Spanish experts consensus on emergency psychiatric care in hospital emergency departments

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• dc.contributor.author Gordillo Urbano, Rafael Manuel
• dc.contributor.author Crespo-Facorro, Benedicto
• dc.contributor.author Pérez Solá, Victor
• dc.contributor.author Cardoner, Narcís
• dc.contributor.author García Ligero, Elena
• dc.contributor.author Moreno, Carmen
• dc.contributor.author Ramos Quiroga, Josep Antoni
• dc.contributor.author Ruiz-Veguilla, Miguel
• dc.contributor.author Vázquez Vallejo, Mireia
• dc.contributor.author Prados-Ojeda, Juan Luis
• dc.contributor.author Spanish Expert Group in Emergency Psychiatric Care
• dc.date.accessioned 2025-03-27T06:45:59Z
• dc.date.available 2025-03-27T06:45:59Z
• dc.date.issued 2024
• dc.description.abstract Background: The demand for urgent psychiatric care is increasing, but in Spain there are no clear recommendations for emergency departments (ED) on how to optimize care for patients with psychiatric emergencies. We aimed to provide expert consensus recommendations on the requirements for general hospitals´ emergency departments to treat patients with urgent psychiatric symptoms. Methods: We used a modified Delphi technique. A scientific committee compiled 36 statements based on literature search and clinical experience. The statements covered the organizational model, facilities, staffing, safety, patient interventions, and staff training. A panel of 38 psychiatry specialists with expertise in psychiatric emergencies evaluated the questionnaire in two rounds. Results: After two rounds of voting, 30 out of 36 proposed items (83%) were agreed upon. The panel agreed that psychiatric emergencies should be managed in a general hospital, with dedicated facilities for patient assessment, direct supervision of patients at risk, and an observation unit run by the psychiatric service. In addition to the psychiatrist, the ED should have specialist nurses and security staff available 24/7. Social workers should also be readily available. ED and consulting rooms should be designed to ensure patient and staff safety. A triage system should be established for patients with psychiatric symptoms, with medical evaluation preceding psychiatric evaluation. Guidance on supplies, equipment, and staff training is also provided. Conclusion: All ED in general hospitals should have adequate resources to handle any psychiatric emergency. This paper provides recommendations on the minimum requirements to achieve this goal.
• dc.format.mimetype application/pdf
• dc.identifier.citation Gordillo-Urbano RM, Crespo-Facorro B, Pérez-Solá V, Cardoner N, García-Ligero E, Moreno C, et al. Spanish experts consensus on emergency psychiatric care in hospital emergency departments. BMC Psychiatry. 2024 Jul 4;24(1):489. DOI: 10.1186/s12888-024-05939-1
• dc.identifier.doi http://dx.doi.org/10.1186/s12888-024-05939-1
• dc.identifier.issn 1471-244X
• dc.identifier.uri http://hdl.handle.net/10230/70020
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof BMC Psychiatry. 2024 Jul 4;24(1):489
• dc.rights © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Consensus
• dc.subject.keyword Delphi technique
• dc.subject.keyword Emergency service
• dc.subject.keyword Emergency services
• dc.subject.keyword Hospital
• dc.subject.keyword Psychiatric
• dc.subject.keyword Quality Improvement
• dc.title Spanish experts consensus on emergency psychiatric care in hospital emergency departments
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion