Undiagnosed Mental Illness in the Emergency Department

Downey, La Vonne A.; Zun, Leslie S.; Burke, Trena

doi:10.1016/j.jemermed.2011.06.055

Cited by 51 publications

(41 citation statements)

References 19 publications

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“…Studies found low detection rates between 2% and 4% of diagnosed psychiatric disorders by their ED physicians 13 19. In these studies, prevalence rates were found between 45% and 48%.…”

Section: Resultsmentioning

confidence: 83%

“…Of these, two studies used the same diagnostic instrument (M.I.N.I.) and showed a high prevalence rate of any diagnosis of a psychiatric disorder between 42% and 45% in medical patients presenting to the ED with acute somatic conditions 13 19. Another study using a different diagnostic instrument such as the DSM-III-R checklist found a lower prevalence rate, namely 28% of psychiatric disorders in medical ED patients 20.…”

Section: Resultsmentioning

confidence: 99%

“…Finally, interventional research is needed to answer the question whether screening and treatment of distress would result in improved patient outcomes. Particularly, this seems an important question to be answered in light of the fact that several studies found that psychological distress in ED patients is only detected between 2% and 14% by their physicians 13 14 19. If a causal relationship between psychological distress and adverse clinical outcomes is confirmed in future research, routine screening by the ED staff is indicated to initiate early interventions or treatments in order to improve patient outcomes.…”

Section: Summary Discussion Gaps and Areas For Future Researchmentioning

confidence: 99%

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Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review

et al. 2015

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“…Studies found low detection rates between 2% and 4% of diagnosed psychiatric disorders by their ED physicians 13 19. In these studies, prevalence rates were found between 45% and 48%.…”

Section: Resultsmentioning

confidence: 83%

Section: Resultsmentioning

confidence: 99%

Section: Summary Discussion Gaps and Areas For Future Researchmentioning

confidence: 99%

See 1 more Smart Citation

Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review

et al. 2015

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“…Up to 45% of adult ED patients screened positive for mental health disorders. [18] Among pediatric emergency departments (PED) patients, 70% screen positive for at least one mental health disorder,[19] 23% meet criteria for 2 or more mental health concerns,[20] 45% have a mental health problems resulting in impaired psychosocial functioning,[20] and 10% of PED adolescents endorse significant levels of psychiatric distress at the time of their PED visit. [21] Studies have shown that ED screening successfully increases detection of adolescents with undiagnosed depression.…”

Section: Why Should We Screen For Mental Health Problems In the Emergmentioning

confidence: 99%

Emergency Department Screening for Adolescent Mental Health Disorders: The Who, What, When, Where, Why, and How It Could and Should Be Done

Chun

Duffy

Linakis

2013

Clinical Pediatric Emergency Medicine

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Mental health problems are a significant cause of morbidity and mortality among pediatric populations. Screening for these problems can result in earlier identification and increase treatment and improve outcomes for these children and adolescents. The emergency department (ED) is an ideal site for such screening. Pediatric ED patients are known to be at higher risk for mental health problems. For many, an ED visit is one of the few opportunities to identify and intervene with these children and adolescents. A number of brief, efficient screening instruments have been developed for the ED setting. Screening for mental health problems is both feasible and acceptable to ED patients, parents, and caregivers.

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“…These sub-threshold symptoms are significant due to their prevalence, clinical significance, costs and risk of progression to more severe symptoms [3]. The ED is a potentially effective setting to target these issues due to the high prevalence of mental health problems in attendees [4–9]. Detection of mental health problems and treatment seeking before problems become severe, may improve health and prevent further deterioration [10].…”

Section: Introductionmentioning

confidence: 99%

Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress: a pilot study

Lawrence

Fulbrook

2015

Pilot Feasibility Stud

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BackgroundScreening and brief intervention in the emergency department (ED) has almost exclusively focused on individuals with alcohol-use problems. The early detection of mental health problems before problems become severe will enable early intervention and support which may improve health and prevent further deterioration. The main aim of this pilot study is to provide evidence of the acceptance of a telephone intervention aimed at ED attendees with moderate or high psychological distress. This will be determined by recruitment rates, retention rates and participant satisfaction with the intervention. Secondary outcomes include whether socio-demographic variables have an impact on retention rates, and whether the intervention had any impact on psychological distress.Methods/DesignThis study will be a single-site pragmatic randomised controlled pilot study. Consenting ED attendees will be screened with the Kessler Psychological Distress Scales (K10). There will be three arms to the study: a moderate/high psychological distress group with or without intervention, and a low psychological distress group. Those with severe psychological distress will be excluded. All included participants will be followed-up at 1, 3, 6 and 12 months post-recruitment. Retention rates will be determined by successful completion of surveys at the follow-up time-points. Psychological distress will be measured by the K10 at all follow-up time-points.DiscussionThis study will provide information regarding the potential for screening and recruitment at an opportunistic hospital presentation. It will provide data for a future larger study with regard to participants accepting to be included in this study. Participant acceptability will be measured in terms of recruitment rates and retention rates measured by successful follow-ups over the following 12 months post-recruitment.Trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12614000031662. Registered 10/01/2014.

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Undiagnosed Mental Illness in the Emergency Department

Cited by 51 publications

References 19 publications

Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review

Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review

Emergency Department Screening for Adolescent Mental Health Disorders: The Who, What, When, Where, Why, and How It Could and Should Be Done

Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress: a pilot study

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