Cited by 113Emergency and Acute Care StudiesPsychiatric care and mental health servicesEmergency Medicine Education and Research

Mental Health and Emergency Medicine: A Research Agenda

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Larkin, Gregory Luke, Beautrais, Annette L., Spirito, Anthony, Kirrane, Barbara M., Lippmann, Melanie J., Milzman, David P.·2009·Academic Emergency Medicine

Abstract

The burden of mental illness is profound and growing. Coupled with large gaps in extant psychiatric services, this mental health burden has often forced emergency departments (EDs) to become the de facto primary and acute care provider of mental health care in the United States. An expanded emergency medical and mental health research agenda is required to meet the need for improved education, screening, surveillance, and ED‐initiated interventions for mental health problems. As an increasing fraction of undiagnosed and untreated psychiatric patients passes through the revolving doors of U.S. EDs, the opportunities for improving the art and science of acute mental health care have never been greater. These opportunities span macroepidemiologic surveillance research to intervention studies with individual patients. Feasible screening, intervention, and referral programs for mental health patients presenting to general EDs are needed. Additional research is needed to improve the quality of care, including the attitudes, abilities, interests, and virtues of ED providers. Research that optimizes provider education and training can help academic settings validate psychosocial issues as core components and responsibilities of emergency medicine. Transdisciplinary research with federal partners and investigators in neuropsychiatry and related fields can improve the mechanistic understanding of acute mental health problems. To have lasting impact, however, advances in ED mental health care must be translated into real‐world policies and sustainable program enhancements to assure the uptake of best practices for ED screening, treatment, and management of mental disorders and psychosocial problems.

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  1. [40]Brown GK A review of suicide assessment measures for intervention research with adults and older adults Available at: http://sbisrvntweb.uqac.ca/archivage/15290520.pdf. Accessed Mar 19 2009
  2. [71]Boergers J Spirito A Follow-up Outcome of Adolescent Suicide Attempters 2003 Cambridge University Press London, UK

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Authors
Larkin, G. L., Beautrais, A. L., Spirito, A., Kirrane, B. M., Lippmann, M. J., & Milzman, D. P.
Affiliations
Georgetown University (US)
Corresponding author
Larkin, Gregory Luke
Venue
Academic Emergency Medicine
Publisher
Wiley
Published
2009-11
Volume
16
Issue
11
Pages
1110-1119
ISSN
  • 1069-6563 (ISSN-L)
  • 1553-2712
OpenAlex
W2065007135
Cited by
113
References
85
Citations by year
2026: 3 · 2025: 7 · 2024: 4 · 2023: 8 · 2022: 9 · 2021: 8 · 2020: 6 · 2019: 6 · 2018: 11 · 2017: 6 · 2016: 9 · 2015: 4 · 2014: 9 · 2013: 6 · 2012: 9
FWCI
5.97
Type
journal article
Language
en
Open access
Locations
  • Academic Emergency Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (K24MH001783)
Topics
  • Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Medicine › Emergency Medicine › Emergency Medicine Education and Research
Keywords
mental health screening, acute psychiatric care, mental health treatment gap, referral program, neuropsychiatry, research agenda, psychosocial problems
MeSH terms
Mental Disorders, Consensus Statements as Topic, Crisis Intervention, Emergency Service, Hospital, Health Services Research, Humans, Mental Health, Population Surveillance, Psychotherapy, Quality of Health Care, Referral and Consultation, United States, Comorbidity, Translational Research, Biomedical

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