Short-Term Efficacy of Interventions by a Youth Crisis Team

1995 ◽  
Vol 40 (6) ◽  
pp. 320-324 ◽  
Author(s):  
Brian Greenfield ◽  
Lily Hechtman ◽  
Claudine Tremblay
Keyword(s):  
Emergency Room ◽  
Hospitalization Rate ◽  
Psychiatric Emergency ◽  
Pediatric Hospital ◽  
Short Term ◽  
Psychiatric Emergency Room ◽  
Psychiatric Admissions ◽  
The Impact ◽  
Experimental Group

Objective To determine the impact of an outpatient psychiatric Emergency Room Follow-up Team (ERFUT) on the hospitalization rate of youth in crisis (mostly suicidal adolescents). Method The rate of psychiatric admissions of youth to a general pediatric hospital during a year prior to the ERFUT creation was compared to that same rate after the team's creation. The proportion of patients returning to the Emergency Room (ER) 2 or more times was also compared for those same years. Deaths were identified at 3-year follow-up for the experimental group. Results A 16% reduction in the hospitalization rate followed the team's creation, without an increase in the proportion of patients returning to the ER. Also, none of the experimental group subjects had died at 3-year follow-up. Conclusion There is a subpopulation of previously hospitalized suicidal adolescents who can be effectively cared for as outpatients when treated rapidly and intensively.

scholarly journals Assessment of Suicidal Behavior in a Psychiatric Emergency Room in Lisbon,

2015 ◽  
Vol 28 (4) ◽  
pp. 469
Author(s):  
João Gama Marques ◽  
Diogo Frasquilho Guerreiro ◽  
Daniel Sampaio
Keyword(s):  
Emergency Room ◽  
Suicidal Behavior ◽  
Suicidal Behaviour ◽  
Psychiatric Emergency ◽  
Emergency Rooms ◽  
Psychiatric Emergency Room ◽  
Suicide Intent ◽  
History Of ◽  
Clinical Records

<p><strong>Introduction:</strong> Some studies alerted for the burden of suicidal attempters at emergency rooms. In this study we characterized the suicidal patients admitted to a Portuguese emergency room.<br /><strong>Material and Methods:</strong> For three years, all patients assessed by the first author after suicidal behaviour were included. Suicidal intentionality was evaluated with the Pierce Suicide Intent Scale. Clinical records were searched for follow-up status and satisfaction level was assessed through telephone call.<br /><strong>Results:</strong> From 120 included patients 70.8% were female, with mean age of 42.35 years. Pierce Suicide Intent Scale suicidal intentionality was low in 30.1%, medium in 59.3%, and high in 10.6% of the sample. The most important predictors of Pierce Suicide Intent Scale intentionality were male gender (p &lt; 0.001), family history of suicide (p &lt; 0.01), divorced or widowed marital status (p &lt; 0.013), and severe mental illness (p &lt; 0.015). In 41.6% of the patients the follow-up status was unknown. Regarding satisfaction, only 19.5% gave a valid answer: 2.7% ‘mildly satisfied’, 4.4% ‘moderately satisfied’, and 12.5% ‘very satisfied’.<br /><strong>Discussion:</strong> The Pierce Suicide Intent Scale is useful on suicidal behavior assessment at emergency rooms. Highly intentional suicidal behaviour is related to male sex, social problems and personal and familial psychiatric history.<br /><strong>Conclusion: </strong>The quality of administrative records on this psychiatric emergency room setting are still unacceptable. The most important variables correlated with higher suicidal intentionality are the same described in other countries. Of the reachable patients, one fifth was satisfied with provided follow-up. We still need studies for better understanding of suicidal behaviour observed on this Portuguese emergency room.</p>

Mortality Following a Psychiatric Emergency Room Visit: An 18-Month Follow-Up Study

1971 ◽  
Vol 128 (2) ◽  
pp. 220-224 ◽  
Author(s):  
RODRIGO A. MUNOZ ◽  
SUE MARTEN ◽  
KATHYE A. GENTRY ◽  
ELI ROBINS
Keyword(s):  
Emergency Room ◽  
Emergency Room Visit ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Room ◽  
Follow Up Study

Zero Staff Assaults in the Psychiatric Emergency Room: Impact of a Multifaceted Performance Improvement Project

2020 ◽  
Vol 27 (1) ◽  
pp. 64-71
Author(s):  
Sonny I. Okundolor ◽  
Florence Ahenkorah ◽  
Laura Sarff ◽  
Nora Carson ◽  
Alirio Olmedo ◽  
...  
Keyword(s):  
Emergency Room ◽  
Performance Improvement ◽  
Self Efficacy ◽  
Behavioral Response ◽  
Workplace Safety ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Room ◽  
Improvement Project ◽  
Response Team ◽  
The Impact

INTRODUCTION: Our psychiatric emergency room (ER) averages 18 patient-to-staff physical assaults annually, with some incidents resulting in multiple injuries. AIMS: The purpose of this performance improvement project was to develop, implement, and evaluate a multifaceted approach to reducing the number of physical assaults on staff. METHODS: We assessed the impact of these bundled interventions on staff assault rate: (1) increasing behavioral response team drills, (2) implementing shift doses, (3) screening for patients’ risk for violence, (4) posting signage to communicate patients’ violence propensity (Golden Hand), (5) implementing mitigating countermeasure interventions, (6) conducting postassault debriefing, and (7) providing postassault support. Psychiatric ER nurses completed questionnaires measuring their perceived self-efficacy in managing patients with a propensity for violence before, during, and after the bundled interventions. Physical assaults on staff were recorded and tracked monthly from May 2016 to September 2018 through a retrospective review of the hospital’s online incident report system. RESULTS: Staff perceived self-efficacy increased from 78% to 95% after attending at least two behavioral response team drills. The Golden Hand signage was rated useful as it flagged and communicated the presence of high-risk patients. Shift dose was evaluated as an informative tool and manageable at ≤5 minutes. The violence-screening tool was considered more accurate in identifying patients with violent tendencies than standard assaultive precautions. Physical assaults on staff by patients decreased to zero in our psychiatric ER, which was sustained for a year. CONCLUSIONS: This innovative, multifaceted, bundled approach provides an opportunity for nurse leaders to promote workplace safety while improving staff engagement and empowerment.

Compliance to Referrals from the Psychiatric Emergency Room

1985 ◽  
Vol 30 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Arthur Blouin ◽  
Edgardo Perez ◽  
Alberto Minoletti
Keyword(s):  
Emergency Room ◽  
Ambulatory Care ◽  
Personality Disorders ◽  
Psychiatric Treatment ◽  
Compliance Rate ◽  
Social Supports ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Room ◽  
Factors Affecting

Factors affecting compliance to referrals in the psychiatric emergency room (ER) were studied in a sample of 468 patients referred for ambulatory care. Compliance was defined as attendance at the first appointment. The overall compliance rate was 59%. Compliance rates were higher among those patients who were receiving psychiatric treatment (active) when they visited the ER. Those in treatment tended to have either Schizophrenic or Personality Disorders with fewer social supports. Different factors affected those in treatment and those not in treatment. The results suggest that those not in treatment would comply more frequently with specific instructions outlining the benefits of psychiatric follow-up.

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