학술논문

Risk factors for return emergency department visits among patients presenting with psychiatric complaints
Document Type
Clinical report
Source
The Internet Journal of Emergency Medicine. June 5, 2010, Vol. 6 Issue 2
Subject
United States
Language
English
ISSN
1935-9551
Abstract
Background: Psychiatric visits present a challenge for the emergency physician, both in determining appropriate disposition of patients and in assuring appropriate outpatient follow up for discharged patients. Aims: We attempted to determine which factors among psychiatric patients may predict return visit by comparing repeat emergency department (ED) visits and subsequent inpatient admission among psychiatric patients who are discharged from the ED. Methods: We reviewed the charts of all ED patients evaluated for psychiatric complaints between January-February 2007. We then reviewed discharged patients' records and documented whether the patient returned to the ED within 30 days, and whether the patient was admitted to a psychiatric unit at that time. Results: 92 patients presented during the study period expressing suicidal ideations or having attempted suicide vs. 142 patients with non-suicidal psychiatric complaints. 31.5% of suicidal patients versus 20.4% of non-suicidal patients were admitted to an inpatient psychiatric facility at the time of their initial presentation to the ED (p
Introduction Suicidality is a dilemma of recidivism.[1,2] A previous suicide attempt is the leading risk factor for a completed suicide[3-6] and the attempted-to-complete suicide ratio is approximately 8:1.[7] Furthermore, for [...]