Citation

Carrillo P, Fovet T, Poulet E. Ann. Med. Psychol. (Paris) 2018; 176(8): 803-809.

Copyright

(Copyright © 2018, Societe Medico-Psychologique, Publisher Elsevier Publishing)

DOI

10.1016/j.amp.2018.08.007

PMID

unavailable

Abstract

The immediate reception and orientation of patients with psychiatric symptoms is a major challenge for emergency departments as they represent almost 3 % of their care users. We will present here two main aspects of those patients' care. Firstly, during the reception phase, their's the need to evaluate the degree of urgency and make an efficient "sorting". The elimination of a non-psychiatric differential diagnosis is there paramount. Standardized evaluation tools like the Hobart Mental Health Triage Scale can be used. Next, the psychiatric assessment phase has some specificities (temporal constraints, entourage as the care claimant, etc.). Its objectives are: diagnosis evaluation, immediate risk identification, creation of a therapeutic alliance and proposal of a care plan. Finally, the most frequent clinical presentations at the emergency department (psycho-social crisis, suicidal crisis, first psychotic episode and acute agitation) are presented. © 2018

Language: en

Keywords

Risk management; human; suicide; psychosis; risk assessment; Crisis; Psychiatric emergency; treatment planning; differential diagnosis; patient care; mental stress; emergency health service; psychiatric diagnosis; agitation; Agitation; standardization; Suicidal crisis; Article; clinical assessment tool; Reception; Medical diagnosis; Decompensation; Emergency structure; Hobart Mental Health Triage Scale; Psychiatric examination