%0 Journal Article
%T Adult frequent presentation to emergency departments and adverse childhood  experiences: a scoping review
%J Australasian emergency care
%D 2020
%A Binnie, Vicki
%A Le Brocque, Robyne
%A Jessup, Melanie
%A Johnston, Amy N. B.
%V ePub
%N ePub
%P ePub-ePub
%X BACKGROUND: Extensive literature reports the influence of childhood adversity on  adult health, however few studies have explored these life antecedents in people who  frequently present to the emergency department. This review synthesizes literature  exploring childhood adversity influences on emergency department presentations, if  and how it is identified, and interventions addressing the health care needs of this  group. <br><br>METHODS: Eight electronic databases were searched. Arksey and O'Malley's  framework guided this review, and a quality appraisal was undertaken. Searches  included all published studies until August 2020. <br><br>RESULTS: Twenty-one articles were  included in this review. They revealed that childhood adversity is common among  adults who frequently attend the emergency department. It impacts physical and  psychological health into adulthood and there is no standardized approach described  to documenting childhood adversity, nor any consistent intervention reported by  emergency departments to address its sequelae in adulthood. <br><br>CONCLUSIONS: Several  studies call for screening, intervention, and education to identify and address  impacts of childhood adversity for patients who frequently present to the emergency  department. However, reliable high-level studies exploring these topics specific to  the emergency department are uncommon. Consequently, definitive interventions to  address the healthcare needs of this group is lacking and warrants further research.<p /> <p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 2589-1375
%U http://dx.doi.org/10.1016/j.auec.2020.11.002