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Psychiatric Morbidity in an Accident and Emergency Department

Characteristics of Patients at Presentation and One Month Follow-up

Published online by Cambridge University Press:  03 January 2018

Paul M. Salkovskis ,
David Storer ,
Chris Atha  and
Hilary M. C. Warwick
Paul M. Salkovskis*
Affiliation:
University of Oxford Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
David Storer
Affiliation:
Department of Liaison Psychiatry, The General Infirmary at Leeds, Great George Street, Leeds
Chris Atha
Affiliation:
Department of Liaison Psychiatry, The General Infirmary at Leeds, Great George Street, Leeds
Hilary M. C. Warwick
Affiliation:
University of Oxford Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
*
∗Correspondence
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Abstract

In order to evaluate how many patients presenting at accident and emergency (A&E) departments show signs of psychiatric disturbance, 140 consecutive medical presentations to an A&E department were evaluated using a range of simple self-report and rater measures, then followed up a month later. High levels of reported psychological problems were detected at screening, and these persisted at follow-up. Correlates of psychological disturbance and repeated attendance at A&E were investigated, indicating the relevance and feasibility of psychiatric intervention related to simple predictors.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 156 , Issue 4 , April 1990 , pp. 483 - 487
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Atha, C., Pearce, M. J., Salkovskis, P. M., et al (1990a) Undetected psychiatric morbidity in accident and emergency departments (in preparation).Google Scholar
Atha, C., Salkovskis, P. M. & Storer, D. (1990b) A controlled trial of cognitive-behavioural treatment for psychosocial difficulties in patients attending a medical emergency department (submitted).Google Scholar
Aylard, P. R., Gooding, J. H., McKenna, P. J. et al (1987) A validation study of three anxiety and depression self-assessment scales. Journal of Psychosomatic Research, 31, 261–268.Google Scholar
Berrios, G. E. (1982) Psychiatric emergencies. Hospital Update, 8, 303–314.Google Scholar
Brown, G. W. & Harris, T. (1978) The Social Origins of Depression. London: Tavistock.Google Scholar
Dunn, J. & Fernando, R. (1989) Psychiatric presentations to an accident and emergency department. Psychiatric Bulletin, 13, 672–674.Google Scholar
Fulop, G. & Strain, J. J. (1986) Psychiatric emergencies in the general hospital. General Hospital Psychiatry, 8, 425–431.Google Scholar
Goldberg, D. P. & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.Google Scholar
Goldberg, D. P., Rickels, K., Downing, R. et al (1976) A comparison of two psychiatric screening tests. British Journal of Psychiatry, 129, 61–67.Google Scholar
Hawton, K. & Catalan, J. (1987) Attempted Suicide: a Practical Guide to its Nature and Management (2nd edn). Oxford: Oxford University Press.Google Scholar
Hawton, K. & Kirk, J. (1989) Problem solving. In Cognitive Behaviour Therapy for Psychiatric Problems (eds Hawton, K., Salkovskis, P., Kirk, J. et al). Oxford: Oxford University Press.Google Scholar
Mayou, R. A. & Hawton, K. (1986) Psychiatric disorder in the general hospital. British Journal of Psychiatry, 149, 172–190.Google Scholar
Olsson, M., Edhag, O. & Rosenqvist, U. (1986) Emergency care. Scandinavian Journal of Social Medicine, 14, 87–91.Google Scholar
Paykel, E. (1982) Life events and early environment. In Handbook of Affective Disorders (ed. Paykel, E.). Edinburgh: Churchill Livingstone.Google Scholar
Salkovskis, P. M., Atha, C. & Storer, D. (1990) Cognitive behavioural problem solving in the treatment of patients who repeatedly attempt suicide: a controlled trial. British Journal of Psychiatry (in press).Google Scholar
Stanley, B. & Gibson, A. (1986) The prevalence of chronic psychiatric morbidity. British Journal of Psychiatry, 146, 372–376.Google Scholar
Storer, D., Whitworth, R., Salkovskis, P. M., et al (1987) Community psychiatric nursing intervention in an accident and emergency department: a clinical pilot study. Journal of Advanced Nursing, 12, 215–222.Google Scholar
Warwick, H. M. C. & Salkovskis, P. M. (1985) Reassurance. British Medical Journal, 290, 1028.Google Scholar
Wright, R. I. (1986) Caring in Crisis London: Churchill Livingstone.Google Scholar
Zigmond, A. S. & Snaith, R. P. (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar
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