Psychiatric Consultations at an Emergency Department in a Metropolitan University Hospital in Northern Japan

• 발행기관: 대한신경정신의학회
• 저자명: Masaki Shiraishi Takao Ishii Yoshiyasu Kigawa Masaya Tayama Keisuke Inoue Kenji Narita Masaru Tateno
• 간행물 정보: 『Psychiatry Investigation』제15권 제7호, 739~742쪽, 전체 4쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2018.07.31

영문 초록

Many patients with mental disorders visit emergency departments (EDs). However, the majority of these patients do not receive psychiatric assessment. In the present study, we investigated the detailed proportion of patients with mental disorders visiting an urban ED in the largest northern city in Japan. A retrospective chart review study was performed at a University Hospital from January 2012 to December 2015. The reasons for psychiatric consultations made by ED staff, and the primary psychiatric diagnoses were investigated. Among all living patients, 20% of them received consultations. The most common reason for consultation was suicide attempt followed by agitation or insomnia. Of all diagnoses, organic mental disorder was the most frequent and the mean age was significantly higher than the other diagnostic groups. Our study indicated that the frequency of psychiatric consultation was high. This indicates the high demand for mental health services at the ED. A thorough psychiatric assessment can provide adequate psychiatric services to acute patients; thereby possibly preventing suicide attempters from later actually dying by suicide.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

키워드

Emergency department Psychiatric assessment Psychiatric consultation Psychiatric emergency Suicide