Authors: Susan Elizabeth Dorrian, Sarah Jones / Editor: Lou Mitchell / Reviewer: Rebecca Ford / Code: A5, CC4, CC6 / Published: 09/04/2021
After completing this session you will be able to:
- Describe a safe environment for assessing disturbed or psychiatric patients in the emergency department
- Interpret a psychiatric history and mental state examination to give an initial diagnosis and risk assessment
- Plan the initial management of psychiatric patients in the emergency department
- Differentiate between organic and non-organic causes for altered behaviour and thinking
- Evaluate the features in a patient, which may compromise safety in the emergency department
References:
- NHS Digital, Hospital Accident and Emergency Activity, 2017-18
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- Royal College of Psychiatry Safety for trainees in psychiatry. Oct 1999.
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- NICE. Violence and aggression. NICE [guideline NG10]. 2015.
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- GMC guidance on confidentiality.
- NICE. Clincal guideline 16: Self-harm.
- Broadbent M, Berk M. Improving competence in emergency mental health triage. Accident and Emergency Nursing Jul 2002;10(3):155 162.
- Beck AT, Kovacs M. Hopelessness and suicidal behaviour: an overview JAMA 234;(11):1146 1149.
- Hodkinson HM. Evaluation of a mental test score for assessment of mental impairment in the elderly. Age and Ageing 1972;1:233 238.
- Henneman PL, Mendoza R, Lewis RJ. Prospective evaluation of emergency department medical clearance. Ann Emerg med 1994;24:672.
- Frame DS Kercher EE. Acute psychosis: functional vs. organic. Emerg Med Clin North Am 1991;9:123.
- Safety first: Five year report of the national confidential inquiry into suicide and homicide by people with mental illness 1999.
- RCEM Mental Health in the ED Clinical Audit 2014-15
- RCEM Mental Health in Emergency Departments: A toolkit for improving care