Aim: Knowing the psychiatric emergency profile will make the interventions more effective. In this study, we aimed to investigate the psychiatric consultations during the year 2015-2017.
Methods: Consultation requests were reviewed retrospectively via the patient registration system. Sociodemographic data such as age, gender, diagnosis of the main hospitalization in the emergency department, the symptom of admission and psychiatric diagnoses were obtained.
Results: The total number of patients asked for consultation between 2015-2017 was 392 (Male 159 (40.6%), Female 233 (59.4%)). The mean age of the whole group was 32.30±14.29 years. The mean age was similar over the years (p=0.469). The most common main diagnoses and conditions were anxiety disorder in 101 cases (25.8%), suicide attempt 98 cases (25.0%), schizophrenia 50 cases (12.8%); the most common symptoms of admission were agitation-aggression 142 cases (36.2%), anxiety 98 cases (25.0%), and suicide attempt-thought 86 patients (21.9%); the most common psychiatric diagnoses were anxiety disorder 88 cases (22.4%), schizophrenia 64 cases (16.3%) and depression 63 cases (16.1%). The nine cases in 2015, 23 cases in 2016, 54 cases in 2017 were admitted with the suicide attempt-thought. Of the 86 suicides, 50 (58.1%) were female and 36 (41.9%) were male.
Conclusion: This is the first study examining psychiatric consultation data of the emergency department of Adiyaman province. Considering that the anxiety and suicide attempt are the most common symptoms of admission and the anxiety disorder is the most common psychiatric diagnosis, in-service training of emergency service professionals should be increased.
Key words: Consultation, emergencies, anxiety, suicide
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