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Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis

Author

Listed:
  • Helen Barratt
  • Antonio Rojas-García
  • Katherine Clarke
  • Anna Moore
  • Craig Whittington
  • Sarah Stockton
  • James Thomas
  • Stephen Pilling
  • Rosalind Raine

Abstract

Background: The characteristics of Emergency Department (ED) attendances due to mental or behavioural health disorders need to be described to enable appropriate development of services. We aimed to describe the epidemiology of mental health-related ED attendances within health care systems free at the point of access, including clinical reason for presentation, previous service use, and patient sociodemographic characteristics. Method: Systematic review and meta-analysis of observational studies describing ED attendances by patients with common mental health conditions. Findings: 18 studies from seven countries met eligibility criteria. Patients attending due to mental or behavioural health disorders accounted for 4% of ED attendances; a third were due to self-harm or suicidal ideation. 58.1% of attendees had a history of psychiatric illness and up to 58% were admitted. The majority of studies were single site and of low quality so results must be interpreted cautiously. Conclusions: Prevalence studies of mental health-related ED attendances are required to enable the development of services to meet specific needs.

Suggested Citation

  • Helen Barratt & Antonio Rojas-García & Katherine Clarke & Anna Moore & Craig Whittington & Sarah Stockton & James Thomas & Stephen Pilling & Rosalind Raine, 2016. "Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-14, April.
    • Handle: RePEc:plo:pone00:0154449
    DOI: 10.1371/journal.pone.0154449
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    Cited by:

    1. Helena Roennfeldt & Marianne Wyder & Louise Byrne & Nicole Hill & Rory Randall & Bridget Hamilton, 2021. "Subjective Experiences of Mental Health Crisis Care in Emergency Departments: A Narrative Review of the Qualitative Literature," IJERPH, MDPI, vol. 18(18), pages 1-22, September.
    2. Blanca Lozano-Chacon & Victor Suarez-Lledo & Javier Alvarez-Galvez, 2021. "Use and Effectiveness of Social-Media-Delivered Weight Loss Interventions among Teenagers and Young Adults: A Systematic Review," IJERPH, MDPI, vol. 18(16), pages 1-20, August.
    3. Hiroshi Yazaki & Hiroshi Nishiura, 2020. "Ambulance Transport of Patients with Mild Conditions in Hokkaido, Japan," IJERPH, MDPI, vol. 17(3), pages 1-13, February.

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