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Mental health emergency presentations across the Barwon South West region in Victoria, Australia: An epidemiological investigation.


ABSTRACT:

Objective

To examine mental health emergency presentations across the Barwon South West, Victoria, Australia - an area comprising a range of urban and rural localities.

Methods

This is a retrospective synthesis of mental health emergency presentations across the Barwon South West (1 February 2017-31 December 2019). De-identified data were obtained from individuals who presented to EDs and urgent care centres (UCCs) within the study region, who had a principal diagnosis of a Mental and Behavioural Disorder (codes F00-F99). Data were sourced from the Victorian Emergency Minimum Dataset and Rural Acute Hospital Database Register (RAHDaR). Age-standardised incident rates for mental health emergency presentations were calculated for the whole sample and for local government areas. Data on usual accommodation, arrival transport mode, referral source, patient disposition and length of ED/UCC stay were also obtained.

Results

We identified 11 613 mental health emergency presentations, with neurotic, stress-related and somatoform disorders (n = 3139, 27.0%) and mental and behavioural disorders due to psychoactive substance use (n = 3487, 30.0%) being the most frequent types of presentations recorded. The highest age-standardised incidence rates (mental health diagnosis per 1000 population/year) were in Glenelg (13.95), whereas Queenscliffe had the lowest incident rates (3.76). Most presentations (n = 3851, 33.2%) tended to occur for individuals aged between 15 and 29 years.

Conclusions

Neurotic, stress-related and somatoform disorders and mental and behavioural disorders due to psychoactive substance use were the most frequent types of presentations recorded across the sample. RAHDaR represented a small but meaningful contribution to the data.

SUBMITTER: Kavanagh BE 

PROVIDER: S-EPMC10947229 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Mental health emergency presentations across the Barwon South West region in Victoria, Australia: An epidemiological investigation.

Kavanagh Bianca E BE   Holloway-Kew Kara L KL   Baker Timothy T   Mohebbi Mohammedreza M   Pasco Julie A JA   Corney Kayla B KB   Kotowicz Mark A MA   Quirk Shae E SE   Williams Lana J LJ  

Emergency medicine Australasia : EMA 20230424 5


<h4>Objective</h4>To examine mental health emergency presentations across the Barwon South West, Victoria, Australia - an area comprising a range of urban and rural localities.<h4>Methods</h4>This is a retrospective synthesis of mental health emergency presentations across the Barwon South West (1 February 2017-31 December 2019). De-identified data were obtained from individuals who presented to EDs and urgent care centres (UCCs) within the study region, who had a principal diagnosis of a Mental  ...[more]

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