Profiling Frequent Presenters to the Emergency Department for Mental Health Complaints: Socio-Demographic,Clinical, and Service Use Characteristics |
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| Authors: | Amanda Digel Vandyk Elizabeth G. VanDenKerkhof Ian D. Graham Margaret B. Harrison |
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| Affiliation: | 1. School of Nursing, University of Ottawa, Ottawa, Ontario, Canada;2. School Nursing and Dept of Anesthesiology & Perioperative Medicine;3. Practice and Research in Nursing Group, Queen''s University, Kingston, Ontario;4. University of Ottawa, Ottawa, ON, Canada;5. Clinical Epidemiology Program, Ottawa Hospital Research Institute, Box 711, Ottawa, Ontario;6. Community Health and Epidemiology, Director Queen''s Joanna Briggs Collaboration |
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| Abstract: | BackgroundA small subset of individuals makes a disproportionate number of ED visits for mental health complaints.Study ObjectivesTo 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.MethodsCase-control study using electronic health record data.ResultsFrequent 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. |
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