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Open AccessArticle
Emergency Department Use among Patients with Mental Health Problems: Profiles, Correlates, and Outcomes
by
Marie-Josée Fleury
Marie-Josée Fleury 1,2,*
,
Zhirong Cao
Zhirong Cao 2 and
Guy Grenier
Guy Grenier 2
1
Department of Psychiatry, McGill University, Montreal, QC H3A 1A1, Canada
2
Douglas Hospital Research Centre, Montreal, QC H4H 1R3, Canada
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2024, 21(7), 864; https://doi.org/10.3390/ijerph21070864 (registering DOI)
Submission received: 6 June 2024
/
Revised: 28 June 2024
/
Accepted: 29 June 2024
/
Published: 30 June 2024
Abstract
Patients with mental health (MH) problems are known to use emergency departments (EDs) frequently. This study identified profiles of ED users and associated these profiles with patient characteristics and outpatient service use, and with subsequent adverse outcomes. A 5-year cohort of 11,682 ED users was investigated (2012–2017), using Quebec (Canada) administrative databases. ED user profiles were identified through latent class analysis, and multinomial logistic regression used to associate patients’ characteristics and their outpatient service use. Cox regressions were conducted to assess adverse outcomes 12 months after the last ED use. Four ED user profiles were identified: “Patients mostly using EDs for accessing MH services” (Profile 1, incident MDs); “Repeat ED users” (Profile 2); “High ED users” (Profile 3); “Very high and recurrent high ED users” (Profile 4). Profile 4 and 3 patients exhibited the highest ED use along with severe conditions yet received the most outpatient care. The risk of hospitalization and death was higher in these profiles. Their frequent ED use and adverse outcomes might stem from unmet needs and suboptimal care. Assertive community treatments and intensive case management could be recommended for Profiles 4 and 3, and more extensive team-based GP care for Profiles 2 and 1.
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MDPI and ACS Style
Fleury, M.-J.; Cao, Z.; Grenier, G.
Emergency Department Use among Patients with Mental Health Problems: Profiles, Correlates, and Outcomes. Int. J. Environ. Res. Public Health 2024, 21, 864.
https://doi.org/10.3390/ijerph21070864
AMA Style
Fleury M-J, Cao Z, Grenier G.
Emergency Department Use among Patients with Mental Health Problems: Profiles, Correlates, and Outcomes. International Journal of Environmental Research and Public Health. 2024; 21(7):864.
https://doi.org/10.3390/ijerph21070864
Chicago/Turabian Style
Fleury, Marie-Josée, Zhirong Cao, and Guy Grenier.
2024. "Emergency Department Use among Patients with Mental Health Problems: Profiles, Correlates, and Outcomes" International Journal of Environmental Research and Public Health 21, no. 7: 864.
https://doi.org/10.3390/ijerph21070864
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