Profile of patients attended as psychiatric emergencies at a university general hospital

Padilha, Vitoria Mantoan; Schettini, Carolina S. S.; Santos, Amilton dos; Azevedo, Renata Cruz Soares de

doi:10.1590/1516-3180.2013.1316598

Cited by 17 publications

(20 citation statements)

References 17 publications

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“…Studies report substance use disorders to be the leading psychiatric diagnoses in the emergency care setting, which is consistent with our findings [18,19]. Patients with substance use disorders, including alcohol and cannabis use, seek medical assistance either due to intoxication or withdrawal symptoms, and sometimes also due to substance-induced psychosis.…”

Section: Discussionsupporting

confidence: 91%

Patterns and prevalence of psychiatric illnesses presenting to the emergency department

Patil¹,

Patil²,

Nayak³

et al. 2019

Arch Psych Psych

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Background: Psychiatric emergencies are often difficult to study, owing to their acute and quite frequent syndromic presentation. There is a scarcity of data regarding the prevalence and patterns of psychiatric emergencies attending general hospital psychiatric units. Objective: To identify the pattern and prevalence of psychiatric illnesses presenting to the emergency departments in a general hospital care setting. Material and Methods: This cross-sectional study included 82 psychiatric patients aged 10 to 60 years and above. Sociodemographic details were obtained, and psychiatric diagnoses were based on the International Classification of Diseases 10 th edition diagnostic criteria. Statistical analysis was performed using Epi Info 7 software. Results: The overall prevalence of psychiatric emergencies was found to be 1.59%. They were most prevalent among males and females aged 20-39, females involved in household work, males involved in agriculture, patients with lower socioeconomic status and residents of rural areas. A significant gender difference was observed regarding patients' occupational and living status. Common diagnoses included substance use disorders (21.9%), dissociative disorders (18.3%), bipolar disorder (17.1%), psychotic disorders (17.1%), and depressive disorders (14.6%). Conclusion: Overall, this study provides insight into various types of presentations of psychiatric disorders in patients visiting the emergency department. Moreover, it is a contribution to determining the prevalence of psychiatric emergencies in a general hospital setting.

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Section: Discussionsupporting

confidence: 91%

Patterns and prevalence of psychiatric illnesses presenting to the emergency department

Patil¹,

Patil²,

Nayak³

et al. 2019

Arch Psych Psych

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“…Understanding that embracement is a qualified listening process, which is not limited to risk classification, and requires a relationship between nurse and patient to achieve their goals, qualitative research methodology was chosen, guided by the Consolidated Criteria for Reporting Qualitative Research (COREQ), supported by Alfred Schütz's social phenomenology (3,(12)(13)(14) . The prerogative to choose the theoretical-methodological framework was based on embracement assumption that deals with the establishment of a relationship between nurse and patient, which can be explained by the concept of social interaction described by Schutz.…”

Section: Theoretical-methodological Framework and Type Of Studymentioning

confidence: 99%

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

et al. 2020

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Objectives: to understand actions of nurses who care for people person with mental illness at a Referenced Emergency Unit in a university hospital. Methods: a qualitative research based on Alfred Schütz's social phenomenology. Data collection was performed between December 2015 and January 2016 through phenomenological interviews with 13 nurses from an Emergency Unit. Results: nurses embrace according to their previous experiences. They easily identify biological complaints and, when they recognize psychiatric signs and symptoms, refer them to the psychiatrist. They raise doubts about what to do, so they expect to be qualified for such action, believing that a protocol could help as well as they need more time. Final considerations: the understanding of the lived type of nurse who embraces people with mental distress made possible in this study need recognition for research and interventions that focus on biological, psychic and social dimension articulation at embracement. RESUMOObjetivos: compreender a ação do enfermeiro que realiza acolhimento da pessoa em sofrimento mental em Unidade de Emergência Referenciada em um hospital universitário. Métodos: pesquisa qualitativa, fundamentada na fenomenologia social de Alfred Schütz. A coleta de dados foi realizada entre dezembro de 2015 e janeiro de 2016, por meio de entrevistas fenomenológicas com 13 enfermeiros de uma Unidade de Emergência. Resultados: os enfermeiros acolhem de acordo com suas experiências prévias, identificam facilmente queixas biológicas e, quando reconhecem sinais e sintomas psiquiátricos, encaminham ao psiquiatra. Apresentam dúvidas sobre o que fazer, portanto, esperam ser qualificados para tal ação, acreditam que um protocolo poderia ajudar, bem como necessitam de mais tempo. Considerações finais: a compreensão do tipo vivido do enfermeiro que acolhe a pessoa em sofrimento mental possibilitou, neste estudo, o reconhecimento da necessidade de pesquisas e intervenções que foquem na articulação da dimensão biológica, psíquica e social na ação do acolhimento. RESUMENObjetivos: comprender las acciones de las enfermeras que reciben a la persona con enfermedad mental en una Unidad de Emergencia recomendada en un hospital universitario. Métodos: investigación cualitativa, basada en la fenomenología social de Alfred Schütz. La recolección de datos se realizó entre diciembre de 2015 y enero de 2016, a través de entrevistas fenomenológicas con 13 enfermeras de una Unidad de Emergencia. Resultados: las enfermeras aceptan de acuerdo con sus experiencias anteriores, identifican fácilmente las quejas biológicas y, cuando reconocen los signos y síntomas psiquiátricos, los remiten al psiquiatra. Tienen preguntas sobre qué hacer, por lo que esperan estar calificados para tal acción, creen que un protocolo podría ayudar y necesitar más tiempo. Consideraciones finales: la comprensión del tipo vivido de la enfermera que recibe a la persona en sufrimiento mental hizo posible en este estudio el reconocimiento de la necesidad de investigación e intervenciones que se c...

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“…Oliveira et al 11 carried out a retrospective study at the Student Psychological Care Service (SAPPE) of Universidade Estadual de Campinas (Unicamp), which included profile characterization and a survey of the complaints of the students who visited the service from 1987 to 2004. Padilha et al 12 characterized the patients assisted at the psychiatric emergency service of Unicamp's Hospital das Clínicas between May 2010 and May 2011.…”

Section: Introductionmentioning

confidence: 99%

Clinical stability, diagnosis and catchment area: the patients of a university-based psychiatric outpatient clinic

Oliveira

Nascimento

Coutinho

et al. 2018

J. bras. psiquiatr.

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Objective This study aimed to characterize the patients assisted at the general outpatient clinic of the Psychiatry Institute of Universidade Federal do Rio de Janeiro (IPUB-UFRJ) and to assess these patients’ clinical stability. Methods This cross-sectional study collected information using a structured questionnaire filled in by the patient’s physician. The questionnaire, specifically developed for this purpose, included sociodemographic data; the dwelling area; psychiatric diagnosis according to ICD-10; clinical stability assessment by means of five psychiatric instability criteria and the physician’s global clinical impression over the six previous months. Clinical stability was defined as a negative answer to all five pre-defined instability criteria. Results Overall, 1,447 questionnaires were filled in. The sample was composed of 824 (57%) women; with an average age of 49 years; 1,104 (76.3%) patients lived in the city of Rio de Janeiro and 343 (23.7%) lived outside the city; 983 (67.9%) patients had a severe mental disorder (SMD) diagnosis and 946 (65.3%) patients were considered stable. Statistically, the clinical stability by dwelling area did not differ. The most frequent clinical instability criterion was “exacerbation or emergence of acute manifestations of the disease”. Conclusion The major part of the patients displayed a SMD and was considered clinically stable.

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Profile of patients attended as psychiatric emergencies at a university general hospital

Cited by 17 publications

References 17 publications

Patterns and prevalence of psychiatric illnesses presenting to the emergency department

Patterns and prevalence of psychiatric illnesses presenting to the emergency department

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

Clinical stability, diagnosis and catchment area: the patients of a university-based psychiatric outpatient clinic

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