急诊科心理健康就诊情况的流行病学：系统评价与荟萃分析
Epidemiology of Mental Health Attendances at Emergency Departments: Systematic Review and Meta-Analysis.
作者信息
Barratt Helen, Rojas-García Antonio, Clarke Katherine, Moore Anna, Whittington Craig, Stockton Sarah, Thomas James, Pilling Stephen, Raine Rosalind
机构信息
NIHR CLAHRC North Thames, Department of Applied Health Research, University College London, London, United Kingdom.
Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
出版信息
PLoS One. 2016 Apr 27;11(4):e0154449. doi: 10.1371/journal.pone.0154449. eCollection 2016.
BACKGROUND
The characteristics of Emergency Department (ED) attendances due to mental or behavioural health disorders need to be described to enable appropriate development of services. We aimed to describe the epidemiology of mental health-related ED attendances within health care systems free at the point of access, including clinical reason for presentation, previous service use, and patient sociodemographic characteristics.
METHOD
Systematic review and meta-analysis of observational studies describing ED attendances by patients with common mental health conditions.
FINDINGS
18 studies from seven countries met eligibility criteria. Patients attending due to mental or behavioural health disorders accounted for 4% of ED attendances; a third were due to self-harm or suicidal ideation. 58.1% of attendees had a history of psychiatric illness and up to 58% were admitted. The majority of studies were single site and of low quality so results must be interpreted cautiously.
CONCLUSIONS
Prevalence studies of mental health-related ED attendances are required to enable the development of services to meet specific needs.
背景
需要描述因精神或行为健康障碍而到急诊科就诊的特征，以便合理发展相关服务。我们旨在描述在免费医疗系统中与心理健康相关的急诊科就诊情况，包括就诊的临床原因、既往服务使用情况以及患者的社会人口学特征。
方法
对描述常见心理健康状况患者急诊科就诊情况的观察性研究进行系统综述和荟萃分析。
结果
来自七个国家的18项研究符合纳入标准。因精神或行为健康障碍就诊的患者占急诊科就诊人数的4%；三分之一是由于自我伤害或自杀意念。58.1%的就诊者有精神疾病史，高达58%的患者被收治。大多数研究为单中心研究且质量较低，因此结果必须谨慎解读。
结论
需要开展与心理健康相关的急诊科就诊患病率研究，以推动满足特定需求的服务发展。
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