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

Barratt, HS; Rojas-Garcia, A; Clarke, K; Moore, A; Whittington, C; Stockton, S; Thomas, J; ... Raine, R; + view all (2016) Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis. PLOS One , 11 (4) , Article e0154449. 10.1371/journal.pone.0154449. Green open access

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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.

Type: Article
Title: Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pone.0154449
Publisher version: http://dx.doi.org/10.1371/journal.pone.0154449
Language: English
Additional information: Copyright © 2016 Barratt et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
URI: https://discovery.ucl.ac.uk/id/eprint/1485802
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