Araştırma Makalesi
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Retrospective Analysis of Demographic and Clinical Characteristics of Emergency Department Psychiatric Patients

Yıl 2023, Cilt: 10 Sayı: 3, 745 - 757, 31.12.2023

Öz

Objective: The objective of this investigation is to conduct a comprehensive analysis of the demographic attributes, psychiatric diagnoses, and grounds for seeking psychiatric consultation among patients who are admitted to the emergency department of our medical facility. The objective of this study is to offer significant insights into the requirements of patients with psychiatric emergencies in the emergency department by scrutinizing the data obtained from psychiatric consultations.
Materials and Methods: The study encompassed individuals aged 18 years and above who sought psychiatric consultation in the emergency department between April 2022-2023. The patients were classified based on the following conditions: anxiety disorder, bipolar disorder, depression, psychosis, alcohol and substance abuse, conversion disorder, suicidal ideation or attempt, or other disorders.
Results: The study sample comprised of 393 individuals, out of which 181 (46.1%) were identified as female and 212 (53.9%) as male. The study revealed that anxiety was observed in 28.5% of the sample. Additionally, bipolar disorder was identified in 27 participants, while depression was present in 49 individuals, representing 12.5% of the sample. Lastly, conversion disorder was detected in 5 participants. The prevalence of suicidal ideation among patients who have either attempted or expressed thoughts of suicide was found to be 47% for women and 36.3% for men.
Conclusion: The present investigation enhances our comprehension of the demographic characteristics and mental health condition of those who seek emergency psychiatric assistance. This data has the potential to enhance clinical practice by facilitating the delivery of suitable evaluation, intervention, and assistance.

Kaynakça

  • Albin, K., Albin, C., Jeffries, C.D., Perkins, D.O. (2021). Clinician Recognition of First Episode Psychosis. Journal of Adolescance Health. 69(3):457-464. http://doi.org/10.1016/j.jadohealth.2020.12.138.
  • Austin J. C. (2020). Evidence-Based Genetic Counseling for Psychiatric Disorders: A Road Map. Cold Spring Harbor Perspectives in Medicine, 10(6), a036608.
  • Beckerleg, W., & Hudgins, J. (2022). Substance Use-related Emergency Department Visits and Resource Utilization. The Western Journal of Emergency Medicine, 23(2), 166–173.
  • Bediz, U., Aydemir, Ç., Başterzi, A. D., Kısa, C., Cebeci, S., & Göka, E. (2004). Hekimlerin konversiyon bozukluğuna yaklaşımını etkileyen faktörler. Klinik Psikiyatri Dergisi, 7, 73-79.
  • Brahmbhatt, K, Kurtz, B.P., Afzal, K.I., Giles, L.L., Kowal, E.D., Johnson K.P., Lanzillo E., Pao, M., Plioplys, S., Horowitz, L.M. (2019). Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis. Psychosomatics, 60(1), 1-9.
  • Derouesné, C. (1995). Conversion hysteria. [Article in French] La Revue du Praticien. 45:2535-40.
  • Doran, K. M., Rahai, N., McCormack, R. P., Milian, J., Shelley, D., Rotrosen, J., & Gelberg, L. (2018). Substance use and homelessness among emergency department patients. Drug and Alcohol Dependence, 188, 328-333.
  • Eseaton, P. O., Oladunjoye, A. F., Anugwom, G., Onyeaka, H., Edigin, E., & Osiezagha, K. (2022). Emergency department utilization by patients with bipolar disorder: a national population-based study. Journal of Affective Disorders, 313, 232-234.
  • Eser, B., Batmaz, S., Songur, E., Yıldız, M., & Akpınar Aslan, E. (2018). Bir üniversite hastanesinde yatan hastalar için ve acil servisten istenilen ruh sağlığı ve hastalıkları konsültasyonlarının incelenmesi: Türkiye’den çalışmalarla bir karşılaştırma. Klinik Psikiyatri, 21:278-289.
  • Grabb, M. C., Hillefors, M., & Potter, W. Z. (2020). The NIMH ‘Fast-Fail Trials’(FAST) initiative: rationale, promise, and progress. Pharmaceutical Medicine, 34(4), 233-245.
  • Hamam, M. S., Kunjummen, E., Hussain, M. S., Nasereldin, M., Bennett, S., & Miller, J. (2020). Anxiety, depression, and pain: considerations in the treatment of patients with uncontrolled hypertension. Current Hypertension Reports, 22, 1-7.
  • Huber, J., Ryan, C. J., Gupta, R., Rosen, A., Tietze, T., Drew, K. & Skopek, M. (2023). The NSW Emergency Psychiatry Network. Australian & New Zealand Journal of Psychiatry, 57(3), 312-314.
  • Kim, H., Kim, B., Kim, S. H., Park, C. H. K., Kim, E. Y., & Ahn, Y. M. (2018). Classification of attempted suicide by cluster analysis: A study of 888 suicide attempters presenting to the emergency department. Journal of Affective Disorders, 235, 184-190.
  • Lukens, T. W., Wolf, S. J., Edlow, J. A., Shahabuddin, S., Allen, M. H., Currier, G. W., & Jagoda, A. S. (2006). Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Annals of Emergency Medicine, 47(1), 79-99.
  • Marco, C. A., Anderson, J., McMurray, M., Lovell, M., Naqvi, J., & Seitz, N. (2018). Generalized anxiety disorder among emergency department patients. The American Journal of Emergency Medicine, 37(4), 766-767.
  • Marzola, E., Duranti, E., De-Bacco, C., Lupia, E., Villari, V., & Abbate-Daga, G. (2022). Psychiatric patients at the emergency department: factors associated with length of stay and likelihood of hospitalization. Internal and Emergency Medicine, 17(3), 845-855.
  • Mundy, J., Davies, H. L., Radu, M., Austin, J., Vassos, E., Eley, T. C., Moldovan, R. (2023). Research priorities in psychiatric genetic counselling: how to talk to children and adolescents about genetics and psychiatric disorders. European Journal of Human Genetics, 31(3), 262-264.
  • Oliveira J. e Silva, L., Prakken, S. D., Meltzer, A. C., Broder, J. S., Gerberi, D. J., Upadhye, S., Bellolio, F. (2022). Depression and anxiety screening in emergency department patients with recurrent abdominal pain: An evidence synthesis for a clinical practice guideline. Academic Emergency Medicine, 29(5), 615-629.
  • Oral, M., Tuncay, T. (2012). Ruh Sağlığı Alanında Sosyal Hizmet Uzmanlarının Rol ve Sorumlulukları. Toplum ve Sosyal Hizmet Dergisi, 23(2), 93-114.
  • Örüm M. H. (2020) Acil Servise Başvuran Psikiyatrik Olgular ve Konsültasyon-Liyezon Psikiyatrisi: Bir Derleme. Journal of ADEM, 1(2): 31-52.
  • Petriceks, A. H., & Stern, T. A. (2022). Diagnosis and Management of Hypertensive Emergency in a Patient with Generalized Anxiety Disorder. The Primary Care Companion for CNS Disorders, 24(6), 21f03154.
  • Ranney, M. L., Locci, N., Adams, E. J., Betz, M., Burmeister, D. B., Corbin, T., Houry, D. E. (2014). Gender‐specific research on mental illness in the emergency department: current knowledge and future directions. Academic Emergency Medicine, 21(12), 1395-1402.
  • Safdar, B., & Greenberg, M. R. (2014). Organization, execution and evaluation of the 2014 Academic Emergency Medicine consensus conference on Gender-Specific Research in Emergency Care - an executive summary. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 21(12), 1307–1317.
  • Serpytis, P., Navickas, P., Lukaviciute, L., Navickas, A., Aranauskas, R., Serpytis, R., Samalavicius, R. (2018). Gender-based differences in anxiety and depression following acute myocardial infarction. Arquivos Brasileiros de Cardiologia, 111, 676-683.
  • Sood, T.R., Mcstay, C.M. (2009) Evaluation of the Psychiatric Patient. Emergency Medicine Clinics of North America, 27(4), 669-683.
  • Tintinalli, J. E., Peacock IV, F. W., & Wright, M. A. (1994). Emergency medical evaluation of psychiatric patients. Annals of Emergency Medicine, 23(4), 859-862.
  • Värnik P. (2012) Suicide in the World. International Journal of Environmental Research and Public Health. 9(3):760-771.
  • WHO (2012) Risks to Mental Health: An Overview of Vulnerabilities and Risk Factors. Geneva, World Health Organization.
  • Yıldırım, S., Ersoysal, F., & Güler, C. (2018). Investigation of beliefs and attitudes of emergency service staff towards mental illnesses. Turkish Journal Clinical Psychiatry, 21(4), 380-388.
Yıl 2023, Cilt: 10 Sayı: 3, 745 - 757, 31.12.2023

Öz

Kaynakça

  • Albin, K., Albin, C., Jeffries, C.D., Perkins, D.O. (2021). Clinician Recognition of First Episode Psychosis. Journal of Adolescance Health. 69(3):457-464. http://doi.org/10.1016/j.jadohealth.2020.12.138.
  • Austin J. C. (2020). Evidence-Based Genetic Counseling for Psychiatric Disorders: A Road Map. Cold Spring Harbor Perspectives in Medicine, 10(6), a036608.
  • Beckerleg, W., & Hudgins, J. (2022). Substance Use-related Emergency Department Visits and Resource Utilization. The Western Journal of Emergency Medicine, 23(2), 166–173.
  • Bediz, U., Aydemir, Ç., Başterzi, A. D., Kısa, C., Cebeci, S., & Göka, E. (2004). Hekimlerin konversiyon bozukluğuna yaklaşımını etkileyen faktörler. Klinik Psikiyatri Dergisi, 7, 73-79.
  • Brahmbhatt, K, Kurtz, B.P., Afzal, K.I., Giles, L.L., Kowal, E.D., Johnson K.P., Lanzillo E., Pao, M., Plioplys, S., Horowitz, L.M. (2019). Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis. Psychosomatics, 60(1), 1-9.
  • Derouesné, C. (1995). Conversion hysteria. [Article in French] La Revue du Praticien. 45:2535-40.
  • Doran, K. M., Rahai, N., McCormack, R. P., Milian, J., Shelley, D., Rotrosen, J., & Gelberg, L. (2018). Substance use and homelessness among emergency department patients. Drug and Alcohol Dependence, 188, 328-333.
  • Eseaton, P. O., Oladunjoye, A. F., Anugwom, G., Onyeaka, H., Edigin, E., & Osiezagha, K. (2022). Emergency department utilization by patients with bipolar disorder: a national population-based study. Journal of Affective Disorders, 313, 232-234.
  • Eser, B., Batmaz, S., Songur, E., Yıldız, M., & Akpınar Aslan, E. (2018). Bir üniversite hastanesinde yatan hastalar için ve acil servisten istenilen ruh sağlığı ve hastalıkları konsültasyonlarının incelenmesi: Türkiye’den çalışmalarla bir karşılaştırma. Klinik Psikiyatri, 21:278-289.
  • Grabb, M. C., Hillefors, M., & Potter, W. Z. (2020). The NIMH ‘Fast-Fail Trials’(FAST) initiative: rationale, promise, and progress. Pharmaceutical Medicine, 34(4), 233-245.
  • Hamam, M. S., Kunjummen, E., Hussain, M. S., Nasereldin, M., Bennett, S., & Miller, J. (2020). Anxiety, depression, and pain: considerations in the treatment of patients with uncontrolled hypertension. Current Hypertension Reports, 22, 1-7.
  • Huber, J., Ryan, C. J., Gupta, R., Rosen, A., Tietze, T., Drew, K. & Skopek, M. (2023). The NSW Emergency Psychiatry Network. Australian & New Zealand Journal of Psychiatry, 57(3), 312-314.
  • Kim, H., Kim, B., Kim, S. H., Park, C. H. K., Kim, E. Y., & Ahn, Y. M. (2018). Classification of attempted suicide by cluster analysis: A study of 888 suicide attempters presenting to the emergency department. Journal of Affective Disorders, 235, 184-190.
  • Lukens, T. W., Wolf, S. J., Edlow, J. A., Shahabuddin, S., Allen, M. H., Currier, G. W., & Jagoda, A. S. (2006). Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Annals of Emergency Medicine, 47(1), 79-99.
  • Marco, C. A., Anderson, J., McMurray, M., Lovell, M., Naqvi, J., & Seitz, N. (2018). Generalized anxiety disorder among emergency department patients. The American Journal of Emergency Medicine, 37(4), 766-767.
  • Marzola, E., Duranti, E., De-Bacco, C., Lupia, E., Villari, V., & Abbate-Daga, G. (2022). Psychiatric patients at the emergency department: factors associated with length of stay and likelihood of hospitalization. Internal and Emergency Medicine, 17(3), 845-855.
  • Mundy, J., Davies, H. L., Radu, M., Austin, J., Vassos, E., Eley, T. C., Moldovan, R. (2023). Research priorities in psychiatric genetic counselling: how to talk to children and adolescents about genetics and psychiatric disorders. European Journal of Human Genetics, 31(3), 262-264.
  • Oliveira J. e Silva, L., Prakken, S. D., Meltzer, A. C., Broder, J. S., Gerberi, D. J., Upadhye, S., Bellolio, F. (2022). Depression and anxiety screening in emergency department patients with recurrent abdominal pain: An evidence synthesis for a clinical practice guideline. Academic Emergency Medicine, 29(5), 615-629.
  • Oral, M., Tuncay, T. (2012). Ruh Sağlığı Alanında Sosyal Hizmet Uzmanlarının Rol ve Sorumlulukları. Toplum ve Sosyal Hizmet Dergisi, 23(2), 93-114.
  • Örüm M. H. (2020) Acil Servise Başvuran Psikiyatrik Olgular ve Konsültasyon-Liyezon Psikiyatrisi: Bir Derleme. Journal of ADEM, 1(2): 31-52.
  • Petriceks, A. H., & Stern, T. A. (2022). Diagnosis and Management of Hypertensive Emergency in a Patient with Generalized Anxiety Disorder. The Primary Care Companion for CNS Disorders, 24(6), 21f03154.
  • Ranney, M. L., Locci, N., Adams, E. J., Betz, M., Burmeister, D. B., Corbin, T., Houry, D. E. (2014). Gender‐specific research on mental illness in the emergency department: current knowledge and future directions. Academic Emergency Medicine, 21(12), 1395-1402.
  • Safdar, B., & Greenberg, M. R. (2014). Organization, execution and evaluation of the 2014 Academic Emergency Medicine consensus conference on Gender-Specific Research in Emergency Care - an executive summary. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 21(12), 1307–1317.
  • Serpytis, P., Navickas, P., Lukaviciute, L., Navickas, A., Aranauskas, R., Serpytis, R., Samalavicius, R. (2018). Gender-based differences in anxiety and depression following acute myocardial infarction. Arquivos Brasileiros de Cardiologia, 111, 676-683.
  • Sood, T.R., Mcstay, C.M. (2009) Evaluation of the Psychiatric Patient. Emergency Medicine Clinics of North America, 27(4), 669-683.
  • Tintinalli, J. E., Peacock IV, F. W., & Wright, M. A. (1994). Emergency medical evaluation of psychiatric patients. Annals of Emergency Medicine, 23(4), 859-862.
  • Värnik P. (2012) Suicide in the World. International Journal of Environmental Research and Public Health. 9(3):760-771.
  • WHO (2012) Risks to Mental Health: An Overview of Vulnerabilities and Risk Factors. Geneva, World Health Organization.
  • Yıldırım, S., Ersoysal, F., & Güler, C. (2018). Investigation of beliefs and attitudes of emergency service staff towards mental illnesses. Turkish Journal Clinical Psychiatry, 21(4), 380-388.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ruh Sağlığı Hemşireliği
Bölüm Makaleler
Yazarlar

Osman Sezer Çınaroğlu 0000-0002-3860-2053

Ejder Saylav Bora 0000-0002-2448-2337

Deniz Çınaroğlu 0009-0009-4349-9116

Süleyman Kırık 0000-0003-1477-6363

Mehmet Göktuğ Efgan 0000-0002-0794-1239

Erken Görünüm Tarihi 12 Aralık 2023
Yayımlanma Tarihi 31 Aralık 2023
Gönderilme Tarihi 7 Haziran 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 10 Sayı: 3

Kaynak Göster

APA Çınaroğlu, O. S., Bora, E. S., Çınaroğlu, D., Kırık, S., vd. (2023). Retrospective Analysis of Demographic and Clinical Characteristics of Emergency Department Psychiatric Patients. Hacettepe University Faculty of Health Sciences Journal, 10(3), 745-757. https://doi.org/10.21020/husbfd.1310865