Examination of Cases who Admitted to the Emergency Department of a Mental Health Hospital in 2020

Authors : Mehmet Hamdi Örüm, Nülüfer Kılıç, Onur Koçhan, Dilek Örüm

Pages : 105-109

Doi:10.38175/phnx.1504601

View : 67 | Download : 88

Publication Date : 2024-11-01

Article Type : Research Paper

Abstract :Objective: The emergency department of mental health and diseases hospitals (MHDH) is a primary entry point into the network of mental health services for people who need urgent psychiatric help. Examining the emergency department admissions of MHDHs will pave the way for possible interventions to be carried out more appropriately. This study aimed to retrospectively examine the sociodemographic and clinical characteristics of cases who admitted to the emergency department of a MHDH in 2020. Material and Methods: Cases who admitted to the emergency department of Elazığ MHDH between 01.01.2020 and 31.12.2020 were included. Sociodemographic and clinical data of the cases were accessed through the patient record system. Results: The total number of admissions to the Elazığ MHDH emergency department between the specified dates was 7071 [5262 (74.4%) male and 1809 (25.6%) female].Sixty-four percent of the cases admitted through the Social Security Institution and 28% through the Ministry of Justice. Seven thousand fifty-five cases (99.7%) were the Republic of Turkey citizens. Three thousand two hundred fifty-four (46.0%) of the cases were evaluated within the scope of medical examination, 1599 (22.6%) were injection, 156 (2.2%) were involuntary hospitalization, and 1887 (26.7%) were judicial illegal drug screening. While 5877 (83.1%) of the cases left the emergency department after examination, 1194 (16.9%) were hospitalized at Elazığ MHDH. Two thousand one hundred forty-six (30.3%) of the cases were diagnosed with general psychiatric examination, 866 (12.2%) were anxiety spectrum disorders, 1464 (20.7%) were schizophrenia spectrum disorders, and 1658 (23.4%) were bipolar spectrum disorders. A statistically significant difference was found between male and female cases in terms of health insurance (p<0.001), reason for admission (p<0.001), month of admission (p=0.005), place of residence (p<0.001), and diagnosis (p<0.001). Conclusion: This study reveals that the male gender is the majority in the admissions made to an MHDH emergency department, the rate of illegal drug screenings in emergency department admissions is high, and the diagnoses of schizophrenia and bipolar spectrum disorder have an important place in hospitalizations following the emergency department admission.
Keywords : Psikiyatrik acil, yaşlılık, yatış, madde taraması