Citation

Ege D, Turkdogan KA, Memiş, Sevinçok L, Dogan B. Turk. Klin. J. Med. Sci. 2022; 42(1): 1-4.

Copyright

(Copyright © 2022, Hekimler Birliği Vakfı)

DOI

10.5336/medsci.2021-82287

PMID

unavailable

Abstract

OBJECTIVE: The aim of this study is to shorten the period of hospitalization of the psychiatry patients in the emergency service and to reduce number of emergency psychiatric consultations. Material and Methods: Total 249 patients who admitted to the emergency service and evaluated by psychiatry because of suicide attempt were included in the study. The patients were scored in terms of feeling of regret, suicide method, history of previous suicidal attempt and presence of suicide fam-ily history. Following psychiatric consultations, the patients were divided to 2 groups as those who were considered for hospitalization (Group 1) and those who were recommended for outpatient psychiatry clinic control (Group 2).

RESULTS: Of the 249-psychiatry consultation, hospitalization was recommended to 94 (37.8%) patients, while outpatient psychiatry clinic control was recommended to 155 (62.2%). According to the scoring, it was found that psychiatric consultation was required in 152 (61.0%) pa-tients, while consultation was not necessary in 97 (39.0%) patients. When psychiatric examination notes were checked, a statistically significant dif-ference was found between Group 1 and 2 (p<0.001) and sensitivity was found to be 100%, while specificity was found as 62.5%, positive predictive value was found to be 61.8% and negative predictive value was found to be 100%.

CONCLUSION: In our study group, we found that emergency psychiatric consultation rate may decrease 36.5% thus will be cost effective and also decrease waiting time in emergency services. © 2022 by Türkiye Klinikleri.

Language: en

Keywords

Adult; human; suicide; Suicide; female; male; decision making; psychiatry; scoring system; suicide attempt; hospitalization; major clinical study; retrospective study; consultation; clinical article; emergency health service; sensitivity and specificity; scientific literature; Article; predictive value; Likert scale; Emergency services, psychiatric