The burden of behavioral emergencies: need for specialist emergency services.
Behavioral emergencies constitute an important component of medical emergencies. Psychiatric emergency services, which handle the bulk of behavioral emergencies, are inadequate to meet the burden. Strategies to deal with them are also hampered by the lack of adequate research and availability of data. Since behavioral emergencies may present differently in different groups, requiring differing management, consensus guidelines need to be arrived at for tackling behavioral emergencies. In addition, training professionals for psychiatric emergency services should form a part and parcel of emergency management services.
Vibha
Pandey
P
Division of Clinical Research, Emergency Management and Research Institute, Devar Yemzal, Medchal Road, Hyderabad 500014, India.
Saddichha
Sahoo
S
D003419:Crisis Intervention; D004637:Emergency Services, Psychiatric / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D011570:Psychiatry / Q000193:education
Obstet Gynecol. 1994 Sep;84(3):323-8
8058224
Psychiatr Serv. 1999 Dec;50(12):1553-4
10577870
Ann Emerg Med. 2002 Nov;40(5):476-84
12399790
Hosp Community Psychiatry. 1991 Aug;42(8):802-7
1680098
Intern Emerg Med. 2007 Jun;2(2):116-8
17619834
Psychiatr Serv. 2000 Jun;51(6):717-9
10828101
J Public Health (Oxf). 2008 Dec;30(4):487-93
18400696
Am J Public Health. 2000 Apr;90(4):553-9
10754969
Med J Armed Forces India. 2004 Jan;60(1):59-62
27407580
Pediatr Emerg Care. 2002 Aug;18(4):268-70
12187132
Psychiatr Serv. 2004 Jun;55(6):639-40, 642
15175458
Can J Psychiatry. 2004 May;49(5):suppl 1-6
15198475
Intern Emerg Med. 2008 Sep;3(3):245-9
18421427
Trop Med Int Health. 2006 Oct;11(10):1553-6
17002729
Pediatrics. 2002 Oct;110(4):e40
12359813
Psychiatr Serv. 2003 Dec;54(12):1590-1, 1594
14645795
PLoS Med. 2006 Feb;3(2):e18
16354108
Psychiatr Serv. 2002 Oct;53(10):1266-71
12364674
Child Adolesc Psychiatr Clin N Am. 2003 Oct;12(4):599-611
14579641
J Ment Health Adm. 1993 Fall;20(3):208-11
10131296
Arch Suicide Res. 2010;14(1):56-65
20112144
Arch Gen Psychiatry. 1998 Jul;55(7):626-32
9672053
Int J Health Serv. 1995;25(1):43-64
7729966
Psychiatr Serv. 1997 Mar;48(3):321-5
9057233
J Geriatr Psychiatry Neurol. 1999 Summer;12(2):60-6
10483926
J Womens Health (Larchmt). 2006 May;15(4):352-68
16724884
Indian J Psychiatry. 2009 Jul-Sep;51(3):169-70
19881042
Can J Psychiatry. 2008 Feb;53(2):85-93
18357926