Evidence map›Paper›PMID 40566256›Full record

Observational studyInternational journal of environmental research and public health2025

Frequent Users in Psychiatric Consultations: A 6-Year Retrospective Study in the Emergency Department.

Carla Maria Gramaglia, Eleonora Gambaro, Alessandro Feggi, Amalia Jona, Valentina Zanoli, Francesco Gavelli, Gian Carlo Avanzi, Daniela Ferrante, Silviana Maria Patratanu, Erica Valerio and 1 more

Abstract readObservational Study
In one paragraph

Observational study in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Carla Maria GramagliaDepartment of Translational Medicine, University of Eastern Piedmont, Via Solaroli, 17, 28100 Novara, Italy.
Eleonora GambaroDepartment of Translational Medicine, University of Eastern Piedmont, Via Solaroli, 17, 28100 Novara, Italy.ORCID 0000-0001-9255-5967
Alessandro FeggiDepartment of Translational Medicine, University of Eastern Piedmont, Via Solaroli, 17, 28100 Novara, Italy.
Amalia JonaPsychiatry Unit Maggiore della Carità University Hospital, Corso Mazzini, 18, 28100 Novara, Italy.
Valentina ZanoliPsychiatry Unit Maggiore della Carità University Hospital, Corso Mazzini, 18, 28100 Novara, Italy.
Francesco GavelliEmergency Medicine Unit, Maggiore della Carità University Hospital, Corso Mazzini, 18, 28100 Novara, Italy.
Gian Carlo AvanziEmergency Medicine Unit, Maggiore della Carità University Hospital, Corso Mazzini, 18, 28100 Novara, Italy.ORCID 0000-0001-7611-8345
Daniela FerranteUnit of Medical Statistics, Department of Translational Medicine, University of Eastern Piedmont, Via Solaroli, 17, 28100 Novara, Italy.ORCID 0000-0003-4929-3759
Silviana Maria PatratanuUniversity of Eastern Piedmont, Via Ettore Perrone, 18, 28100 Novara, Italy.ORCID 0009-0003-3018-3506
Erica ValerioUniversity of Eastern Piedmont, Via Ettore Perrone, 18, 28100 Novara, Italy.ORCID 0009-0002-3804-6592
Patrizia ZeppegnoDepartment of Translational Medicine, University of Eastern Piedmont, Via Solaroli, 17, 28100 Novara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing prevalence of emergency room (ER) visits for mental health concerns presents a significant challenge for healthcare systems. This study aimed to analyze the socio-demographic and clinical characteristics associated with frequent users of psychiatric consultations in the ER of Maggiore della Carità University Hospital in Novara, Italy. A retrospective observational study was conducted over a six-year period (2017-2022), including all psychiatric consultations recorded in a hospital database. Frequent users were defined as individuals undergoing at least three psychiatric consultations in the ER within a year. Univariable and multivariable logistic models were employed to identify significant socio-demographic and clinical predictors of frequent use. Of the 1565 individuals who received psychiatric consultations in the ER, 92 (5.88%) were identified as frequent users. Factors associated with higher ER utilization included being unmarried (aOR 1.35, 95% CI 1.02-1.79), younger age (aOR 1.32, 95% CI 1.02-1.72), homelessness, diagnosis of schizophrenia, substance use disorder (aOR 1.49, 95% CI 1.06-2.09), and ongoing psychopharmacological treatment (aOR 1.56, 95% CI 1.12-2.18). These findings highlight the need for targeted interventions to improve care continuity and community-based support for individuals at risk of frequent ER visits for psychiatric reasons.

Indexed as

Emergency Service, HospitalMental DisordersReferral and ConsultationAdolescentAdultAgedFemaleHumansItalyMaleMiddle AgedRetrospective StudiesYoung Adultdemographyemergency servicefrequent usershealth services misusehospitalmental healthpsychiatric consultationsocioeconomic factors

Identifiers

PMID40566256
PMCPMC12192798

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.