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 2016-04, Vol.11 (4), p.e0154449-e0154449 |
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creator | Barratt, Helen Rojas-García, Antonio Clarke, Katherine Moore, Anna Whittington, Craig Stockton, Sarah Thomas, James Pilling, Stephen Raine, Rosalind |
description | 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. |
doi_str_mv | 10.1371/journal.pone.0154449 |
format | Article |
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0154449</identifier><identifier>PMID: 27120350</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis ; Australia - epidemiology ; Canada - epidemiology ; Care and treatment ; Departments ; Disorders ; Emergency medical services ; Emergency Service, Hospital - statistics & numerical data ; Emergency services ; Epidemiology ; Europe - epidemiology ; Female ; Health care ; Health care policy ; Health psychology ; Hospital emergency services ; Hospital patients ; Hospitalization - statistics & numerical data ; Humans ; Male ; Management ; Medical research ; Medicine and Health Sciences ; Mental disorders ; Mental Disorders - epidemiology ; Mental health ; Mental Health - statistics & numerical data ; Mental health care ; Meta-analysis ; Patients ; Physical Sciences ; Prevalence ; Prevalence studies (Epidemiology) ; Psychiatry ; Research and Analysis Methods ; Self destructive behavior ; Self-Injurious Behavior - epidemiology ; Services ; Studies ; Suicidal Ideation ; Systematic review</subject><ispartof>PloS one, 2016-04, Vol.11 (4), p.e0154449-e0154449</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>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.</rights><rights>2016 Barratt et al 2016 Barratt et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-2468d7267b350530345a720d3406033a77af197b597ee58fc35b3764b1536e963</citedby><cites>FETCH-LOGICAL-c758t-2468d7267b350530345a720d3406033a77af197b597ee58fc35b3764b1536e963</cites><orcidid>0000-0002-1387-137X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847792/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847792/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27120350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barratt, Helen</creatorcontrib><creatorcontrib>Rojas-García, Antonio</creatorcontrib><creatorcontrib>Clarke, Katherine</creatorcontrib><creatorcontrib>Moore, Anna</creatorcontrib><creatorcontrib>Whittington, Craig</creatorcontrib><creatorcontrib>Stockton, Sarah</creatorcontrib><creatorcontrib>Thomas, James</creatorcontrib><creatorcontrib>Pilling, Stephen</creatorcontrib><creatorcontrib>Raine, Rosalind</creatorcontrib><title>Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.</description><subject>Adult</subject><subject>Analysis</subject><subject>Australia - epidemiology</subject><subject>Canada - epidemiology</subject><subject>Care and treatment</subject><subject>Departments</subject><subject>Disorders</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Emergency services</subject><subject>Epidemiology</subject><subject>Europe - epidemiology</subject><subject>Female</subject><subject>Health care</subject><subject>Health care policy</subject><subject>Health psychology</subject><subject>Hospital emergency services</subject><subject>Hospital patients</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Management</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barratt, Helen</au><au>Rojas-García, Antonio</au><au>Clarke, Katherine</au><au>Moore, Anna</au><au>Whittington, Craig</au><au>Stockton, Sarah</au><au>Thomas, James</au><au>Pilling, Stephen</au><au>Raine, Rosalind</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-04-27</date><risdate>2016</risdate><volume>11</volume><issue>4</issue><spage>e0154449</spage><epage>e0154449</epage><pages>e0154449-e0154449</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27120350</pmid><doi>10.1371/journal.pone.0154449</doi><orcidid>https://orcid.org/0000-0002-1387-137X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Analysis Australia - epidemiology Canada - epidemiology Care and treatment Departments Disorders Emergency medical services Emergency Service, Hospital - statistics & numerical data Emergency services Epidemiology Europe - epidemiology Female Health care Health care policy Health psychology Hospital emergency services Hospital patients Hospitalization - statistics & numerical data Humans Male Management Medical research Medicine and Health Sciences Mental disorders Mental Disorders - epidemiology Mental health Mental Health - statistics & numerical data Mental health care Meta-analysis Patients Physical Sciences Prevalence Prevalence studies (Epidemiology) Psychiatry Research and Analysis Methods Self destructive behavior Self-Injurious Behavior - epidemiology Services Studies Suicidal Ideation Systematic review |
title | Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis |
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