ArticleScientific reports2026
Smart screening is associated with timely access to mental health care for high-risk patients: a multicenter cohort study.
Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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15 authors.
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Abstract
Increasing demand for mental health care in Europe highlights the urgent need to improve access for high-risk patients. Smart screening tools may help identify patients at the highest risk for suicide, thereby reducing waiting times and decreasing mental health-related emergency visits. This study assesses the impact of a smart screening tool on identifying high-risk patients and reducing unplanned healthcare use. We conducted a retrospective, multicenter cohort study including 14,395 patients between January 1, 2022, and October 31, 2024, at four outpatient clinics in Madrid, Spain. Participants completed a validated symptom severity survey via a mobile application integrated into the electronic health record. An algorithm categorized patients based on symptom severity, prioritizing those with the highest severity for rapid outpatient evaluation (< 1 week). High-severity patients exhibited greater overall healthcare use (IRR 3.22; CI 3.15–3.29; p < 0.001) and unplanned healthcare use (IRR 1.99; CI 1.70–2.34; p < 0.001) during the year after referral. Male sex and younger age were associated with increased unplanned healthcare use. Among 7,070 patients classified as “highest risk”, 6,104 (86.3%) were prioritized for early outpatient care. Early evaluation significantly reduced emergency department visits among highest-severity patients (IRR 0.59; CI 0.51–0.69; p < 0.001) during the year after referral. This study aligns with the European health agenda advocating for digital transformation in mental healthcare. By facilitating early identification and intervention, smart screening tools can help reduce reliance on emergency care, optimize resource allocation, and promote equitable access to mental health services.
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