Returning to the emergency department: a retrospective analysis of mental health re-presentations among young people in New South Wales, Australia

Cullen, Patricia; Leong, Robert Neil F.; Liu, Bette; Walker, Natasha; Steinbeck, Katharine; Ivers, Rebecca; Dinh, Michael

doi:10.1136/bmjopen-2021-057388

Cited by 6 publications

(2 citation statements)

References 24 publications

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“…Besides ongoing MH morbidity for CYP, there is also a significant economic burden on the healthcare system due to high rates of hospital admissions, Emergency Department (ED) presentations, and re-presentations ( 24 , 25 ). It is estimated that one in seven (14%) CYP aged between 4 and 17 years in Australia ( 2 , 3 ) have a MH disorder with a recent Australian study estimating the annual incremental healthcare costs related to MH for CYP aged 4-17 years to be $AU234 million ( 26 ).…”

Section: Introductionmentioning

confidence: 99%

Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

Gerstl,

Ahinkorah,

Nguyen

et al. 2024

Front. Psychiatry

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BackgroundLong term intervention services have proven to be effective in improving mental health (MH) outcomes and the quality of life for children and young people (CYP).AimTo synthesize evidence on the effectiveness of long-term interventions in improving MH outcomes for CYP, 0-17 years, presenting with MH conditions.MethodsA systematic search was carried out and the methodological quality of included long term MH intervention studies were assessed. Six databases were searched for peer-reviewed articles between January 2000 and September 2022.ResultsWe found 30 studies that reported on the effectiveness of a range of long-term MH interventions in the form of (i) group therapy, (ii) multisystemic behavior therapy, (iii) general services, (iv) integrated services, (v) psychotherapy, (vi) intensive intervention services, (vii) comprehensive collaborative care, (viii) parent training, and (ix) home outreach service. Among the included studies, seven were rated as high level of evidence based on the National Health and Medical Research Council (NHMRC) levels of evidence hierarchy scale and seven were of moderate quality evidence. Others were rated as lower-quality evidence. Among the studies providing high quality evidence, most were reported for group therapy, general services, and psychotherapy studies demonstrating beneficial effects.ConclusionThis systematic review provides evidence to demonstrate the benefits of a range of long-term interventions, in a range of settings, can be effective in improving MH outcomes for CYP and their families.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42022323324.

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Section: Introductionmentioning

confidence: 99%

Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

Gerstl,

Ahinkorah,

Nguyen

et al. 2024

Front. Psychiatry

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“…Eliminating mental illness is only the first step, and improving subjective well-being is an important way to maintain mental health. Therefore, the content of college mental health education should not be limited to problem correction, but should pay more attention to the improvement of college students' subjective well-being [2]. As one of the most representative theories in positive psychology, the PERMA model is mainly composed of five elements of well being, namely, positive emotion, engagement, relationships, meaning and compliance.…”

Section: Introductionmentioning

confidence: 99%

The Application of PREMA Model in College Mental Health Education

Wang¹,

Sun²,

Li³

et al. 2023

Applied Mathematics and Nonlinear Sciences

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In order to make the mental health education in colleges and universities continue and let students find more of their advantages and potential, the author proposes the application of PREMA model in the mental health education in colleges and universities. The author applied and explored the positive mental health course of 399 subjects for 13 class hours, which included five modules: “positive emotions and happiness, positive cognition and self-efficacy, positive traits and positive personality, positive environment, summary and sharing”, after longitudinal tracking for a school year, the results show that about 34.81% of freshmen have different degrees of problems or confusion in their first class hours, and about 4.22% of them have mild or more psychological problems. After one academic year, the number of students with different levels of problems or confusion dropped to 2.51%, and only 1.04% of students with moderate or above psychological problems. The overall mental health level of students has been improved, and the level of positive development has been improved. The PREMA model not only provides a new perspective for examining college students’ mental health level and subjective well-being, but also points out a new direction for the teaching of college mental health education courses. The course of positive mental health education plays an important role in improving students’ positive mental quality and promoting the development of mental health education in colleges and universities.

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Unveiling the patterns: exploring social and clinical characteristics of frequent mental health visits to the emergency department—a comprehensive systematic review

Zhang,

Das

2024

Discov Ment Health

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Background Frequent presenters (FPs) are a group of individuals who visit the hospital emergency department (ED) frequently for urgent care. Many among the group present with the main diagnosis of mental health conditions. This group of individual tend to use ED resources disproportionally and significantly affects overall healthcare outcomes. No previous reviews have examined the profiles of FPs with mental health conditions. Aims This study aims to identify the key socio-demographic and clinical characteristics of patients who frequently present to ED with a mental health primary diagnosis by performing a comprehensive systematic review of the existing literature. Method PRISMA guideline was used. PubMed, PsycINFO, Scopus and Web of Science (WOS) were searched in May 2023. A manual search on the reference list of included articles was conducted at the same time. Covidence was used to perform extraction and screening, which were completed independently by two authors. Inclusion and exclusion criteria were defined. Results The abstracts of 3341 non-duplicate articles were screened, with 40 full texts assessed for eligibility. 20 studies were included from 2004 to 2022 conducted in 6 countries with a total patient number of 25,688 (52% male, 48% female, mean age 40.7 years old). 27% were unemployed, 20% married, 41% homeless, and 17% had tertiary or above education. 44% had a history of substance abuse or alcohol dependence. The top 3 diagnoses are found to be anxiety disorders (44%), depressive disorders (39%) schizophrenia spectrum and other psychotic disorders (33%). Conclusion On average, FPs are middle-aged and equally prevalent in both genders. Current data lacks representation for gender-diverse groups. They are significantly associated with high rates of unemployment, homelessness, lower than average education level, and being single. Anxiety disorder, depressive disorder, and schizophrenia spectrum disorders are the most common clinical diagnoses associated with the group.

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Returning to the emergency department: a retrospective analysis of mental health re-presentations among young people in New South Wales, Australia

Cited by 6 publications

References 24 publications

Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

The Application of PREMA Model in College Mental Health Education

Unveiling the patterns: exploring social and clinical characteristics of frequent mental health visits to the emergency department—a comprehensive systematic review

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