Emergency care in case of acute psychotic and/or manic symptoms: Lived experiences of patients and their families with the first interventions of a mobile crisis team. A phenomenological study [2018]

1 Purpose To explore the lived experiences of patients with a psychotic or bipolar disorder and their families with emergency care during the first contact with a mobile crisis team. 2 Methods Open individual interviews were held with ten patients and ten family members. Content data‐analysis was conducted. 3 Findings

Psychiatric Emergency Services – Can Duty-Hour Changes Help Residents and Patients? [2018]

Limitations on resident duty hours have been widely introduced with the intention of decreasing resident fatigue and improving patient outcomes. While there is evidence of improvement in resident well-being and education following such initiatives, they have inadvertently resulted in increased number of hand-offs between clinicians leading to potential errors in

Use of the emergency department as a first point of contact for mental health care by immigrant youth in Canada: a population-based study [2018]

BACKGROUND: Emergency department visits as a first point of contact for people with mental illness may reflect poor access to timely outpatient mental health care. We sought to determine the extent to which immigrants use the emergency department as an entryway into mental health services. METHODS: We used linked health

Do police–mental health co-responder programmes reduce emergency department presentations or simply delay the inevitable? [2018]

Objective: The aim of this study was to assess the outcomes for people following intervention by a police–mental health co-responder team. Method: Individuals seen by the co-responder team were followed for 2 weeks to monitor subsequent emergency department presentations and inpatient admissions. Results: Of the 122 people who had direct contact

Suicidal attempts among patients with substance use disorders who present with suicidal ideation [2018]

Highlights• Patients with addiction problems have a great risk of suicidal ideation and attempts. • There are differences in patients in the different stages of suicidal behaviour. • Among suicidal ideators, 39.6% had attempted suicide. • Patients who attempt suicide show a worse clinical profile. • Screening of suicidal risk in patients seeking treatment for

Suicide screening scales may not adequately predict disposition of suicidal patients from the emergency department [2018]

Background Suicide screening scales have been advocated for use in the ED setting. However, it is currently unknown whether patients classified as low-risk on these scales can be safely discharged from the emergency department. This study evaluated the utility of three commonly-used suicide screening tools in the emergency department to

Impact of acutely behavioural disturbed patients in the emergency department: A prospective observational study [2018]

Objective The present study describes patients with acute behavioural disturbance presenting to the ED, the impact they have on the department and any complications that occur. Methods We performed a prospective observational study of adult patients (>17 years old) requiring parenteral sedation for acute behavioural disturbance over a 13 month period. Demographic

Analysis of emergency department length of stay for mental health visits: A case study of a Canadian academic hospital [2018]

CLINICIAN’S CAPSULE What is known about the topic? Little is available in Canadian literature regarding emergency department (ED) use by mental health patients. What did this study ask? Is the number of mental health visits to the ED increasing? Are there differences in ED length of stay between mental health

The Effectiveness of a Peer-Staffed Crisis Respite Program as an Alternative to Hospitalization [2018]

Objective: This study assessed whether peer-staffed crisis respite centers implemented in New York City in 2013 as an alternative to hospitalization reduced emergency department (ED) visits, hospitalizations, and Medicaid expenditures for individuals enrolled in Medicaid. Methods: This study used Medicaid claims and enrollment data for January 2009 through April 2016

The effect of inadequate access to healthcare services on emergency room visits. A comparison between physical and mental health conditions [2018]

This paper estimates the influence of inadequate access to healthcare services on the rate of Emergency Room (ER) hospital visits in Australia. We take micro-data on different types of healthcare shortfalls from the 2012 Australian Survey of Disability, Aging and Carers, and employ Propensity Score Matching (PSM) techniques to identify

Self-Reported Needs for Care, Support and Treatment of Persons Who Frequently Visit Psychiatric Emergency Rooms in Sweden [2018]

Aim: To investigate self-reported needs for care, support and treatment among persons who frequently visit psychiatric emergency rooms (PERs). Design: A cross-sectional design. Qualitative and quantitative data were collected using an interview-based manual. Qualitative data were analysed using content analysis, whereas quantitative data were analysed using descriptive, non-parametric statistical tests.

What Psychiatrists Need to Know: Patients in the Emergency Department – Psychiatric Times [2018-08-16]

“If you’re having a psychiatric emergency, hang up and dial 911, or go to your nearest emergency room.” Most psychiatric patients are all too familiar with this voicemail message. And those who follow this advice, even calling 911, will still likely find themselves at the nearest emergency department (ED). What

A systematic review of co-responder models of police mental health ‘street’ triage [2018]

Background Police mental health street triage is an increasingly common intervention when dealing with police incidents in which there is a suspected mental health component. We conducted a systematic review of street triage interventions with three aims. First, to identify papers reporting on models of co-response police mental health street