scholarly journals Length of Stay in a Community Psychiatric Emergency Room: An Analysis of Contributing Factors

2020 ◽  
Vol 5 (09) ◽  
pp. 356-361
Author(s):  
Chiedozie Ojimba, M.D. ◽  
Adenike Ishola, M.D. ◽  
Oluwole Jegede M.D. ◽  
Terence Tumenta, M.D. ◽  
Samuel Adeyemo, M.D. ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Service Delivery ◽  
Emergency Room ◽  
Psychiatric Emergency ◽  
Case Review ◽  
Contributing Factors ◽  
Retrospective Case ◽  
Psychiatric Emergency Room ◽  
Prolonged Length ◽  
Community Psychiatric

Background: The length of patients’ stay in the emergency room is a key measure of service delivery and a marker to measure the quality of care. Studies have shown that patients with psychiatric and substance use disorders have a prolonged length of stay in the emergency room compared to medical and surgical patients. Various factors have been found to contribute to this disparity. Method: This is a retrospective case by case review of four hundred and ninety-three consecutive patients who presented to a community psychiatric emergency. Results: Our results show a length of stay ranging between 1.21 – 33.48 hours. The mean length of stay of 8.72 hours and the median was 7.41 hours. Furthermore, the utilization of emergency medication and age above 44 have a significant influence on patients’ length of stay in the psychiatric emergency room (p<0.05). Conclusion: The length of stay in the psychiatric emergency room deserves more study in literature as it remains a metric for service delivery. Although, factors contributing to a prolonged length of stay may vary, in different settings and situations, understanding these factors will improve outcomes for patients in psychiatric emergency rooms.

scholarly journals Use of Peer Staff in a Critical Time Intervention for Frequent Users of a Psychiatric Emergency Room

2016 ◽  
Vol 67 (5) ◽  
pp. 479-481 ◽  
Author(s):  
Ilana R. Nossel ◽  
Rufina J. Lee ◽  
Abby Isaacs ◽  
Daniel B. Herman ◽  
Sue M. Marcus ◽  
...  
Keyword(s):  
Emergency Room ◽  
Critical Time ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Room ◽  
Frequent Users ◽  
Critical Time Intervention

Comparing Five Options for Rapid Tranquilization in a Psychiatric Emergency Room: A Naturalistic Cohort Study

2021 ◽  
Author(s):  
Leonardo Baldaçara ◽  
Alexandre Paim Diaz ◽  
João Quevedo ◽  
João Mauricio Castaldelli-Maia ◽  
Antonio Ventriglio ◽  
...  
Keyword(s):  
Cohort Study ◽  
Emergency Room ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Room

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>

THE EFFECT OF RACE AND SEX ON THE VARIATION OF DIAGNOSIS AND DISPOSITION IN A PSYCHIATRIC EMERGENCY ROOM

1969 ◽  
Vol 148 (6) ◽  
pp. 638-642 ◽  
Author(s):  
HERBERT S. GROSS ◽  
MYRA R. HERBERT ◽  
GENELL L. KNATTERUD ◽  
LAWRENCE DONNER
Keyword(s):  
Emergency Room ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Room
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