Pediatric psychiatricemergencyrooms during COVID-19: a multi-center study. The COVID-19 (SARS-CoV-2) pandemic has been a major stressor for the mental health and well-being of children and adolescents. Surveys and reports from hotlines indicate a significant rise in mental health problems. As the psychiatricemergencyroom (ER) is a first-line free-of-charge facility for psychiatric
Tobacco Use and Associated Factors in Patients Presenting to a PsychiatricEmergencyRoom Rates of cigarette smoking among the public and individuals with mental illness have been well documented. Studies have demonstrated that prevalence of smoking among individuals with mental illness remains elevated compared to the general population and as a distinct subgroup, individuals with mental illness consume more than a third of cigarettes sold in the U.S. However, information on rates of smoking among patients presenting to a psychiatricemergencyroom (ER) is lacking. This study assesses this understudied population for smoking prevalence and associated factors. A retrospective chart review of 203 distinct psychiatric ER patients was conducted. Demographics, tobacco use, substance use
Frequent visitors at the psychiatricemergencyroom – A literature review Frequent visitors at the psychiatricemergencyroom (PER) constitute a small subgroup of patients, yet they are responsible for a disproportionate number of visits and thus claim considerable resources. Their needs are often left unmet and their repetitive visits reflect their dissatisfaction as well as that of PERs
Influence of the weather on the number of psychiatricemergencyroom visits: myth or Reality? A systematic review of the literature PROSPEROInternational prospective register of systematic reviews Print | PDFInfluence of the weather on the number of psychiatricemergencyroom visits: myth or Reality? A systematic review of the literatureMarine AKKAOUI, Marion N'diambourila, Pierre Alexis here.CitationMarine AKKAOUI, Marion N'diambourila, Pierre Alexis GEOFFROY. Influence of the weather on the number of psychiatricemergencyroom visits: myth or Reality? A systematic review of the literature. PROSPERO 2024 CRD42024525675 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024525675Review questionThe objective was to detail how each psychiatric disorder correlates
Correlates of Subjective Caregiver Strain in Caregivers of Youth Evaluated in a Pediatric PsychiatricEmergencyRoom. Although caregiver burden is relevant to the outcome for psychiatrically ill youth, most studies have focused on caregiver burden in the community or research settings. Therefore, we aimed at evaluating the subjective caregiver strain (SCS) at the time of presentation of youth to a pediatric psychiatricemergencyroom (PPER), assessing potential correlates to provide leads for improvements in formal support systems. In this retrospective cohort study, the internalized, externalized, and total SCS were assessed in caregivers of youth <18 years of age consecutively evaluated at a PPER during a 1 year period using the Caregiver Strain Questionnaire. Sociodemographic and a broad range
Clinically useful predictors for premature mortality among psychiatric patients visiting a psychiatricemergencyroom. The aim of this study was to examine changes in the distribution of causes of death and mortality rates among psychiatric patients visiting a psychiatricemergencyroom (PER), to determine clinically useful predictors for avoiding premature mortality among these patients
Suicidality and hospitalization as cause and outcome of pediatric psychiatricemergencyroom visits. The aim of this study was to identify predictors of suicidality in youth presenting to a pediatric psychiatricemergencyroom service (PPERS). To this end, we conducted a retrospective cohort study of youth aged <18 years consecutively assessed by a PPERS 01.01.2002-12.31.2002, using a 12-page
, Carek P. The golden letter: Innovation collaboration to reduce avoidable hospital admissions. Journal of the American Board of Family Medicine: JABFM. 2020;33(6):1011-1015. 38. Nossel IR, Lee RJ, Isaacs A, Herman DB, Marcus SM, Essock SM. Use of peer staff in a critical time intervention for frequent users of a psychiatricemergencyroom. Psychiatr Serv. 2016;67(5):479-481. 39. Olmos-Ochoa TT, Bharath
, there was no significant difference in readmission to the inpatient unit or to the psychiatricemergencyroom among RSP and TAU patients at 30, 60, and 90 days postdischarge. These findings have significant implications for acute inpatient programming. The RSP intervention treated patients in a shorter amount of time without any increase in re-admissions. Further, the shortened length of stay allowed for more patients
Reminder-Focused Positive Psychiatry: Suicide Prevention Among Youths With Comorbid Posttraumatic Stress Disorder and Suicidality. This study aimed to investigate the effect of brief reminder-focused positive psychiatry and suicide prevention (RFPP-S) on suicidal ideation, posttraumatic stress disorder (PTSD) symptoms, and clinical outcomes among youths with PTSD treated in psychiatricemergencyrooms. This study included youths with PTSD and suicidality who received either RFPP-S (N=50) or treatment as usual (N=150). The Columbia Suicide Severity Rating Scale (C-SSRS), Clinician-Administered PTSD Scale for children and adolescents, University of California, Los Angeles Trauma Reminder Inventory, Patient Health Questionnaire-9, Positive Emotion, Engagement, Relationships, Meaning
receiving LAIs had lower risks of rehospitalization (incidence rate ratio [IRR] = 0.56, 95% CI, 0.45-0.69), psychiatric hospitalization (IRR = 0.63, 95% CI, 0.50-0.81), and psychiatricemergencyroom visits (IRR = 0.58, 95% CI, 0.45-0.75) compared to patients who remained on OAPs. Use of LAIs in the late stage of treatment did not decrease the risk of relapse or mortality. Switching to LAIs during
What do we really know about PRN use in agitated children with mental health conditions: a clinical review. What is the evidence that 'pro re nata' (PRN) medication is effective for ending agitated outbursts in children and adolescents in psychiatricemergencyrooms or inpatient units? Literature search was performed for studies of PRN medication use in children and adolescents that included
emergencyroom for assessment of adults, this scale was found to predict suicide precautions on wards, harassment of other patients as assessed from nursing notes, and indicators of violence on wards.59 No specificity and sensitivity statistics were found. Nurses Global Assessment of Suicide Risk (NGASR): This scale was developed to help novice practitioners with assessment of suicide risk in adults and 31 on the SIQ–JR, sensitivity was 79% and 92%, respectively, and specificity was 69% and 76%, respectively. It has been suggested that a cut-off score of 20 on the SIQ in a clinical setting might prove more useful than the higher cut-off in identifying youths in need of further evaluation for suicide risk.57 Violence and Suicide Assessment Form (VASA): Constructed for use in a psychiatric