دانلود مقاله ISI انگلیسی شماره 131726
ترجمه فارسی عنوان مقاله

زندگی ناسازگار: شرایط زندگی و ویژگی های بالینی کاربردهای بسیار مکرر بخش های اورژانس برای شکایت اولیه سلامت روان

عنوان انگلیسی
Disordered lives: Life circumstances and clinical characteristics of very frequent users of emergency departments for primary mental health complaints
کد مقاله سال انتشار تعداد صفحات مقاله انگلیسی
131726 2017 7 صفحه PDF
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Psychiatry Research, Volume 252, June 2017, Pages 9-15

ترجمه کلمات کلیدی
کاربران مکرر، اورژانس روانپزشکی نیازهای ناخوشایند، بیماران مجتمع روانپزشکی،
کلمات کلیدی انگلیسی
Frequent users; Psychiatric emergency; Unmet needs; Complex psychiatric patients;
پیش نمایش مقاله
پیش نمایش مقاله  زندگی ناسازگار: شرایط زندگی و ویژگی های بالینی کاربردهای بسیار مکرر بخش های اورژانس برای شکایت اولیه سلامت روان

چکیده انگلیسی

This study explored the life circumstances and clinical characteristics of very frequent users of emergency departments (EDs) presenting with a primary mental health complaint. Patients with 10 or more EDs visits in 2012 with a primary psychiatric diagnosis in a Canadian regional health authority were identified from electronic administrative files. The hospital charts for these patients were thoroughly reviewed for a three-year period, from 2011 to 2013. A retrospective thematic analysis was undertaken. Very frequent users of EDs were generally young to early middle aged, unemployed, living in transient accommodations, having substance abuse diagnoses, and self-referred to EDs for a variety of psychiatric and health symptoms and/or unmet needs. Four themes were identified: 1) substance abuse and associated health and social problems; 2) common mental disorders, which may include suicidality; 3) social and personal stressors with additional common mental disorders and somatic complaints; 4) cognitive impairment with concurrent psychiatric disorders. Traditional mental health services are ineffective in dealing with patients with complex psychiatric and social problems/needs. Efforts should focus on early detection, intervention, reducing mental and behavior problems, and developing appropriate case management and treatment options. Personalized care models are needed to meet their diverse needs.