Emergency Department, Children's University Hospital, Temple Street, Dublin.
Department of Psychiatry, Children's University Hospital, Temple Street, Dublin.
Ir Med J. 2020 Feb 13;113(2):20.
Aims This study aimed to analyse trends in mental health presentations to the Emergency Department (ED), which anecdotally had increased over the past decade. Methods The ED's electronic 'Symphony' system was used to identify the annual number of presentations categorised as having a mental health complaint from 2006-2017. A detailed analysis was performed on presentations over a one-year period. Results The number of presentations increased from 69 in 2006 to a peak of 432 in 2016 (526% increase). The overall admission rate was 33.3%(n=99), while 52.5%(n=156) of presentations occurred outside of standard working hours. Similar increases were documented by other ED's worldwide, and the WHO estimate that neuropsychiatric disorders will become one of the top five causes of morbidity, mortality and disability among children by 2020. Conclusion With the number of mental health presentations dramatically increasing, carefully designed and integrated strategies are required to pro-actively tackle this growing epidemic.
目的 本研究旨在分析过去十年间急诊部（ED）心理健康就诊人数的变化趋势，据传闻，该数据有所增加。
方法 本研究使用 ED 的电子“Symphony”系统，对 2006 年至 2017 年每年被归类为有心理健康投诉的就诊人数进行了分析。对一年的数据进行了详细分析。
结果 就诊人数从 2006 年的 69 例增加到 2016 年的 432 例（增长了 526%）。总体入院率为 33.3%（n=99），而 52.5%（n=156）的就诊发生在标准工作时间之外。世界各地的其他 ED 也记录到了类似的增长，世界卫生组织估计，到 2020 年，神经精神障碍将成为儿童发病率、死亡率和残疾的前五大原因之一。
结论 随着心理健康就诊人数的急剧增加，需要制定精心设计和整合的策略，积极应对这一日益严重的流行疾病。
