Development of a medical screening process for patients with acute psychiatric symptoms presenting to the emergency department: protocol for a modified international Delphi study

IntroductionPatients with acute psychiatric symptoms are often referred to the emergency department (ED) for medical evaluation to exclude medical causes before psychiatric admission. The absence of a prospectively validated medical screening tool leads to wide practice variation. This study aims to...

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Vydané v:BMJ open Ročník 15; číslo 10; s. e105062
Hlavní autori: Ünlü, Luca, Carpenter, Christopher R, Sterzer, Philipp, Griese, Johannes A, Chrobok, Leon, Minotti, Bruno, Christ, Michael, Nordstrom, Kimberly, Skinner, Clare, Lunardi, Camila, Alsma, Jelmer, Bingisser, Roland, Wilson, Michael P, Nickel, Christian H
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England British Medical Journal Publishing Group 20.10.2025
BMJ Publishing Group LTD
BMJ Publishing Group
Predmet:
ACCIDENT & EMERGENCY MEDICINE
Acute Disease
Adult psychiatry
Committees
Consensus
Data analysis
Delphi method
Delphi Technique
Emergency Departments
Emergency medical care
Emergency medicine
Emergency Service, Hospital
Humans
Mass Screening - methods
Medical screening
Medicine
Mental Disorders - diagnosis
Observational Studies as Topic
Patients
Psychiatrists
PSYCHIATRY
Research Design
South America
North America
Australasia
Europe
Emergency Service, Hospital
Emergency Departments
Adult psychiatry
PSYCHIATRY
ACCIDENT & EMERGENCY MEDICINE
ISSN:2044-6055, 2044-6055
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Shrnutí:IntroductionPatients with acute psychiatric symptoms are often referred to the emergency department (ED) for medical evaluation to exclude medical causes before psychiatric admission. The absence of a prospectively validated medical screening tool leads to wide practice variation. This study aims to develop a new, evidence-based and consensus-based medical screening tool through a collaborative, interdisciplinary, international Delphi approach.Methods and analysisThis modified Delphi study will include representatives from emergency medicine and psychiatry societies across four continents, as well as patient representatives with prior experience of medical screening in the ED. A minimum sample size of 24 participants is planned to account for potential dropouts. The Delphi procedure consists of four rounds. Round 1 will present current evidence and identify key items for the new medical screening tool. Round 2 will evaluate and refine statements from Round 1. Round 3 will seek consensus on the variables to be included in a medical screening tool. In Round 4, hypothetical clinical vignettes will be used to assess the agreement on the recommendations of the newly developed medical screening tool in order to test for content and construct validity. Surveys will be conducted via Research Electronic Data Capture (REDCap), with participants rating statements on a 6-point Likert scale. Response stability will be evaluated using the intraclass correlation coefficient, and consensus defined as ≥80% agreement. Results will be reported according to the ACcurate COnsensus Reporting Document guidelines and the Guidance for Reporting Involvement of Patients and the Public 2 short form.Ethics and disseminationThe Ethics Committee of Northwestern and Central Switzerland exempted the project from committee approval under the Human Research Act on 11 September 2024. Written consent will be obtained from all participants. Results of this study will be summarised as a medical screening tool which will be validated in a prospective, multicentre study in a second step.Trial registration numberNCT06936826.
Bibliografia:Protocol
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ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2025-105062