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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| Vydáno v: | PloS one Ročník 11; číslo 4; s. e0154449 |
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| Hlavní autoři: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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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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| Abstract | 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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| AbstractList | Background 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. Method Systematic review and meta-analysis of observational studies describing ED attendances by patients with common mental health conditions. Findings 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. Conclusions Prevalence studies of mental health-related ED attendances are required to enable the development of services to meet specific needs. 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. 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. BackgroundThe 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.MethodSystematic review and meta-analysis of observational studies describing ED attendances by patients with common mental health conditions.Findings18 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.ConclusionsPrevalence studies of mental health-related ED attendances are required to enable the development of services to meet specific needs. 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. Background 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. Method Systematic review and meta-analysis of observational studies describing ED attendances by patients with common mental health conditions. Findings 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. Conclusions Prevalence studies of mental health-related ED attendances are required to enable the development of services to meet specific needs. |
| Audience | Academic |
| Author | Whittington, Craig Moore, Anna Pilling, Stephen Raine, Rosalind Stockton, Sarah Thomas, James Barratt, Helen Clarke, Katherine Rojas-García, Antonio |
| AuthorAffiliation | 4 Department of Psychiatry, University of Oxford, Oxford, United Kingdom Yokohama City University, JAPAN 1 NIHR CLAHRC North Thames, Department of Applied Health Research, University College London, London, United Kingdom 3 Division of Psychiatry, University College London, London, United Kingdom 5 Institute of Education EPPI-Centre, London, United Kingdom 2 Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom |
| AuthorAffiliation_xml | – name: 2 Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom – name: 4 Department of Psychiatry, University of Oxford, Oxford, United Kingdom – name: 3 Division of Psychiatry, University College London, London, United Kingdom – name: 5 Institute of Education EPPI-Centre, London, United Kingdom – name: 1 NIHR CLAHRC North Thames, Department of Applied Health Research, University College London, London, United Kingdom – name: Yokohama City University, JAPAN |
| Author_xml | – sequence: 1 givenname: Helen orcidid: 0000-0002-1387-137X surname: Barratt fullname: Barratt, Helen – sequence: 2 givenname: Antonio surname: Rojas-García fullname: Rojas-García, Antonio – sequence: 3 givenname: Katherine surname: Clarke fullname: Clarke, Katherine – sequence: 4 givenname: Anna surname: Moore fullname: Moore, Anna – sequence: 5 givenname: Craig surname: Whittington fullname: Whittington, Craig – sequence: 6 givenname: Sarah surname: Stockton fullname: Stockton, Sarah – sequence: 7 givenname: James surname: Thomas fullname: Thomas, James – sequence: 8 givenname: Stephen surname: Pilling fullname: Pilling, Stephen – sequence: 9 givenname: Rosalind surname: Raine fullname: Raine, Rosalind |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27120350$$D View this record in MEDLINE/PubMed |
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| Copyright | COPYRIGHT 2016 Public Library of Science 2016 Barratt et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2016 Barratt et al 2016 Barratt et al |
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| Title | Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis |
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