Amanda Digel Vandyk1, Elizabeth G VanDenKerkhof2, Ian D Graham3, Margaret B Harrison4. 1. School of Nursing, University of Ottawa, Ottawa, Ontario, Canada. Electronic address: avandyk@uottawa.ca. 2. School Nursing and Dept of Anesthesiology & Perioperative Medicine; Practice and Research in Nursing Group, Queen's University, Kingston, Ontario. Electronic address: ev5@queensu.ca. 3. University of Ottawa, Ottawa, ON, Canada; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Box 711, Ottawa, Ontario. Electronic address: igraha2@uottawa.ca. 4. Practice and Research in Nursing Group, Queen's University, Kingston, Ontario; Community Health and Epidemiology, Director Queen's Joanna Briggs Collaboration. Electronic address: Margaret.b.harrison@queensu.ca.
Abstract
BACKGROUND: A small subset of individuals makes a disproportionate number of ED visits for mental health complaints. STUDY OBJECTIVES: To explore the population profile and associated socio-demographic, clinical, and service use factors of individuals who make frequent visits (5+ annually) to hospital EDs for mental health complaints. METHODS: Case-control study using electronic health record data. RESULTS: Frequent presenters represented 3% of mental health ED patients and accounted for 18% of visits. Several factors were significantly associated with frequent ED use, including limited social support, documented personality disorder/traits, regular antipsychotic use, self-reported alcohol use, and having multiple referral sources.
BACKGROUND: A small subset of individuals makes a disproportionate number of ED visits for mental health complaints. STUDY OBJECTIVES: To explore the population profile and associated socio-demographic, clinical, and service use factors of individuals who make frequent visits (5+ annually) to hospital EDs for mental health complaints. METHODS: Case-control study using electronic health record data. RESULTS: Frequent presenters represented 3% of mental health ED patients and accounted for 18% of visits. Several factors were significantly associated with frequent ED use, including limited social support, documented personality disorder/traits, regular antipsychotic use, self-reported alcohol use, and having multiple referral sources.
Authors: M Ruth Lavergne; Jackson P Loyal; Mehdi Shirmaleki; Ridhwana Kaoser; Tonia Nicholls; Christian G Schütz; Adam Vaughan; Hasina Samji; Joseph H Puyat; Megan Kaulius; Wayne Jones; William Small Journal: BMC Health Serv Res Date: 2022-04-11 Impact factor: 2.655