Abstract:
AIMS:To define the demographic and clinical profile of individuals referred to an emergency mental health assessment team. To identify factors associated with being admitted to inpatient psychiatric services or not admitted following an emergency assessment. BACKGROUND:Crisis resolution and home treatment services are being developed across the UK, targeted towards people with severe mental health problems, who would otherwise require hospitalization. Further information about people presenting to an emergency mental health assessment service may clarify the skills that are required to deliver effective crisis resolution and home treatment services. METHOD:Over a six-month period referrals to, and admission decisions by, an emergency mental health assessment team were recorded. Measures used were the Health of the Nation Outcome Scale and the Crisis Triage Rating Scale. Age, sex and postcode data were recorded. Postcode data were used to identify the Townsend Deprivation Index for each individual. Reasons given for the referral were categorized. A preliminary descriptive analysis was performed for all people referred. The Demographic and clinical characteristics of referrals admitted and not admitted were then compared. A multivariate logistic regression was performed in order to investigate the possible impact of demographic and clinical characteristics on admission status. RESULTS:A total of 375 individuals were referred. Forty-eight (12.8%) were admitted. Higher referral rates were significantly associated with more deprived areas of the city. Referrers most frequently identified suicide risk as the reason for referral, followed by deterioration of an existing serious mental health problem. The mean Health of the Nation Outcome Scale score of all people referred was 10.5. Those admitted had a significantly greater mean Health of the Nation Outcome Scale score than those not admitted. The mean Crisis Triage Rating Scale score of all people referred was 11.0. Those admitted had a significantly lower (worse) mean Crisis Triage Rating Scale score than those not admitted. Individuals with lower Crisis Triage Rating Scale scores tended to have a higher (more deprived) Townsend index scores. Crisis Triage Rating Scale and Health of the Nation Outcome Scale scores were significantly negatively correlated. Conclusions. Crisis resolution and home treatments need to target areas of greatest deprivation. Social interventions will be important. Presentations related to suicide risk are likely to be common. The Crisis Triage Rating Scale may be a useful brief alternative to Health of the Nation Outcome Scale. RELEVANCE TO CLINICAL PRACTICE:This study highlights the valuable role of mental health nurses in frontline emergency mental health care in particular mental health nurses skills in conducting a risk assessment in an emergency.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Brooker C,Ricketts T,Bennett S,Lemme Fdoi
10.1111/j.1365-2702.2007.01302.xsubject
Has Abstractpub_date
2007-07-01 00:00:00pages
1313-22issue
7eissn
0962-1067issn
1365-2702pii
JCN1302journal_volume
16pub_type
杂志文章abstract:AIMS AND OBJECTIVES:To investigate the beliefs of recently bereaved people about death and to explore the implications of these beliefs for bereavement care. BACKGROUND:Little is known about recently bereaved people's beliefs about death, although there is evidence that these beliefs may have an impact on health. The ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12326
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Pressure ulcers are not a plague of modern man; they have been known to exist since ancient Egyptian times. However, despite the increasing expenditure on pressure ulcer prevention, pressure ulcers remain a major health care problem. Although nurses do not have the sole responsibility for pressure ulcer prev...
journal_title:Journal of clinical nursing
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更新日期:2004-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determinate the incidence, incidence rate and risk factors of pressure ulcers in critical care patients. BACKGROUND:Pressure ulcers represent one of the most frequent health problems in clinical practice. Specifically, critical patients who are hospitalised in intensive care units have a higher ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2010.03485.x
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abstract:AIMS AND OBJECTIVES:To examine the association between subthreshold depression and self-care behaviours in adults with type 2 diabetes (T2D) attending a tertiary healthcare service. BACKGROUND:Diabetes is a global public health problem. Self-care behaviours are a fundamental element in managing diabetes as adherence t...
journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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abstract:AIM:To compare the measurements of women's pelvic floor musculature strength (PFMS) during pregnancy and postpartum period. BACKGROUND:Pregnancy and childbirth can have an influence on the muscles and pelvic floor and can cause morbidities of women's genito-urinary tract. DESIGN:A prospective cohort study. METHODS:T...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03289.x
更新日期:2010-09-01 00:00:00
abstract:AIM:Using an integrated model of health literacy, we discuss the importance of health literacy among foreign domestic workers in the provision of informal caregiving during outbreaks of communicable diseases. COVID-19 pandemic is used as an example. BACKGROUND:Adequate health literacy in the population is known to be ...
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pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02095.x
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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journal_title:Journal of clinical nursing
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更新日期:2015-05-01 00:00:00
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更新日期:2009-10-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03364.x
更新日期:2011-03-01 00:00:00
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journal_title:Journal of clinical nursing
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更新日期:2016-11-01 00:00:00
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:1998-03-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2013-04-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
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更新日期:1999-09-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2019-05-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
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更新日期:2017-12-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2007-06-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2001-03-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2020-10-15 00:00:00