Understanding Psychological Distress and Therapeutic Environment in the Emergency Department
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age11+
SponsorNHS Fife
About this trial
This research aims to establish the number of patients coming to Emergency Departments (EDs) with issues relating to mental health, alcohol or drugs, or in some form of psychological distress, including those for whom this was not the main reason for attending ED. We will collect anonymous information on age, gender, ethnicity, when and how they came to the ED, where and how they are cared for whilst in the ED, and what happens to them afterwards. With this information we hope to build a better picture of these patients so we can go on to design and test ways to improve their care in the future.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Issues of mental health AND/OR
Issues of substance use AND/OR
Psychological distress (this refers to patients without an established mental health or substance use disorder who nonetheless present in a distressed state, where distress is not caused by a readily identifiable and treatable physical condition) AND/OR
Where the treating ED team feel the patient would benefit from some form of mental health or addictions assessment or intervention, whether carried out by ED staff, specialist services or third sector agencies.
Disqualifiers
Patients aged 10 and under.
Patients with distress caused by a physical condition, relieved by appropriate treatment.
Delirium, unless caused by a mental health- or substance-related disorder.
Patients with alcohol intoxication alone, without other evidence of harmful use of alcohol and without evidence of psychological distress.
Trial population
Patients presenting to the Emergency Department (ED) with issues of mental health, substance use or psychological distress, whether or not this was the primary reason for presentation.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Routine Care
BehavioralThis study involves no change in clinical care and no study specific interventions for participants.
Treatment groups
No treatment groups listed
Trial outcomes
Primary outcomes
1
Proportion fo ED attendance related to issues of mental health, substance use or psychological distress
Number of patients meeting eligibility criteria, expressed as a proportion of all ED attendances at each site during the study period.
Time frame
7 daysSecondary outcomes
1
Proportion of patients physically in ED who meet inclusion criteria at any one time
Proportion of patients physically in the ED who meet inclusion criteria at any given time over the 7-day study period.
Time frame
7 days2
Comparison with coding data
Proportion of total ED patients meeting inclusion criteria during the study period compared with coding data from a recent historical cohort at one site (NHS Fife).
Time frame
7 days3
Admission rate
Proportion of patients meeting inclusion criteria who are admitted to hospital on an informal basis, and proportion admitted under detention.
Time frame
7 days4
Length of stay
Mean, standard deviation (or nonparametric equivalents) and range of lengths of ED and hospital stay for patients meeting inclusion criteria.
Time frame
30 daysSponsors and contacts
Click on the lead sponsor to view all of their trials.
NHS Fife
Lead sponsor
Royal College of Emergency Medicine
Collaborator
Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: