Factors of psychiatric emergencies affecting boarding time in the emergency department
Introduction Psychiatric emergencies are acute disturbances in thought, behavior or mood which require immediate medical intervention. As a substantial number of patients with mental illness present as psychiatric emergencies, the sustainability and management of psychiatric emergency services bec...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821009652/type/journal_article |
| _version_ | 1797616387556900864 |
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| author | K.B. Avanoğlu Ş. Gürel |
| author_facet | K.B. Avanoğlu Ş. Gürel |
| author_sort | K.B. Avanoğlu |
| collection | DOAJ |
| description |
Introduction
Psychiatric emergencies are acute disturbances in thought, behavior or mood which require immediate medical intervention. As a substantial number of patients with mental illness present as psychiatric emergencies, the sustainability and management of psychiatric emergency services becomes significant.
Objectives
In this study we aimed to examine the factors associated with psychiatric emergency care, taking the boarding time in the emergency department as primary outcome measure.
Methods
Charts of 466 psychiatric emergency cases admitted to the Hacettepe University Emergency Department (ED) between December 2018 – September 2019 were evaluated. Boarding time (BT) in the ED, presence of self-harm, psychotic symptoms and agitation were noted.
Results
In the examined period, number of patients admitted increased with time significantly (r= 0.562, p <0.01). However, increase in the number of patients was not correlated with an increase in BT. Patients with psychotic symptoms had greater BT compared to non-psychotic patients (7.01 hours vs. 11.24 hours, T= -2.796 df = 182.717 p <0.01). Patients with self-harm also had greater BT (7.47 hours vs. 9.85 hours, T = -2.013 df = 433 p <0.05). Patients with self-harm in relation with previous suicidal ideation displayed significantly a longer BT when compared with patients admitted due to self-harm without any suicidal plan (U=2572,5 p<0.01).
Conclusions
A significant increase in BT with psychosis and self-harm due to a suicidal plan supports the need of intermediate facilities between the ED and inpatient units, as such facilities would create a positive impact in the care of psychotic and suicidal patients.
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| first_indexed | 2024-03-11T07:40:12Z |
| format | Article |
| id | doaj.art-915ed3d1783b4cd3ab4f6d2551d2bfeb |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:40:12Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-915ed3d1783b4cd3ab4f6d2551d2bfeb2023-11-17T05:08:43ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S360S36010.1192/j.eurpsy.2021.965Factors of psychiatric emergencies affecting boarding time in the emergency departmentK.B. Avanoğlu0Ş. Gürel1Psychiatry Department, Hacettepe University Hospitals, Ankara, TurkeyPsychiatry Department, Hacettepe University Hospitals, Ankara, Turkey Introduction Psychiatric emergencies are acute disturbances in thought, behavior or mood which require immediate medical intervention. As a substantial number of patients with mental illness present as psychiatric emergencies, the sustainability and management of psychiatric emergency services becomes significant. Objectives In this study we aimed to examine the factors associated with psychiatric emergency care, taking the boarding time in the emergency department as primary outcome measure. Methods Charts of 466 psychiatric emergency cases admitted to the Hacettepe University Emergency Department (ED) between December 2018 – September 2019 were evaluated. Boarding time (BT) in the ED, presence of self-harm, psychotic symptoms and agitation were noted. Results In the examined period, number of patients admitted increased with time significantly (r= 0.562, p <0.01). However, increase in the number of patients was not correlated with an increase in BT. Patients with psychotic symptoms had greater BT compared to non-psychotic patients (7.01 hours vs. 11.24 hours, T= -2.796 df = 182.717 p <0.01). Patients with self-harm also had greater BT (7.47 hours vs. 9.85 hours, T = -2.013 df = 433 p <0.05). Patients with self-harm in relation with previous suicidal ideation displayed significantly a longer BT when compared with patients admitted due to self-harm without any suicidal plan (U=2572,5 p<0.01). Conclusions A significant increase in BT with psychosis and self-harm due to a suicidal plan supports the need of intermediate facilities between the ED and inpatient units, as such facilities would create a positive impact in the care of psychotic and suicidal patients. https://www.cambridge.org/core/product/identifier/S0924933821009652/type/journal_articlePsychiatric Emergency ServicesQuality of CareSuicidepsychosis |
| spellingShingle | K.B. Avanoğlu Ş. Gürel Factors of psychiatric emergencies affecting boarding time in the emergency department European Psychiatry Psychiatric Emergency Services Quality of Care Suicide psychosis |
| title | Factors of psychiatric emergencies affecting boarding time in the emergency department |
| title_full | Factors of psychiatric emergencies affecting boarding time in the emergency department |
| title_fullStr | Factors of psychiatric emergencies affecting boarding time in the emergency department |
| title_full_unstemmed | Factors of psychiatric emergencies affecting boarding time in the emergency department |
| title_short | Factors of psychiatric emergencies affecting boarding time in the emergency department |
| title_sort | factors of psychiatric emergencies affecting boarding time in the emergency department |
| topic | Psychiatric Emergency Services Quality of Care Suicide psychosis |
| url | https://www.cambridge.org/core/product/identifier/S0924933821009652/type/journal_article |
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