Review: Systematic review and metasynthesis of qualitative literature on young people's experiences of going to A&E/emergency departments for mental health support

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2023-10-12 DOI:10.1111/camh.12683

Gianna Cadorna, Norha Vera San Juan, Heather Staples, Sonia Johnson, Rebecca Appleton

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引用次数: 0

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.

Abstract Image

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综述：对有关年轻人前往急诊室寻求心理健康支持的经历的定性文献进行系统综述和荟萃综合。

背景：由于心理健康原因，包括自残，到急诊室就诊的儿童和年轻人有所增加。患者经常报告在急诊室寻求心理健康支持时体验不佳。然而，尚未对年轻人的经历进行审查。我们在这项研究中的目的是综合关于年轻人去急诊室寻求心理健康支持的经历的定性文献。方法：进行系统综述和荟萃分析。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：综合得出了四个总体主题：（a）急诊部门无法满足年轻人的心理健康需求，（b）急诊部门加剧了患者的痛苦，（c）患者觉得自己是负担或不值得治疗，以及（d）急诊部门糟糕经历的后果。结论：这些发现（基于仍然非常有限的文献）突出了急诊科在与自残年轻人接触方面的作用。为了正确地与患者接触，急诊科需要有资源提供富有同情心的护理，并遵循有关评估的临床指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.