Cited by 77Psychiatric care and mental health servicesEmergency and Acute Care StudiesMental Health Treatment and Access

Subjective Experiences of Mental Health Crisis Care in Emergency Departments: A Narrative Review of the Qualitative Literature

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Roennfeldt, Helena, Wyder, Marianne, Byrne, Louise, Hill, Nicole, Randall, Rory, Hamilton, Bridget·2021·International Journal of Environmental Research and Public Health

Abstract

Mental health presentations to the emergency department (ED) have increased, and the emergency department has become the initial contact point for people in a mental health crisis. However, there is mounting evidence that the ED is not appropriate nor effective in responding to people in mental health crises. Insufficient attention has been paid to the subjective experience of people seeking support during a mental health crisis. This review aims to describe the qualitative literature involving the subjective experiences of people presenting to the ED during a mental health crisis. The method was guided by Arksey and O'Malley's framework for scoping studies and included keyword searches of PsycINFO, CINAHL, Medline and Embase. A narrative analysis, drawing on the visual tool of journey mapping, was applied to summarise the findings. Twenty-three studies were included. The findings represent the experience of accessing EDs, through to the impact of treatment. The review found points of opportunity that improve people's experiences and characteristics associated with negative experiences. The findings highlight the predominance and impact of negative experiences of the ED and the incongruence between the expectations of people presenting to the ED and the experience of treatment.

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Crossref · 10.3390/ijerph18189650

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  1. [21]McKenna B. Furness T. Maguire T. A Literature Review and Policy Analysis on the Practice of Restrictive Interventions State of Victoria Department of Health and Human Services Melbourne, Australia 2014

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Authors
Roennfeldt, H., Wyder, M., Byrne, L., Hill, N., Randall, R., & Hamilton, B.
Affiliations
  • The University of Melbourne (AU)
  • Griffith University (AU)
  • Yale University (US)
Corresponding author
Roennfeldt, Helena
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2021-09-13
Volume
18
Issue
18
Pages
9650
ISSN
1660-4601 (ISSN-L)
OpenAlex
W3199286636
Cited by
77
References
80
Citations by year
2026: 22 · 2025: 17 · 2024: 24 · 2023: 7 · 2022: 7
FWCI
1.26
Type
journal article
Language
en
Open access
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RMIT Research Repository (RMIT University Library) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by)
  • Griffith Research Online (submittedVersion, cc-by)
Funders
University of Melbourne
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
mental health crisis care, emergency department, subjective experience, patient experience, mental health presentations, crisis intervention, journey mapping, treatment expectations
MeSH terms
Emergency Service, Hospital, Humans, Mental Health

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