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Exploring the factors associated with non-urgent emergency department utilisation for mental health care
Fabrice I Mowbray1, Abeer E Omar2, Kathyrn Pfaff3
1PhD student, Department of Health Research Methods, Evidence, and Impact, McMaster University, Canada.
Background:
Emergency department visits for mental health care are on the rise across North America. Patients with mental illness are at an increased risk for frequent and non-urgent emergency department visitation.
Aims:
The purpose of this study was to examine the independent predictors of non-urgent emergency department use for mental health care.
Methods:
A secondary data analysis was conducted with archived data provided by the Erie St. Clair Local Health Integration Network in Ontario.
Results:
A total of 13,114 mental health-related emergency department visits were analysed using logistic regression with generalised estimating equations modelling. The findings suggest the following characteristics are predictive of non-urgent emergency department use for mental health care: age, season, time of day, access to primary health care, mode of arrival, hospital type, referral source and patient diagnosis.
Conclusions:
The findings of this study can be utilised to assist clinicians and policy makers in identifying and managing patients using the emergency department for non-urgent mental health care.
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