scholarly journals Clinical characteristics of people with mental health problems who frequently attend an Australian emergency department

2007 ◽  
Vol 31 (3) ◽  
pp. 462 ◽  
Author(s):  
Scott Brunero ◽  
Greg Fairbrother ◽  
Soung Lee ◽  
Martin Davis
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Clinical Characteristics ◽  
Mental Health Problems ◽  
Total Sample ◽  
Health Problems ◽  
Case Review ◽  
Management Planning ◽  
Frequent Attendance ◽  
Metropolitan Hospital

The objective of this study is to determine the clinical characteristics of people with mental health problems who frequently attend an Australian emergency department (ED). A retrospective clinical audit of presenter characteristics was conducted in a 550-bed tertiary referral metropolitan hospital with data reflecting 12 months of consecutive ED presentations between September 2002 and August 2003. A sample of 868 individuals accounted for 1076 presentations. Patients attending more than once accounted for 12.5% of the total sample. Significant variables associated with frequent attendance included: younger age; English speaking background; and mood and anxiety disorders. Lone arrival of a patient to the ED showed marginal significance. The significant associates of frequent attendance found in this study may be used to identify patients earlier to a multidisciplinary case review process and individual management planning involving clinicians, carers and patients.

Mental Health Problems in Children and Adolescents in the Emergency Department

2017 ◽  
Vol 33 (7) ◽  
pp. e8 ◽  
Author(s):  
Giorgio Cozzi ◽  
Marta Minute ◽  
Giovanna Ventura ◽  
Egidio Barbi
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Children And Adolescents ◽  
Mental Health Problems ◽  
Health Problems

scholarly journals Burnout, does the university entrance test failing attribute? A Bangladeshi exploratory study

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258100
Author(s):  
Mohammed A. Mamun ◽  
Mariam Binte Safiq ◽  
Ismail Hosen ◽  
Firoj al Mamun
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Mental Health Problems ◽  
Total Sample ◽  
Health Problems ◽  
Two Dimensional ◽  
Test Taking ◽  
Repeat Test ◽  
Entrance Test ◽  
The University

Getting admission into a university is highly competitive globally and can be regarded as a mental stressor for some individuals. In Bangladesh, most of the universities allow students to repeat the test, whereas repeat test-taking students are supposed to suffer from psychological issues like burnout because of academic non-achievement in their first attempt. But there is no prior study assessing burnout to the population, which was investigated herein. A cross-sectional study was carried out among a total of 911 Bangladeshi university entrance test-taking students (i.e., 49.5% first-time test-takers). The survey measures included socio-demographics, admission-related issues, and mental health problems (depression, anxiety, and burnout). Of the mental health problems, depression, anxiety, and burnout were assessed by the Patient Health Questionnaire (PHQ-9), Generalized anxiety disorder (GAD-7), and Maslach Burnout Inventory—Student Survey (MBI–SS), respectively. In light of two-dimensional and three-dimensional cutoff schemes of the MBI—SS, about 43.7% and 17.3% of the test-taking students, respectively, were classified to be burnout in the total sample. Additionally, 48.1%, 71.4%, and 49.1% of the students in the total sample reported higher emotional exhaustion, higher cynicism, and lower academic efficacy, respectively. In respect to the student status, two-dimensional burnout (48.0% vs. 39.2%; χ2 = 7.164, p = 0.007), and emotional exhaustion (52.2% vs. 43.9%, χ2 = 6.789, p = 0.034) were significantly higher among the repeat test-taking students. Satisfaction with previous mock tests, depression, and anxiety were the associated factors of burnout in all three samples. Based on the present study, it can be concluded that the university entrance test appearing students are highly prevalent to burnout, and the rate increases with academic non-achievement. As the first study assessing burnout to the population, the findings are anticipated to be helpful for policymaking and further studies both inside and outside Bangladesh.

scholarly journals Urgent and Nonurgent Presentations to a Psychiatric Emergency Service in Nigeria: Pattern and Correlates

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Increase Ibukun Adeosun ◽  
Abosede Adekeji Adegbohun ◽  
Oyetayo Oyewunmi Jeje ◽  
Olufemi Oyeleke Oyekunle ◽  
Modupeola Olugbemisola Omoniyi
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Rating Scale ◽  
Mental Health Problems ◽  
Health Care Financing ◽  
Physical Restraint ◽  
Safety Net ◽  
Health Problems ◽  
Resource Poor Setting ◽  
Medication Refill

Psychiatric emergencies are acute mental health disturbances that require immediate intervention. However, the emergency department is increasingly being utilised for nonurgent mental health problems, thereby compromising the quality of care available for patients with urgent problems. This study assessed the level and correlates of urgency of mental health problems among patients presenting to an emergency department in Nigeria. The Crisis Triage Rating Scale, Clinical Global Impression Scale and a supplementary questionnaire were administered to 700 attendees at the emergency department of the Federal Neuro-Psychiatric Hospital Yaba, Lagos. Only 29.1% of the presentations constituted an “emergency” 10.9% were “urgent,” while 60% were “nonurgent.” The most common reason for nonurgent presentations was the need for medication refill. On regression analysis, level of urgency of presentations was independently associated with employment status, need for medication refill, substance abuse, suicidality, routine clinic attendance, and use of physical restraint before presentation. The majority of visits to the emergency department are for apparently “nonurgent problems.” However in a resource-poor setting, the emergency department may be the only safety net for the attendees. Our findings point to a need for education of service users and policy shifts in mental health care financing and organisation.

scholarly journals Emergency Department as a First Contact for Mental Health Problems in Children and Youth

2017 ◽  
Vol 56 (6) ◽  
pp. 475-482.e4 ◽  
Author(s):  
Peter J. Gill ◽  
Natasha Saunders ◽  
Sima Gandhi ◽  
Alejandro Gonzalez ◽  
Paul Kurdyak ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Health Problems ◽  
Health Problems ◽  
Children And Youth ◽  
First Contact
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