Evidence map›Paper›PMID 39387896›Full record

ArticleSocial psychiatry and psychiatric epidemiology2025

Person-centred crisis support services as alternatives to emergency departments: a systematic scoping review.

Danielle Postorivo, Stephen Parker, Harvey Whiteford, Zoe Papinczak, Zoe Rutherford

Abstract readScoping Review
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Peer-Led Models Focussed on Emotional Distress and Suicide Prevention: A Scoping Review.International journal of environmental research and public health · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
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

5 authors.

Danielle PostorivoSchool of Public Health, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia. danielle.postorivo@uq.edu.au.ORCID http://orcid.org/0000-0003-3821-9991
Stephen ParkerSchool of Public Health, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0002-6022-3981
Harvey WhitefordSchool of Public Health, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0003-4667-6623
Zoe PapinczakQueensland Centre for Mental Health Research, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0002-2386-5651
Zoe RutherfordSchool of Public Health, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0002-0499-1134

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify, critically appraise, and synthesise the published and grey literature on person-centred crisis support services as an alternative to support in emergency departments (EDs) for people experiencing mental health crises. This scoping review explores the characteristics and outcomes of these services.

methodsA systematic scoping review was undertaken to identify publications describing person-centred crisis support services and their outcomes. Search strings were applied to multiple databases, and publications were subjected to quality appraisal. The review process was informed by The Joanna Briggs Institute (JBI) Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR).

resultsThirteen publications were included in the narrative synthesis, and these considered eight separate crisis support services. The methodological quality of the publications included was limited. Key findings were positive visitors' experiences, high rates of ED deflection, and overlaps between repeat visits, crises prevention, and hospital avoidance. Key recommendations included increasing opening hours and capacity and improving service awareness and accessibility.

conclusionsThe available evidence suggests that person-centred crisis support services are perceived by stakeholders as safe and effective alternatives to EDs for people experiencing mental health crises, providing more timely and appropriate care while reducing ED mental health presentations. Due to the limited quality of the publications included, high-quality research is needed to better understand the model and confirm the findings reported in this review.

Indexed as

Crisis InterventionEmergency Service, HospitalMental DisordersMental Health ServicesPatient-Centered CareHumansAlternatives to Emergency DepartmentsCrisis Support servicesMental Health CrisisPerson-centred

Identifiers

PMID39387896
PMCPMC11790714

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.