Abstract：
BACKGROUND: There has been an increase in children and young people attending emergency departments for mental health reasons, including self-harm. Patients often report having poor experiences when attending emergency departments for mental health support. However, there has yet to be a review exploring the experiences of young people. Our aim in this study was to synthesise qualitative literature on young people\'s experiences of going to emergency departments for mental health support.
METHODS: A systematic review and metasynthesis were conducted. Five databases and grey literature were searched for relevant studies. Five articles met study criteria and were analysed using an iterative process of thematic synthesis.
RESULTS: The synthesis yielded four overarching themes: (a) emergency departments\' inability to meet the mental health needs of young people, (b) emergency departments exacerbating patient distress, (c) patients feeling like a burden or undeserving of treatment and (d) consequences of poor emergency department experiences.
CONCLUSIONS: These findings (based on a still very limited literature) highlight the role that emergency departments have in relation to being a key point of contact with young people who self-harm. To properly engage with patients, emergency departments need to have the resources to provide compassionate care and follow clinical guidelines regarding assessments.
METHODS: A systematic review and metasynthesis were conducted. Five databases and grey literature were searched for relevant studies. Five articles met study criteria and were analysed using an iterative process of thematic synthesis.
RESULTS: The synthesis yielded four overarching themes: (a) emergency departments\' inability to meet the mental health needs of young people, (b) emergency departments exacerbating patient distress, (c) patients feeling like a burden or undeserving of treatment and (d) consequences of poor emergency department experiences.
CONCLUSIONS: These findings (based on a still very limited literature) highlight the role that emergency departments have in relation to being a key point of contact with young people who self-harm. To properly engage with patients, emergency departments need to have the resources to provide compassionate care and follow clinical guidelines regarding assessments.
摘要：
背景：由于心理健康原因，在急诊科就诊的儿童和年轻人有所增加，包括自我伤害。患者经常报告在去急诊科寻求心理健康支持时经历不佳。然而,尚未有一项探讨年轻人经历的审查。我们在这项研究中的目的是综合有关年轻人去急诊科寻求心理健康支持的经历的定性文献。
方法：进行了系统综述和综合分析。检索了五个数据库和灰色文献进行相关研究。五篇文章符合研究标准，并使用主题综合的迭代过程进行了分析。
结果：综合得出四个总体主题：（a）急诊科无法满足年轻人的心理健康需求，(b)急诊科加剧病人的痛苦，（c）患者感到负担或不值得治疗，以及（d）急诊科经历不佳的后果。
结论：这些发现（基于仍然非常有限的文献）强调了急诊科在与自我伤害的年轻人接触方面的作用。为了正确地与病人接触，急诊科需要有足够的资源来提供富有同情心的护理，并遵循有关评估的临床指南。
方法：进行了系统综述和综合分析。检索了五个数据库和灰色文献进行相关研究。五篇文章符合研究标准，并使用主题综合的迭代过程进行了分析。
结果：综合得出四个总体主题：（a）急诊科无法满足年轻人的心理健康需求，(b)急诊科加剧病人的痛苦，（c）患者感到负担或不值得治疗，以及（d）急诊科经历不佳的后果。
结论：这些发现（基于仍然非常有限的文献）强调了急诊科在与自我伤害的年轻人接触方面的作用。为了正确地与病人接触，急诊科需要有足够的资源来提供富有同情心的护理，并遵循有关评估的临床指南。
