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Usage of psychiatric emergency services by asylum seekers: Clinical implications based on a descriptive study in Denmark.

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Title: Usage of psychiatric emergency services by asylum seekers: Clinical implications based on a descriptive study in Denmark.
Authors: Reko, Amra (AUTHOR), Bech, Per (AUTHOR), Wohlert, Cathrine (AUTHOR), Noerregaard, Christian (AUTHOR), Csillag, Claudio (AUTHOR)
Source: Nordic Journal of Psychiatry. Nov2015, Vol. 69 Issue 8, p587-593. 7p.
Subjects: Emergency medical services, Political refugees, Psychiatric emergencies, Mental health, Social conditions in Denmark
Abstract: Background: Asylum seekers are found to be at high risk of mental health problems. Little is known about the use of acute psychiatric emergency services by asylum seekers. Aim: To describe the usage of an inpatient/outpatient psychiatric emergency service in Denmark by adult asylum seekers, and discuss clinical implications. Method: This descriptive study is based on retrospective data collected from patient charts during a 3-month period. Results: A total of 31 evaluations were made (3.3% of all evaluations), based on 23 asylum seekers. Patients originated from 16 different countries, were predominantly male and married. The group consisted primarily (61%) of failed asylum seekers. Most patients (81%) presented with relevant mental health problems. The main reasons for presenting to the acute psychiatric emergency service were suicidal ideation and/or behaviour (60%). The most frequent diagnosis given at the initial evaluation was ICD-10 F43.9 "reaction to severe stress, unspecified" (50%). Evaluations were made primarily by non-psychiatrists. No standardized screening or diagnostic instrument was used. Conclusion: This first description of the use of an acute psychiatric emergency service by asylum seekers in Denmark shows some of the acute mental health needs asylum seekers present with. The findings of high levels of suicidal ideation and possible diagnostic difficulties are discussed, as well as possible improvements of the referral and psychiatric evaluation processes. [ABSTRACT FROM AUTHOR]
Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Usage of psychiatric emergency services by asylum seekers: Clinical implications based on a descriptive study in Denmark.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Reko%2C+Amra%22">Reko, Amra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bech%2C+Per%22">Bech, Per</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wohlert%2C+Cathrine%22">Wohlert, Cathrine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Noerregaard%2C+Christian%22">Noerregaard, Christian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Csillag%2C+Claudio%22">Csillag, Claudio</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Nordic+Journal+of+Psychiatry%22">Nordic Journal of Psychiatry</searchLink>. Nov2015, Vol. 69 Issue 8, p587-593. 7p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Emergency+medical+services%22">Emergency medical services</searchLink><br /><searchLink fieldCode="DE" term="%22Political+refugees%22">Political refugees</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+emergencies%22">Psychiatric emergencies</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Social+conditions+in+Denmark%22">Social conditions in Denmark</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Asylum seekers are found to be at high risk of mental health problems. Little is known about the use of acute psychiatric emergency services by asylum seekers. Aim: To describe the usage of an inpatient/outpatient psychiatric emergency service in Denmark by adult asylum seekers, and discuss clinical implications. Method: This descriptive study is based on retrospective data collected from patient charts during a 3-month period. Results: A total of 31 evaluations were made (3.3% of all evaluations), based on 23 asylum seekers. Patients originated from 16 different countries, were predominantly male and married. The group consisted primarily (61%) of failed asylum seekers. Most patients (81%) presented with relevant mental health problems. The main reasons for presenting to the acute psychiatric emergency service were suicidal ideation and/or behaviour (60%). The most frequent diagnosis given at the initial evaluation was ICD-10 F43.9 "reaction to severe stress, unspecified" (50%). Evaluations were made primarily by non-psychiatrists. No standardized screening or diagnostic instrument was used. Conclusion: This first description of the use of an acute psychiatric emergency service by asylum seekers in Denmark shows some of the acute mental health needs asylum seekers present with. The findings of high levels of suicidal ideation and possible diagnostic difficulties are discussed, as well as possible improvements of the referral and psychiatric evaluation processes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=116272238
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        Value: 10.3109/08039488.2015.1019923
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        Text: English
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        Type: general
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      – SubjectFull: Psychiatric emergencies
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      – SubjectFull: Social conditions in Denmark
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              Text: Nov2015
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