PDF(Pubmed)
Abstract：
Engagement with secondary mental health services after an emergency department presentation with suicidal behaviours may be an important strategy for reducing the risk of repeat attempts. Our aim was to examine secondary mental health service contact following a presentation to emergency department with suicidal behaviours.
A systematic review of papers published between 2000 and 2020 was undertaken. This identified 56 papers relating to 47 primary studies. Data were extracted and summarised separately by age group: (1) young people, (2) older adults and (3) adults and studies with participants of \'all ages\'.
Studies in young people (n = 13) showed, on average, 44.8% were referred and 33.7% had contact with secondary mental health services within 4 weeks of emergency department discharge. In comparison, in adult/all ages studies (n = 34), on average, 27.1% were referred to and 26.2% had mental health service contact within 4 weeks. Only three studies presented data on contact with mental health services for older adults, and proportions ranged from 49.0% to 86.0%.
This review highlights poor utilisation of secondary mental health service following emergency department presentation for suicidal behaviours, and further research is needed to identify the reasons for this. Crucially, this information could assist in the allocation of resources to facilitate the timely implementation of suicide prevention services.
A systematic review of papers published between 2000 and 2020 was undertaken. This identified 56 papers relating to 47 primary studies. Data were extracted and summarised separately by age group: (1) young people, (2) older adults and (3) adults and studies with participants of \'all ages\'.
Studies in young people (n = 13) showed, on average, 44.8% were referred and 33.7% had contact with secondary mental health services within 4 weeks of emergency department discharge. In comparison, in adult/all ages studies (n = 34), on average, 27.1% were referred to and 26.2% had mental health service contact within 4 weeks. Only three studies presented data on contact with mental health services for older adults, and proportions ranged from 49.0% to 86.0%.
This review highlights poor utilisation of secondary mental health service following emergency department presentation for suicidal behaviours, and further research is needed to identify the reasons for this. Crucially, this information could assist in the allocation of resources to facilitate the timely implementation of suicide prevention services.
摘要：
在急诊科出现自杀行为后，参与二级精神卫生服务可能是降低重复尝试风险的重要策略。我们的目的是在向急诊科介绍自杀行为后，检查二级精神卫生服务联系。
■对2000年至2020年间发表的论文进行了系统的审查。这确定了56篇论文，涉及47项主要研究。数据分别按年龄组提取和汇总：(1)年轻人，（2）老年人和（3）成年人以及与“所有年龄段”的参与者进行的研究。
■对年轻人（n=13）的研究表明，平均而言,在急诊科出院后4周内，有44.8％的人被转诊，有33.7％的人与二级精神卫生服务机构接触。相比之下,在成人/所有年龄段的研究（n=34），平均而言,27.1%的人被转诊，26.2%的人在4周内有精神卫生服务联系。只有三项研究提供了有关老年人与心理健康服务联系的数据，比例为49.0%至86.0%。
■本综述强调了在急诊科介绍自杀行为后，二级精神卫生服务的利用率低，需要进一步的研究来确定原因。至关重要的是，这些信息可以帮助分配资源，以促进及时实施自杀预防服务。
■对2000年至2020年间发表的论文进行了系统的审查。这确定了56篇论文，涉及47项主要研究。数据分别按年龄组提取和汇总：(1)年轻人，（2）老年人和（3）成年人以及与“所有年龄段”的参与者进行的研究。
■对年轻人（n=13）的研究表明，平均而言,在急诊科出院后4周内，有44.8％的人被转诊，有33.7％的人与二级精神卫生服务机构接触。相比之下,在成人/所有年龄段的研究（n=34），平均而言,27.1%的人被转诊，26.2%的人在4周内有精神卫生服务联系。只有三项研究提供了有关老年人与心理健康服务联系的数据，比例为49.0%至86.0%。
■本综述强调了在急诊科介绍自杀行为后，二级精神卫生服务的利用率低，需要进一步的研究来确定原因。至关重要的是，这些信息可以帮助分配资源，以促进及时实施自杀预防服务。
