Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis

The characteristics of Emergency Department (ED) attendances due to mental or behavioural health disorders need to be described to enable appropriate development of services. We aimed to describe the epidemiology of mental health-related ED attendances within health care systems free at the point of...

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Veröffentlicht in:PloS one Jg. 11; H. 4; S. e0154449
Hauptverfasser: Barratt, Helen, Rojas-García, Antonio, Clarke, Katherine, Moore, Anna, Whittington, Craig, Stockton, Sarah, Thomas, James, Pilling, Stephen, Raine, Rosalind
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Public Library of Science 27.04.2016
Public Library of Science (PLoS)
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ISSN:1932-6203, 1932-6203
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Zusammenfassung:The characteristics of Emergency Department (ED) attendances due to mental or behavioural health disorders need to be described to enable appropriate development of services. We aimed to describe the epidemiology of mental health-related ED attendances within health care systems free at the point of access, including clinical reason for presentation, previous service use, and patient sociodemographic characteristics. Systematic review and meta-analysis of observational studies describing ED attendances by patients with common mental health conditions. 18 studies from seven countries met eligibility criteria. Patients attending due to mental or behavioural health disorders accounted for 4% of ED attendances; a third were due to self-harm or suicidal ideation. 58.1% of attendees had a history of psychiatric illness and up to 58% were admitted. The majority of studies were single site and of low quality so results must be interpreted cautiously. Prevalence studies of mental health-related ED attendances are required to enable the development of services to meet specific needs.
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Conceived and designed the experiments: HB ARG KC AM SS CW JT SP RR. Analyzed the data: HB ARG KC RR SP AM CW. Wrote the paper: HB ARG KC AM SS CW JT SP RR. Conducted the statistical analyses: ARG JT. Built the search strategy and conducted the search for papers: SS.
Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0154449