Reasons for Emergency Department Use among Patients with Mental Disorders

Fleury, Marie‐Josée; Grenier, Guy; Farand, Lambert; Ferland, Francine

doi:10.1007/s11126-019-09657-w

Cited by 15 publications

(25 citation statements)

References 49 publications

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“…Despite previous negative encounters, young people in this study described the ED as being the only option available for help with suicidal thoughts and behaviours. Other studies have found that the ED was seen as the only available choice for individuals with mental health concerns including suicidal behaviour, self-harm, substance misuse, anxiety and depression [52][53][54]. Alternatives to presenting to the ED for young people needs to be further explored to assist with reducing negative experiences and promoting help-seeking behaviour.…”

Section: Discussionmentioning

confidence: 99%

They Told Me “This Isn’t a Hotel”: Young People’s Experiences and Perceptions of Care When Presenting to the Emergency Department with Suicide-Related Behaviour

Freeman

Strauss

Hamilton

et al. 2022

IJERPH

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In Australia, the number of young people presenting to the emergency department with mental health concerns, in particular, suicidal behaviour (defined here as suicidal ideation, thoughts, intent and attempts) is increasing. Little is known about the experiences of Australian young people who present to hospital emergency departments with suicidal behaviour. In this qualitative study, we conducted a series of focus groups with 55 young people aged 16–25 years, with a view to developing a framework for youth suicide prevention for Western Australia. The data were analysed using a general inductive analysis approach. We explored the experiences and perceptions of the care and management of 35 young people presenting to Western Australian hospital emergency departments. Participants described a range of negative experiences relating to the emergency department environment, staff attitudes and their treatment by staff. We argue that adapting ED practices and approaches to young people presenting with suicidal thoughts and behaviours based on these findings will result in lower rates of repeated presentations and admissions to hospital and lower rates of suicide attempts and deaths by suicide.

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Section: Discussionmentioning

confidence: 99%

They Told Me “This Isn’t a Hotel”: Young People’s Experiences and Perceptions of Care When Presenting to the Emergency Department with Suicide-Related Behaviour

Freeman

Strauss

Hamilton

et al. 2022

IJERPH

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“…Qualitative studies conducted overseas (Fleury et al . 2019; Vandyk et al . 2019; Wise‐Harris et al 2017; Clarke et al .…”

Section: Introductionmentioning

confidence: 99%

“…Although recent studies highlight the increasing demand on ED services by those with NFSB, there is limited literature on how consumers with NFSB describe their ED experience and the interventions provided. Qualitative studies conducted overseas (Fleury et al 2019;Vandyk et al 2019;Wise-Harris et al 2017;Clarke et al 2007) and in Australia (Morphet et al 2012) have focused on the perceptions of the ED by the broader mental health population. Findings from these studies may not be specific to those with NFSB.…”

Section: Introductionmentioning

confidence: 99%

Repeat presentations to the emergency department for non‐fatal suicidal behaviour: Perceptions of patients

Meehan

Baker

Blyth

et al. 2020

Int J Mental Health Nurs

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Presentations to emergency departments (EDs) for non‐fatal suicidal behaviour (NFSB) are increasing in Australia and overseas. Our understanding of the factors contributing to this trend remains unclear. In this qualitative phenomenological study, we explored patient perceptions of their ED experience and the interventions provided. The study group comprised 10 adults who had had 3 or more presentations to the ED in a 12‐week period for NFSB. Individual interviews were conducted in person with participants and transcribed verbatim. Three broad themes emerged from analysis of the transcripts: ED – a safety net; 'treatment – what treatment!'; and maintaining ED dependence. The findings highlight a failure to understand the needs of those with NFSB and establish better ED treatment strategies and models of aftercare for this sub‐group of patients. The findings have implications for mental health nurses working with consumers in the ED and in broader case management roles.

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“…Persons who frequently visit PES have been shown to have complex and multifaceted needs (cf. Fleury, Grenier, Farand, & Ferland, 2019;Schmidt et al, 2018b), some of which may remain unmet if people have difficulties expressing them in the first place. Compounding this challenge may be the fact that persons who frequently visit PES are a heterogeneous group that varies greatly in diagnostic profile, socioeconomic characteristics, and temporal utilization patterns (Schmidt et al, 2018a).…”

Section: Introductionmentioning

confidence: 99%

Professionals’ Perspective on Needs of Persons Who Frequently Use Psychiatric Emergency Services

Schmidt

Garmy

Stjernswärd

et al. 2020

Issues in Mental Health Nursing

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This study explores how professionals experience persons who frequently use psychiatric emergency services (PES) in terms of their needs in Sweden. The data comprise 19 semi-structured individual interviews and one focus group interview with healthcare professionals (i.e., assistant nurses, psychiatric nurses, intern physicians, and resident physicians), which are analyzed using qualitative content analysis. The overall findings suggest that persons who frequently use PES suffer from illness, unfavorable life circumstances, and inadequate care, which together emphasize the need for more sustainable support. The findings indicate that the professionals saw beyond illness-related needs and could also acknowledge patients' needs originating from social, existential, and care-and support-related aspects of life.

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Reasons for Emergency Department Use among Patients with Mental Disorders

Cited by 15 publications

References 49 publications

They Told Me “This Isn’t a Hotel”: Young People’s Experiences and Perceptions of Care When Presenting to the Emergency Department with Suicide-Related Behaviour

They Told Me “This Isn’t a Hotel”: Young People’s Experiences and Perceptions of Care When Presenting to the Emergency Department with Suicide-Related Behaviour

Repeat presentations to the emergency department for non‐fatal suicidal behaviour: Perceptions of patients

Professionals’ Perspective on Needs of Persons Who Frequently Use Psychiatric Emergency Services

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