Epidemiology of emergency ambulance service calls related to mental health problems and self harm: a national record linkage study
| العنوان: | Epidemiology of emergency ambulance service calls related to mental health problems and self harm: a national record linkage study |
|---|---|
| المؤلفون: | Cameron Stark, David Fitzpatrick, Wojtek Wojcik, Silje Skar, Margaret Maxwell, Nadine Dougall, Alasdair R. Corfield, Christopher White, Edward Duncan, Catherine Best, Isabella Goldie, Josie M M Evans, Helen Snooks |
| المصدر: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 27, Iss 1, Pp 1-8 (2019) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Emergency Medical Services, Ambulances, Psychological intervention, Allied Health Personnel, Poison control, Critical Care and Intensive Care Medicine, Suicide prevention, Occupational safety and health, 0302 clinical medicine, Medicine, Pre-hospital, 030212 general & internal medicine, Centre for Mental Health Practice, Policy and Law Research, Original Research, Public health, education.field_of_study, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Attendance, Middle Aged, Patient Discharge, Mental Health, Health, Emergency Medicine, Female, Medical emergency, Emergency Service, Hospital, RT Nursing, Adult, Population, 03 medical and health sciences, Humans, education, Aged, Inpatients, business.industry, Emergency department, Mental health, Emergency department, Pre-hospital, 030208 emergency & critical care medicine, lcsh:RC86-88.9, Data linkage, 610.7 Medical education, research & nursing, medicine.disease, Mental health, Scotland, eHealth, Emergencies, Morbidity, business, Self-Injurious Behavior |
| الوصف: | Background People experiencing a mental health crisis receive variable and poorer quality care than those experiencing a physical health crisis. Little is known about the epidemiology, subsequent care pathways of mental health and self-harm emergencies attended by ambulance services, and subsequent all-cause mortality, including deaths by suicide. This is the first national epidemiological analysis of the processes and outcomes of people attended by an ambulance due to a mental health or self-harm emergency. The study aimed to describe patient characteristics, volume, case-mix, outcomes and care pathways following ambulance attendance in this patient population. Methods A linked data study of Scottish ambulance service, emergency department, acute inpatient and death records for adults aged ≥16 for one full year following index ambulance attendance in 2011. Results The ambulance service attended 6802 mental health or self harm coded patients on 9014 occasions. This represents 11% of all calls attended that year. Various pathways resulted from these attendances. Most frequent were those that resulted in transportation to and discharge from the emergency department (n = 4566/9014; 51%). Some patients were left at home (n = 1003/9014 attendances, 11%). Others were admitted to hospital (n = 2043/9014, 23%). Within 12 months of initial attendance, 279 (4%) patients had died, 97 of these were recorded as suicide. Conclusions This unique study finds that ambulance service and emergency departments are missing opportunities to provide better care to this population and in potentially avoidable mortality, morbidity and service burden. Developing and testing interventions for this patient group in pre-hospital and emergency department settings could lead to reductions in suicide, patient distress, and service usage. |
| وصف الملف: | |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6304b02ce28ca64084f4112dcbdd5e60 https://cronfa.swan.ac.uk/Record/cronfa49868/Download/0049868-02042019170115.pdf |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....6304b02ce28ca64084f4112dcbdd5e60 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |