Presentation Information
[P-8-03]Analysis of Patient Profile in the Psychiatric Emergency Department of a Public Specialized Hospital Over the Past Decade
*JenChin Lee1,2, ChiaHsiang Chan3 (1.Director, Emergent and Intensive Care Psychatric Medicine, Taoyuan Psychiatric Center(Taiwan), 2.Attending Physician, General Psychiatric Department, Taoyuan Psychiatric Center(Taiwan), 3.Director, General Psychiatric Department, Taoyuan Psychiatric Center(Taiwan))
Keywords:
psychiatric emergency,public psychiatric hospital,psychiatric policy
Background: Psychiatric emergency departments (ED) play a crucial role in addressing acute mental health crises. This study aims to analyze the demographic and clinical characteristics of psychiatric patients presenting to a specialized ED in a public psychiatric hospital over the past eight years.
Methods: Retrospective data from 24,248 psychiatric ED visits between 2015 to 2022 were analyzed. Variables included gender, age, diagnosis, observation time, transfer rate to inpatient wards, and outcomes.
Results: The annual visitings increased by 37.11%, from 2,724 in 2015 to 3,735 in 2022. The male-to-female ratio shifted from 1.15:1 to 0.95:1, with more female patients since 2020. Average age declined from 43.26 to 40.16, indicating a younger trend, particularly among females. Schizophrenia remained the most common diagnosis but declined to 15% by late 2022. ED-to-inpatient transfer rates dropped from over 50% to 42.73%. Observation beyond 48 hours decreased to <1.5%, and average stay reduced from over 28 to under 9 hours.
Conclusions: The psychiatric ED has become increasingly utilized by a younger and more diverse patient population. Systematic reforms have led to more efficient care delivery. These findings underscore the need for further research to guide policy and enhance psychiatric emergency services.
Methods: Retrospective data from 24,248 psychiatric ED visits between 2015 to 2022 were analyzed. Variables included gender, age, diagnosis, observation time, transfer rate to inpatient wards, and outcomes.
Results: The annual visitings increased by 37.11%, from 2,724 in 2015 to 3,735 in 2022. The male-to-female ratio shifted from 1.15:1 to 0.95:1, with more female patients since 2020. Average age declined from 43.26 to 40.16, indicating a younger trend, particularly among females. Schizophrenia remained the most common diagnosis but declined to 15% by late 2022. ED-to-inpatient transfer rates dropped from over 50% to 42.73%. Observation beyond 48 hours decreased to <1.5%, and average stay reduced from over 28 to under 9 hours.
Conclusions: The psychiatric ED has become increasingly utilized by a younger and more diverse patient population. Systematic reforms have led to more efficient care delivery. These findings underscore the need for further research to guide policy and enhance psychiatric emergency services.