Subjective Experiences of Mental Health Crisis Care in Emergency Departments: A Narrative Review of the Qualitative Literature
Open accessAbstract
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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- 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)
- PMC
- PMC8471743
- 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
- gold
- doi.org
- Licence
- 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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