Evidence map›Paper›PMID 27120350›Full record

SynthesisPloS one2016

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

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

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06655467 (Understanding Psychological Distress and Therapeutic Environment in the Emergency Department), which is not on this map. Cited by 50 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06655467 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Understanding Psychological Distress and Therapeutic Environment in the Emergency Department

TypeobservationalSponsorNHS FifeRan2025 to 2025Enrolled398ConditionsMental Health, Substance Use (Drugs, Alcohol), Psychological DistressArmsRoutine Care
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  8. Article
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  11. Revisiting the De Facto Mental Health System: One Becomes Two.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Helen BarrattNIHR CLAHRC North Thames, Department of Applied Health Research, University College London, London, United Kingdom.ORCID 0000-0002-1387-137X
Antonio Rojas-GarcíaNIHR CLAHRC North Thames, Department of Applied Health Research, University College London, London, United Kingdom.
Katherine ClarkeCentre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Anna MooreDivision of Psychiatry, University College London, London, United Kingdom.
Craig WhittingtonCentre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Sarah StocktonDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
James ThomasInstitute of Education EPPI-Centre, London, United Kingdom.
Stephen PillingCentre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Rosalind RaineNIHR CLAHRC North Thames, Department of Applied Health Research, University College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodSystematic review and meta-analysis of observational studies describing ED attendances by patients with common mental health conditions.

findings18 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.

conclusionsPrevalence studies of mental health-related ED attendances are required to enable the development of services to meet specific needs.

Indexed as

AdultAustraliaCanadaEmergency Service, HospitalEuropeFemaleHospitalizationHumansMaleMental DisordersMental HealthPrevalenceSelf-Injurious BehaviorSuicidal Ideation

Identifiers

PMID27120350
PMCPMC4847792

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.