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PLoS One. 2016 Apr 27;11(4):e0154449. doi: 10.1371/journal.pone.0154449. eCollection 2016.

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

Author information

1
NIHR CLAHRC North Thames, Department of Applied Health Research, University College London, 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.
3
Division of Psychiatry, University College London, London, United Kingdom.
4
Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
5
Institute of Education EPPI-Centre, London, United Kingdom.

Abstract

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.

PMID:
27120350
PMCID:
PMC4847792
DOI:
10.1371/journal.pone.0154449
[Indexed for MEDLINE]
Free PMC Article

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