Emergency department presentations with a mental health diagnosis in Australia, by jurisdiction and by sex, 2004–05 to 2016–17

Tran, Quang Nhat; Lambeth, Leonard G; Sanderson, Kristy; Graaff, Barbara de; Breslin, Monique; Tran, Viet; Huckerby, Emma J; Neil, Amanda L.

doi:10.1111/1742-6723.13438

Cited by 4 publications

(4 citation statements)

References 28 publications

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“…This is the first study to examine long‐term trends in MH dx presentations by diagnostic group in Australia nationally, and at jurisdiction level, and furthers our series of analyses on long‐term trends of MH dx presentations in Australia . With reference to a two‐fold increase in the number of MH dx presentations between 2004–05 and 2016–17, the present paper found increases in most MH diagnostic groups (F00–F99), but particularly presentations for psychoactive substance use (F10–F19), which increased nearly three‐fold. The other notable increase was in unspecified mental disorder (F99) in NSW, for which presentations increased markedly by over 400‐fold.…”

Section: Discussionsupporting

confidence: 49%

“…Before 2013–14, the NNAPEDCD included only public hospitals classified as peer group A and B, leaving the majority of small hospitals, especially those in rural areas, out of scope . Since 2013–14, all public hospitals with a designated ED have been included in the NNAPEDCD, leading to a marked change in hospitals included for NSW . Even so, many rural and remote hospitals without a designated ED continue to be excluded, and thus not all emergency occasions of service are captured within the NNAPEDCD dataset .…”

Section: Discussionmentioning

confidence: 72%

“…If this situation also exists in Australia, as we believe we have identified for WA, the exclusion of rural hospitals (with and without designated EDs) may lead to an underestimation of rates of MH dx presentations. However, as the significant upturn in rates of MH dx presentations in NSW occurred from 2011–12, and thus prior to the change in data collection, the impact at the jurisdictional level, we believe, is minimal.…”

Section: Discussionmentioning

confidence: 99%

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Trend of emergency department presentations with a mental health diagnosis in Australia by diagnostic group, 2004–05 to 2016–17

Tran

Lambeth

Sanderson

et al. 2020

Emerg Medicine Australasia

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Objective To examine trends of ED presentations with a mental health (MH) diagnosis in Australia and its jurisdictions by diagnostic group between 2004–05 and 2016–17. Methods Data comprised ED presentations with a principal diagnosis of ICD‐10‐AM F00–F99 (MHdx) captured within the National Non‐Admitted Patient Emergency Department Care Database. Trends in absolute number and rates of MHdx presentations per 10 000 population were assessed as differences (x‐fold) and annual growth rates (average and compound). Results Increased presentation rates were observed for most diagnostic groups, except for mental retardation (F70–F79) and mood disorders (F30–F39). The greatest absolute increase was for psychoactive substance use‐related disorders (F10–F19), and relative increase, unspecified mental disorder (F99). There was differentiation across jurisdictions regarding rates of and growth in presentations. In 2016–17, rates at least twice the national average were observed for psychoactive substance‐use (F10–F19), schizophrenia and psychotic disorders (F20–F29) and childhood and adolescence onset disorders (F90–F98) in the Northern Territory, F90–F98 in South Australia, personality disorders (F60–F69) in Tasmania and unspecified mental disorder (F99) in New South Wales. The most marked growth was observed for F99 in New South Wales. Conclusion Between 2004–05 and 2016–17, rates of ED presentations increased across most MH diagnostic groups, but particularly psychoactive substance use‐related disorders. To reduce the need for MH crisis care in Australian EDs, strategies are required to reduce psychoactive substance use in the community, and policies may be needed to strengthen the capability of community MH services and primary care professionals to recognise, diagnose and treat earlier in the course of illness.

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

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Trend of emergency department presentations with a mental health diagnosis in Australia by diagnostic group, 2004–05 to 2016–17

Tran

Lambeth

Sanderson

et al. 2020

Emerg Medicine Australasia

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“…The number of individuals accessing state-funded mental health service each year have increased steadily since 2005 in all three care settings. The increase has been particularly pronounced for services accessed through EDs, where the number of individuals with at least one contact in a year doubled in just over a decade, which is consistent with national trends reported for similar period (Tran et al, 2020). The main mental health conditions contributing to this increase were alcohol disorder, reaction to severe stress and adjustment disorders, and anxiety disorders.…”

Section: Discussionsupporting

confidence: 82%

Patterns of Mental Health Service Utilisation: A Population-Based Linkage of Over 17 Years of Health Administrative Records

Lee,

Chai,

McEvoy

et al. 2024

Community Ment Health J

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A cross-sectoral partnership was formed in 2021 in support of the recommendations in an audit on access to state-funded mental health services. In this first paper, we aimed to describe the demographic and service utilisation of adults with a mental health diagnosis in the Western Australian state-funded health system from 2005 to 2021. Inpatient, emergency department, specialised (ambulatory) community mental health service, and death records were linked in individuals aged ≥ 18 years with a mental health diagnosis in Western Australia. Altogether, 392,238 individuals with at least one mental health service contact between 1st January 2005 and 31st December 2021 were included for analysis. Females, Aboriginal and/or Torres Strait Islander people, and those who lived outside major cities or in the most disadvantaged areas were more likely to access state-funded mental health services. While the number of individuals who accessed community mental health services increased over time (from 28,769 in 2005 to 50,690 in 2021), the percentage increase relative to 2005 was notably greater for emergency department attendances (127% for emergency department; 76% for community; and 63% for inpatient). Conditions that contributed to the increase for emergency department were mainly alcohol disorder, reaction to severe stress and adjustment disorders, and anxiety disorders. Sex differences were observed between conditions. The pattern of access increased for emergency department and the community plus emergency department combination. This study confirmed that the patterns of access of state-funded mental health services have changed markedly over time and the potential drivers underlying these changes warrant further investigation.

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Sociodemographic characteristics and clinical outcomes for people presenting to emergency departments with mental health diagnoses

Stubbs,

Chong,

Achat

et al. 2023

International Emergency Nursing

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Emergency department presentations with a mental health diagnosis in Australia, by jurisdiction and by sex, 2004–05 to 2016–17

Abstract: Objectives: To examine trends in

Cited by 4 publications

References 28 publications

Trend of emergency department presentations with a mental health diagnosis in Australia by diagnostic group, 2004–05 to 2016–17

Trend of emergency department presentations with a mental health diagnosis in Australia by diagnostic group, 2004–05 to 2016–17

Patterns of Mental Health Service Utilisation: A Population-Based Linkage of Over 17 Years of Health Administrative Records

Sociodemographic characteristics and clinical outcomes for people presenting to emergency departments with mental health diagnoses

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