Evidence map›Paper›PMID 37583264›Full record

ArticleAustralasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists2023

Patients languishing in emergency departments: A descriptive analysis of mental health-related emergency department presentations in Australia between 2016-17 and 2020-21.

Matthew Brazel, Stephen Allison, Tarun Bastiampillai, Stephen R Kisely, Jeffrey Cl Looi

Abstract read
In one paragraph

Article in Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Do older patients with mental health presentations stay in the emergency department longer than younger patients? - A retrospective study.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Exploring the lived experience of receiving mental health crisis care at emergency departments, crisis phone lines and crisis care alternatives.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Matthew BrazelAcademic Unit of Psychiatry and Addiction Medicine, School of Medicine and Psychology, The Australian National University, Canberra Hospital, Canberra, ACT, Australia.ORCID 0000-0002-5536-2530
Stephen AllisonConsortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; and.ORCID 0000-0002-9264-5310
Tarun BastiampillaiConsortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.ORCID 0000-0002-6931-2913
Stephen R KiselyConsortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.ORCID 0000-0003-4021-2924
Jeffrey Cl LooiAcademic Unit of Psychiatry and Addiction Medicine, School of Medicine and Psychology, The Australian National University, Canberra Hospital, Canberra, ACT, Australia; and.ORCID 0000-0003-3351-6911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn the context of concerns regarding hospital access block, this paper provides a descriptive longitudinal analysis of mental health-related ED episodes in Australian public hospitals between 2016-17 and 2020-21.

methodWe descriptively analysed Australian Institute of Health and Welfare data for mental health-related ED presentations, outcomes and 5-year trends for Australian public hospitals.

resultsThere were more than 300,000 Australian mental health-related ED presentations in 2020-21. Presentations increased by an average annual rate of 2.8% between 2016-17 and 2020-21, commonly involving first responder (police, paramedic) attendance. From 2016-17 to 2020-21, the average annual rate of mental health-related ED presentations receiving a triage category of resuscitation increased by 13.7%, emergency by 9.4% and urgent by 4.7%. 90% of MH-related ED presentations were completed within 14 h, which was longer than the 90

conclusionsCurrent mental health policies have not stemmed the rising tide of ED presentations. Mental health-related ED presentations are increasing in number and severity, likely due to health systemic and societal factors. Psychiatry patients stay longer in EDs than other patients. Healthcare reforms should be targeted to provide the best outcome based on principles of equity of access.

Indexed as

Emergency Service, HospitalMental HealthAustraliaHospitals, PublicHumansRetrospective StudiesTriageAustraliaemergency departmentmental healthoutcomesservices

Identifiers

PMID37583264
PMCPMC10566215

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.