Book contents
- Mental Health Research and Practice
- Mental Health Research and Practice
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Chemical and Behavioral Addictions
- Chapter 2 Nonsuicidal Self-Injury in Adolescents
- Chapter 3 Consultation-Liaison Psychiatry and Psychosomatics
- Chapter 4 Recent Developments in Cultural Psychiatry
- Chapter 5 New Perspectives in Eating Disorders
- Chapter 6 Emergency Psychiatry
- Chapter 7 How Can Forensic Psychiatry Contribute to Legal and Ethical Controversies in Society?
- Chapter 8 Diagnosis of Co-occurrent Mental Health Problems in Persons with Intellectual Disability, Major Communication and Insight Difficulties, and Stressor-Related Disorders
- Chapter 9 Attention Deficit Hyperactivity Disorder in Adults
- Chapter 10 Translational Neuroimaging in Psychiatry
- Chapter 11 Challenges in the Therapy of Psychiatric Disorders in the Elderly
- Chapter 12 Position-Taking
- Chapter 13 Physical Health of Patients with Schizophrenia
- Chapter 14 Evolving Concepts for the Assessment and Treatment of Schizophrenia
- Chapter 15 The Role of Rapid-Acting Antidepressants in Suicidal Crisis Management
- Chapter 16 Telemental Health Care
- Chapter 17 Development and Current Status of ICD-11 Mental, Behavioral, or Neurodevelopmental Disorders
- Chapter 18 Anxiety Disorders
- Chapter 19 Did We Lose Interest and Pleasure in the Concept of Major Depression?
- Chapter 20 Personality Disorders
- Index
- References
Chapter 6 - Emergency Psychiatry
Published online by Cambridge University Press: 01 February 2024
- Mental Health Research and Practice
- Mental Health Research and Practice
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Chemical and Behavioral Addictions
- Chapter 2 Nonsuicidal Self-Injury in Adolescents
- Chapter 3 Consultation-Liaison Psychiatry and Psychosomatics
- Chapter 4 Recent Developments in Cultural Psychiatry
- Chapter 5 New Perspectives in Eating Disorders
- Chapter 6 Emergency Psychiatry
- Chapter 7 How Can Forensic Psychiatry Contribute to Legal and Ethical Controversies in Society?
- Chapter 8 Diagnosis of Co-occurrent Mental Health Problems in Persons with Intellectual Disability, Major Communication and Insight Difficulties, and Stressor-Related Disorders
- Chapter 9 Attention Deficit Hyperactivity Disorder in Adults
- Chapter 10 Translational Neuroimaging in Psychiatry
- Chapter 11 Challenges in the Therapy of Psychiatric Disorders in the Elderly
- Chapter 12 Position-Taking
- Chapter 13 Physical Health of Patients with Schizophrenia
- Chapter 14 Evolving Concepts for the Assessment and Treatment of Schizophrenia
- Chapter 15 The Role of Rapid-Acting Antidepressants in Suicidal Crisis Management
- Chapter 16 Telemental Health Care
- Chapter 17 Development and Current Status of ICD-11 Mental, Behavioral, or Neurodevelopmental Disorders
- Chapter 18 Anxiety Disorders
- Chapter 19 Did We Lose Interest and Pleasure in the Concept of Major Depression?
- Chapter 20 Personality Disorders
- Index
- References
Summary
In recent decades, the definition of psychiatric emergencies (PEs) has changed. These differences derive from the radical reorganization of the treatment system, including psychiatric drugs, which in turn is closely connected with the shift of attention toward the patients’ environment and social inequalities, change of the psychiatric paradigm oriented toward a global management of the disorders, involvement of relatives and stakeholders and increasing awareness of the stigma of mental illness (even by professionals). Among the many differentiating factors of EPs, we must include the patients’ socioeconomic conditions, but also the different inequalities in the environment in which they live, including inequalities in access to care. EPs are also deeply related to the duration of untreated psychosis, whose average length in Western countries is 72 weeks. It seems essential to conduct a review of national legislations and deepen the debate on the medical, legal, and social concepts of dangerousness, in particular for compulsive admissions (CA) and to revise how to deal with these interventions often seen by patients as traumatic and useless. It is essential to keep in mind the warning on the overreliance in psychiatry and mental health education on the biomedical model which marginalizes social determinants.
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- Mental Health Research and PracticeFrom Evidence to Experience, pp. 89 - 103Publisher: Cambridge University PressPrint publication year: 2024