who present to the Emergency Department. In addition to this education deficit are the challenges of providing care in an overcrowded ED environment. Such factors contribute to a perceived lack of confidence and sometimes ambivalence or frustration on the part of nursing staff in caring for this group. This may result in an inconsistent standard of care for the the person with a mental health problem unless such issues are addressed.</b></p> <p>The aim of this research paper was to explore the education needs of ED nurses when caring for people with mental health problems. A literature review was undertaken to investigate the broad education strategies available to overcome these challenges. Diverse approaches were identified such as workshops, clinical guidelines, and mental health consultation-liaison roles. Research was also identified that examined ED nursing attitudes and their learning needs in relation to mental health.</p> <p>This paper concludes with a discussion of recommendations for the New Zealand setting with the intention of developing a more confident and competent nursing workforce, who are better prepared to care for the person with a mental health problem.</p>

scholarly journals 203 Finding voices: young people’s experiences of the emergency department

2020 ◽  
Vol 37 (12) ◽  
pp. 847.3-848
Author(s):  
Liza Keating ◽  
Sarah Wilson ◽  
Jonathan Hill ◽  
Jack Dainty
Keyword(s):  
Emergency Department ◽  
Young People ◽  
Case Control Study ◽  
Mental Health Problems ◽  
Case Control ◽  
Control Group ◽  
First Case ◽  
Interpersonal Difficulties ◽  
Self Harm ◽  
Control Study

Aims/Objectives/BackgroundSelf-harm among adolescents is a major concern both because it gives rise to considerable distress and disruption in young people’s lives and it commonly recurs. There are currently wide variations in the care of this group of patients and it is widely reported that their experience in the emergency department is poor. Young people who have self-harmed may differ from others attending the ED and we need to know more about these differences to inform ED care and potential improvements. The aim of this study was to establish the needs and expectations among children and young people in the ED and to increase the understanding of the specific needs of adolescents who self-harm through comparison with another patient group in the ED.Methods/DesignWe undertook a case-control study with adolescents attending for suspected fractures serving as the control group. Adolescents and their guardians were each given a questionnaire pack on arrival in ED, and again at least 2 hours later, thus capturing their expectations and pre-existing characteristics, and their experience. Trained research assistants were present in the ED seven days a week and covered 10 am till 10 pm. The study commenced in July 2019 and terminated early in March 2020 at the onset of the COVID 19 pandemic.Results/ConclusionsYoung people who had self-harmed had significantly higher mean dissatisfaction scores than those with suspected fractures. They also had higher mean levels of emotional and interpersonal difficulties and these were associated with higher dissatisfaction scores. This is the first case-control study to show that dissatisfaction with the ED is at least partly a function of the particular mental health problems suffered by adolescents who self-harm. This in turn provides initial clues to the particular needs of this group of patients in whom the current management is widely reported as inadequate.

Effect of female genital mutilation on mental health: a case–control study

2020 ◽  
Vol 25 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Bakhtiar Piroozi ◽  
Cyrus Alinia ◽  
Hossein Safari ◽  
Ali Kazemi-Karyani ◽  
Ghobad Moradi ◽  
...  
Keyword(s):  
Mental Health ◽  
Female Genital Mutilation ◽  
Case Control Study ◽  
Case Control ◽  
Genital Mutilation ◽  
Control Study ◽  
Female Genital

Youth mental health competencies in regional general practice

2020 ◽  
pp. 103985622097005
Author(s):  
Oliver Smith ◽  
Jessica Bergmann ◽  
Ulrich Schall
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Young Patients ◽  
Youth Mental Health ◽  
Young Person ◽  
Health Issues ◽  
Hunter Region

Objective: General practitioners (GPs) are key health professionals for referrals to mental health specialists. Youth mental health issues are particularly challenging, requiring a competent assessment and understanding of appropriate referral pathways. We surveyed local GPs about their understanding of youth mental health problems and needs to competently look after young patients. Methods: GPs working in the Hunter region were contacted via email, fax and post over a 6-month period in 2019. Results: Seventy-five GPs participated. They reported 577 of 1698 (34%) of young people seen 2 weeks prior to being surveyed presented with a mental health problem. Predominantly, referrals were to private practice psychologists and Headspace. Almost a third (31%) reported having limited understanding of ‘at-risk mental state’ and are ‘not always comfortable’ when facing a young person with a mental health problem. Nearly all (95%) expressed interest in attending specialised training. GPs identified treatment costs, scarce access to psychiatrists and limited patient engagement as the main obstacles to help young people. Conclusions: Effective treatment of a mental health problem relies on early identification. GPs are seeing young people on a regular basis but don’t feel well equipped for this task and are keen to up-skill, which needs to be addressed by targeted training.

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