Urgent psychiatric assessment in an inner-city A&E department

Data on day time referrals to a liaison psychiatry team from an inner London accident and emergency department (A&E) were analysed over a two-year period. Despite the availability of local community-based alternatives for urgent assessment almost 5000 patients were seen. A quarter were self-referrals and two-thirds had had no previous contact with psychiatric services. The most common reason for referral was aggressive or disruptive behaviour. Characteristics of patients in this inner-city population suggest a continuing need for a high quality liaison service to the A&E department.

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Patients unaware of their HIV status present to inner city accident and emergency department with respiratory complications.

Emergency Medicine Journal ◽

10.1136/emj.14.5.304 ◽

1997 ◽

Vol 14 (5) ◽

pp. 304-306 ◽

Cited By ~ 3

Author(s):

R Landau ◽

R Coker ◽

E Vermeulen ◽

R Touquet ◽

J Fothergill ◽

...

Keyword(s):

Emergency Department ◽

Inner City ◽

Hiv Status ◽

Respiratory Complications ◽

Accident And Emergency ◽

Accident And Emergency Department

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Critical Incident Analysis in An Accident and Emergency Department

British Journal of Perioperative Nursing (United Kingdom) ◽

10.1177/175045890301300601 ◽

2003 ◽

Vol 13 (6) ◽

pp. 243-248

Author(s):

Joanna Connor

Keyword(s):

Emergency Department ◽

Critical Incident ◽

Critical Incidents ◽

Healthcare Services ◽

High Quality ◽

Quality Healthcare ◽

Normal Field ◽

Accident And Emergency ◽

Accident And Emergency Department ◽

Incident Analysis

The analysis of critical incidents is crucial to the provision of safe, high quality healthcare services to patients. It is essential to analyse the incident and make decisions about how future similar incidents should be dealt with. This article is a reflection on a critical incident involving a theatre practitioner working outside her normal field of responsibility which was used to change practice.

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The Accident and Emergency Department Management of Deliberate Self-Poisoning

The British Journal of Psychiatry ◽

10.1192/bjp.152.6.830 ◽

1988 ◽

Vol 152 (6) ◽

pp. 830-833 ◽

Cited By ~ 20

Author(s):

David W. Owens ◽

Susan J. Jones

Keyword(s):

Emergency Department ◽

Psychiatric Morbidity ◽

Patient Characteristics ◽

Psychiatric Services ◽

Case Register ◽

Accident And Emergency ◽

Emergency Department Management ◽

Previous Contact ◽

Accident And Emergency Department

Consecutive attenders (525) presenting at the Nottingham Accident and Emergency (A & E) department with deliberate self-poisoning were identified retrospectively. Their case-notes were examined for patient characteristics and clinical management. The Nottingham Psychiatric Case Register was examined for previous contact and use of psychiatric services over a 2-year follow-up period. Significant differences were found between those patients admitted to a ward and those who returned home from the A & E Department, in respect of likelihood of psychiatric morbidity and use of psychiatric services. One in three self-poisoning patients returns home directly from the accident department, and there seemed to be appropriate selection.

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Intravenous drug abusers attending an inner city accident and emergency department.

Emergency Medicine Journal ◽

10.1136/emj.9.1.32 ◽

1992 ◽

Vol 9 (1) ◽

pp. 32-39 ◽

Cited By ~ 15

Author(s):

R M Makower ◽

A G Pennycook ◽

C Moulton

Keyword(s):

Emergency Department ◽

Inner City ◽

Intravenous Drug ◽

Drug Abusers ◽

Accident And Emergency ◽

Accident And Emergency Department ◽

Intravenous Drug Abusers

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The cost of overseas visitors to an inner city accident and emergency department.

Emergency Medicine Journal ◽

10.1136/emj.13.1.16 ◽

1996 ◽

Vol 13 (1) ◽

pp. 16-17 ◽

Cited By ~ 4

Author(s):

J Colville ◽

A Burgess ◽

C Kermani ◽

R Touquet ◽

J Fothergill

Keyword(s):

Emergency Department ◽

Inner City ◽

Accident And Emergency ◽

Accident And Emergency Department ◽

The Cost

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Compliance with NICE guidelines in the management of self-harm

The Psychiatrist ◽

10.1192/pb.bp.109.027961 ◽

2010 ◽

Vol 34 (9) ◽

pp. 385-389 ◽

Cited By ~ 4

Author(s):

Diane Mullins ◽

Siobhan MacHale ◽

David Cotter

Keyword(s):

Clinical Excellence ◽

Psychosocial Assessment ◽

Standards Of Care ◽

Liaison Psychiatry ◽

Single Male ◽

Nice Guidelines ◽

Accident And Emergency ◽

Self Harm ◽

Male Patients ◽

Accident And Emergency Department

Aims and methodTo identify the provision of psychosocial assessments for all people attending an accident and emergency department in Ireland with a presentation indicative of self-harm over 12 months and to investigate whether the National Institute for Health and Clinical Excellence (NICE) guidelines for self-harm were met.ResultsA total of 834 attendances for self-harm were recorded. A psychosocial assessment was undertaken by a member of the liaison psychiatry team in 59% of attendances. Single male patients under 45 years of age represented 39% of those who did not receive a psychosocial assessment.Clinical implicationsSingle men under the age of 45 years represent a vulnerable group in which levels of psychosocial assessment need to be optimised in order to meet the NICE guidelines for standards of care.

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Recording by the Police of Violent Offences; An Accident and Emergency Department Perspective

Medicine Science and the Law ◽

10.1177/002580248902900311 ◽

1989 ◽

Vol 29 (3) ◽

pp. 251-257 ◽

Cited By ~ 29

Author(s):

Jonathan Shepherd ◽

Margaret Shapland ◽

Crispian Scully

Keyword(s):

Inner City ◽

Crime Statistics ◽

Female Victims ◽

Accident And Emergency ◽

True Number ◽

Efficiency And Effectiveness ◽

Accident And Emergency Department ◽

Victims Of Violence ◽

Insight Into ◽

Violent Offences

The British Crime Surveys have demonstrated that police-derived crime statistics are an unreliable indicator of the true number of violent offences in society. We therefore investigated police recording of consecutive victims of violence who sought treatment in a large Accident and Emergency (A & E) Department. Of victims assaulted within the boundaries of the inner-city Police Division, only one quarter were recorded by the police, though half claimed police awareness of the incident. Proportionately fewer assaults which occurred in the street, in discoteques or on Saturdays were recorded, in comparison to assaults which occurred in other locations and on other days. Proportionately more female victims were recorded, compared to males. A & E data provide a useful insight into the efficiency and effectiveness of inner-city policing. Victims Support Schemes should liaise with A & E Departments as well as with the police.

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