ArticleSocial psychiatry and psychiatric epidemiology2016
Examining the need profiles of patients with multiple emergency department visits for mental health reasons: a cross-sectional study.
Article in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Who's getting care? Acute treatment utilization following an emergency department visit among adults with major psychiatric disorders and suicidal thoughts and behaviors.Journal of psychiatric research · 2026Article
- Agile Comprehensive Care: A Pragmatic Trial of a Systemic Intervention for High Utilizers of Emergency Departments.Healthcare (Basel, Switzerland) · 2025Article
- Frequent Users in Psychiatric Consultations: A 6-Year Retrospective Study in the Emergency Department.International journal of environmental research and public health · 2025Observational
- Barriers and Facilitators to High Emergency Department Use Among Patients with Mental Disorders: A Qualitative Investigation.Community mental health journal · 2024Article
- Unveiling the patterns: exploring social and clinical characteristics of frequent mental health visits to the emergency department-a comprehensive systematic review.Discover mental health · 2024Review
- Characteristics for Low, High and Very High Emergency Department Use for Mental Health Diagnoses from Health Records and Structured Interviews.The western journal of emergency medicine · 2024Article
- Longitudinal risk of suicide outcomes in people with severe mental illness following an emergency department visit and the effects of suicide prevention treatment.Journal of affective disorders · 2024Article
- Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study.Medical journal of the Islamic Republic of Iran · 2024Article
- Profiles of quality of life among patients using emergency departments for mental health reasons.Health and quality of life outcomes · 2023Article
- Profiles of quality of outpatient care use, associated sociodemographic and clinical characteristics, and adverse outcomes among patients with substance-related disorders.Substance abuse treatment, prevention, and policy · 2023Article
- Predictors of Frequent Emergency Department Utilization for Mental Health Reasons.The journal of behavioral health services & research · 2021Article
- Met and Unmet Needs in an Inpatient Psychiatry Setting in Spain.Neuropsychiatric disease and treatment · 2021Article
- Risk factors of hospitalization for any medical condition among patients with prior emergency department visits for mental health conditions.BMC psychiatry · 2020Article
- Typology of patients who use emergency departments for mental and substance use disorders.BJPsych open · 2020Article
- A register-based observational cohort study on persistent frequent users of emergency services in a Finnish emergency clinic.BMC health services research · 2019Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesStudy objectives were to: (1) provide an estimate of the prevalence of repeat emergency department (ED) use for mental health reasons among individuals enrolled in intensive case management programs; and (2) to identify socio-demographic, diagnostic, and service need characteristics associated with repeat ED visits among this service population.
methodsThe study utilized administrative health data from community mental health organizations in Toronto, Canada on a sample of 2274 individuals enrolled in intensive case management programs. Patients with 2+ ED visits for mental health reasons within the prior 6 months were compared with individuals who had no ED visits or one visit on the basis of demographic, diagnostic and service need characteristics.
resultsApproximately 6 % of intensive case management clients had two or more ED visits over a 6-month period. Membership in the repeat ED user group was associated with younger age (OR 0.98), a mood disorder (OR 1.58), being in service less than 1 year (OR 1.94) and unmet needs related to psychotic symptoms (OR 2.19), substance use (OR 2.27), and safety to self/others (OR 3.42).
conclusionsThe repeat ED user group within case management may have distinct need profiles that require different treatment responses. Moreover, clinical needs rather than psychosocial needs have the greatest relationship with repeat psychiatric ED utilization. These unmet needs suggest areas for future interventions aimed at reducing the use of ED services for mental health reasons and improving care for patients who repeatedly present at the ED.
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