scholarly journals “We Become a Madman to Be Calmed”—Patients’ Voices: Crossing the Threshold of Psychiatric Emergency Departments

2021 ◽  
Vol 12 ◽  
Author(s):  
Mathilde Meriaux ◽  
Jennifer Denis

Crossing the threshold of a psychiatric emergency room is a real ordeal. It is a passage that upsets, worries and sometimes paralyzes. However, it can also become an opportunity if psychological suffering is welcomed, accepted and understood. The welcome is the starting point for care. Our objective is to understand the meaning given to the phenomenon of “being welcomed” by patients experiencing psychiatric emergencies. The research is based on Grounded Theory Methodology (Glaser and Strauss, 1967) to explore and understand the complexity of the phenomenon. The results reveal that being welcomed can be considered as a rite of passage taking place in four successive phases, which are themselves organized into four interactive dimensions. The welcome as a rite of passage constitutes a powerful psychic support which arranges the transitional space in which the individual finds themself, and accompanies the identity transformations, the anguish, and the various sufferings which are not lacking in these moments of crisis.

2016 ◽  
Vol 67 (5) ◽  
pp. 479-481 ◽  
Author(s):  
Ilana R. Nossel ◽  
Rufina J. Lee ◽  
Abby Isaacs ◽  
Daniel B. Herman ◽  
Sue M. Marcus ◽  
...  

2021 ◽  
Author(s):  
Leonardo Baldaçara ◽  
Alexandre Paim Diaz ◽  
João Quevedo ◽  
João Mauricio Castaldelli-Maia ◽  
Antonio Ventriglio ◽  
...  

2015 ◽  
Vol 28 (4) ◽  
pp. 469
Author(s):  
João Gama Marques ◽  
Diogo Frasquilho Guerreiro ◽  
Daniel Sampaio

<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>


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

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