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does not look like a picture of emergency psychiatric bed. Maybe an inpatient medicine bed. In the US typically patients in the psych ER are in either regular beds, or no beds at all. The stay is typically short. Many patient do not even have a bed, they may wait for 4-5 hours and be dischrged. I vote for removing the photo.
the treatment section is quite odd, part is irrelevant, such as the use of 'psych' medication is the general ER. Some is factually incorrect. Intrathecal (via spinal fluid) would never be used in the psych ER, for many reasons. Also the citations are 24 years old. I'll try to buff things up. —Preceding unsigned comment added by Expo512 ( talk • contribs) 08:01, 23 November 2007 (UTC)
Pharmacokinetics, while related to medications, probably should be discussed in depth elsewhere
any suggestions for improvement? Expo512 22:52, 18 October 2005 (UTC)
User:V. Molotov put a VfD on this article, then deleted it. You can't unilaterally delete a VfD, even if you added it. -- Rogerd 05:49, 20 October 2005 (UTC)
I rewrote the article today. Please feel free to include comments here, or make any changes. Thanks for the contributions thus far! Chupper 00:06, 16 July 2007 (UTC)
I note that the "Psi & Caduceus" image appears in the main Psychiatry article as well. However is it really a valid symbol for psychiatry? The caduceus is a symbol of commerce. Axl 08:50, 16 July 2007 (UTC)
The "Greek letter Psi" and the "Star of Life" are included on the page. Although I know the relevance of those symbols, there doesn't seem to be any explanation of them. Axl 09:16, 16 July 2007 (UTC)
This is a comprehensive article about the emergency psychiatry services. I have assigned "Good article" status. Axl 18:56, 16 July 2007 (UTC)
The article says 786,000 worldwide (based on a shaky source); this Medscape article references a book which indicates a million worldwide. [1] This article says the WHO estimates a million annual worldwide. [2] WHO data should be tracked down. SandyGeorgia ( Talk) 23:28, 11 August 2007 (UTC)
User:Outriggr requested a citation from the book Emergency Psychiatry edited by Randy Hillard and Brook Zitek. I'm providing a quotation from the book for the information he requested.
Initially he requested a citation for the sentence "In addition, having a high intelligence quotient, high aspirations, or insight into illnesses can also be risk factors for violence." I restored the APA reference for that sentence removed by User:Axl and rewrote the sentence. It now reads "Other risk factors for violence include a high intelligence quotient and having a vast knowledge of mental disorders." The following comes from Hillard, R. & Zitek, B. (2004). Emergency Psychiatry. New York: McGraw-Hill.
"General risk factors for violence in such patients include:
In addition, more specific risk factors include:
(Hillard & Zitek, 2004, p.77) —Preceding unsigned comment added by Chupper ( talk • contribs) 22:08, August 25, 2007 (UTC)
I initially started an article on Psychiatric Emergency Services (PES). I think that this is distinct subset of Emergency Psychiatry. PES is often a physical place where patients with mental health complaints are seen. Emergency psychiatry can be practiced in either a clinic specific to psychiatry or in a general medical emergency room. Maybe this article needs a subsection on PES? —Preceding unsigned comment added by Expo512 ( talk • contribs) 08:58, 23 November 2007 (UTC)
Hi Expo and thanks for your contributions. A subsection of this article already discusses PES. It is called "Delivery of emergency service". It, of course, could be updated. Chupper ( talk) 16:21, 23 November 2007 (UTC)
I think that the reference to psychosurgery and ECT should stay removed from the article. The citation is from 1983 (currently 24 years old) and being a text book, it is probally based inteh information from the 1970s. I would be interested in seeing what it says actually. Expo512 ( talk) 05:32, 24 November 2007 (UTC)
One could make an argument that ECT could be done urgently/ emergently, for example in the case of catatonia, but this in not really emergency psychiatry. ECT will involve an anesthesiologist, and likely admission to a hospital if it so very urgent. That would come more under the topic of inpatient psychiatry or general psychiatry.I think that the 1st four paragraphs of the article make it clear that the subject relates to treating people in crisis that immediately come in from the community, rather than all urgent psychiatric matters.
Expo512 (
talk) 05:43, 24 November 2007 (UTC)
Not to belabor the point but here is a quote from on of the references listed (#17):
"Psychosurgery and other intrusive and irreversible treatments for mental illness shall never be carried out on a patient who is an involuntary patient in a mental health facility and, to the extent that domestic law permits them to be carried out, they may be carried out on any other patient only where the patient has given informed consent and an independent external body has satisfied itself that there is genuine informed consent and that the treatment best serves the health needs of the patient. "
This is from Ireland. If treatment in em. psych services is short term 24-48 hours, no one is getting an independent external body to review the case. I'll leave in the ECT mention, but mentioning psychosurgery in relationship to PES is fairly off. Psychiatrist work in PES, they don't do surgery. Expo512 ( talk) 07:59, 24 November 2007 (UTC)
The wikipedia article on psychosurgery implies that is rarely done anymore and this referance:
http://neurosurgery.mgh.harvard.edu/Functional/psysurg.htm implies that one must carefully consider and review each case before a neurosurgeon will operate. Not psych emergency material
Expo512 (
talk) 08:35, 24 November 2007 (UTC)
One of the dramatic new changes to the delivery of emergency psychiatric services is through the use of telemedicine. I updated the "Delivery" section including a peer reviewed article on emergency psychiatric telemedicine....and the section was subsequently removed....any insight as to why? —Preceding unsigned comment added by Afishkind ( talk • contribs) 01:25, 12 January 2009 (UTC)
The detailed description of what emergency psychiatry teams to is great, but I think likely US-specific. Where I am in Canada there is very very limited telephone psychiatry at any point (as it is generally not covered by the provincial medical plan). Could some one put in more information from other countries? —Preceding
unsigned comment added by
128.189.206.23 (
talk) 22:52, 13 May 2009 (UTC)
As this article is almost entirely US based I'm wondering how this relates to what we have in the UK. We have acute crisis teams but also the PICU, psychiatric intensive care. Is this the same thing? Secretlondon ( talk) 20:59, 11 March 2016 (UTC)
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I'm not trying to be a censor, but is it really needed to have pictures of recreational drugs (weed, mushrooms, etc) on this page? Especially with no other caption than "psychoactive drugs" It has nothing to do with emergency psychiatry, other than intoxication being a risk for the crisis center. It just doesn't seem appropriate for the article. If nobody objects, I'll remove it. NimbleNavigator ( talk) 21:27, 18 January 2017 (UTC)
I changed the caption to "Illicit psychoactive drugs". My browser messed up, I didn't see it was next to "substance abuse and dependence". My apologies NimbleNavigator ( talk) 21:29, 18 January 2017 (UTC)
This is the
talk page for discussing improvements to the
Emergency psychiatry article. This is not a forum for general discussion of the article's subject. |
Article policies
|
Find medical sources: Source guidelines · PubMed · Cochrane · DOAJ · Gale · OpenMD · ScienceDirect · Springer · Trip · Wiley · TWL |
Emergency psychiatry was one of the Natural sciences good articles, but it has been removed from the list. There are suggestions below for improving the article to meet the good article criteria. Once these issues have been addressed, the article can be renominated. Editors may also seek a reassessment of the decision if they believe there was a mistake. | |||||||||||||||||||||||||
|
This article is rated B-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | |||||||||||||||||||||||||||||||||||||
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does not look like a picture of emergency psychiatric bed. Maybe an inpatient medicine bed. In the US typically patients in the psych ER are in either regular beds, or no beds at all. The stay is typically short. Many patient do not even have a bed, they may wait for 4-5 hours and be dischrged. I vote for removing the photo.
the treatment section is quite odd, part is irrelevant, such as the use of 'psych' medication is the general ER. Some is factually incorrect. Intrathecal (via spinal fluid) would never be used in the psych ER, for many reasons. Also the citations are 24 years old. I'll try to buff things up. —Preceding unsigned comment added by Expo512 ( talk • contribs) 08:01, 23 November 2007 (UTC)
Pharmacokinetics, while related to medications, probably should be discussed in depth elsewhere
any suggestions for improvement? Expo512 22:52, 18 October 2005 (UTC)
User:V. Molotov put a VfD on this article, then deleted it. You can't unilaterally delete a VfD, even if you added it. -- Rogerd 05:49, 20 October 2005 (UTC)
I rewrote the article today. Please feel free to include comments here, or make any changes. Thanks for the contributions thus far! Chupper 00:06, 16 July 2007 (UTC)
I note that the "Psi & Caduceus" image appears in the main Psychiatry article as well. However is it really a valid symbol for psychiatry? The caduceus is a symbol of commerce. Axl 08:50, 16 July 2007 (UTC)
The "Greek letter Psi" and the "Star of Life" are included on the page. Although I know the relevance of those symbols, there doesn't seem to be any explanation of them. Axl 09:16, 16 July 2007 (UTC)
This is a comprehensive article about the emergency psychiatry services. I have assigned "Good article" status. Axl 18:56, 16 July 2007 (UTC)
The article says 786,000 worldwide (based on a shaky source); this Medscape article references a book which indicates a million worldwide. [1] This article says the WHO estimates a million annual worldwide. [2] WHO data should be tracked down. SandyGeorgia ( Talk) 23:28, 11 August 2007 (UTC)
User:Outriggr requested a citation from the book Emergency Psychiatry edited by Randy Hillard and Brook Zitek. I'm providing a quotation from the book for the information he requested.
Initially he requested a citation for the sentence "In addition, having a high intelligence quotient, high aspirations, or insight into illnesses can also be risk factors for violence." I restored the APA reference for that sentence removed by User:Axl and rewrote the sentence. It now reads "Other risk factors for violence include a high intelligence quotient and having a vast knowledge of mental disorders." The following comes from Hillard, R. & Zitek, B. (2004). Emergency Psychiatry. New York: McGraw-Hill.
"General risk factors for violence in such patients include:
In addition, more specific risk factors include:
(Hillard & Zitek, 2004, p.77) —Preceding unsigned comment added by Chupper ( talk • contribs) 22:08, August 25, 2007 (UTC)
I initially started an article on Psychiatric Emergency Services (PES). I think that this is distinct subset of Emergency Psychiatry. PES is often a physical place where patients with mental health complaints are seen. Emergency psychiatry can be practiced in either a clinic specific to psychiatry or in a general medical emergency room. Maybe this article needs a subsection on PES? —Preceding unsigned comment added by Expo512 ( talk • contribs) 08:58, 23 November 2007 (UTC)
Hi Expo and thanks for your contributions. A subsection of this article already discusses PES. It is called "Delivery of emergency service". It, of course, could be updated. Chupper ( talk) 16:21, 23 November 2007 (UTC)
I think that the reference to psychosurgery and ECT should stay removed from the article. The citation is from 1983 (currently 24 years old) and being a text book, it is probally based inteh information from the 1970s. I would be interested in seeing what it says actually. Expo512 ( talk) 05:32, 24 November 2007 (UTC)
One could make an argument that ECT could be done urgently/ emergently, for example in the case of catatonia, but this in not really emergency psychiatry. ECT will involve an anesthesiologist, and likely admission to a hospital if it so very urgent. That would come more under the topic of inpatient psychiatry or general psychiatry.I think that the 1st four paragraphs of the article make it clear that the subject relates to treating people in crisis that immediately come in from the community, rather than all urgent psychiatric matters.
Expo512 (
talk) 05:43, 24 November 2007 (UTC)
Not to belabor the point but here is a quote from on of the references listed (#17):
"Psychosurgery and other intrusive and irreversible treatments for mental illness shall never be carried out on a patient who is an involuntary patient in a mental health facility and, to the extent that domestic law permits them to be carried out, they may be carried out on any other patient only where the patient has given informed consent and an independent external body has satisfied itself that there is genuine informed consent and that the treatment best serves the health needs of the patient. "
This is from Ireland. If treatment in em. psych services is short term 24-48 hours, no one is getting an independent external body to review the case. I'll leave in the ECT mention, but mentioning psychosurgery in relationship to PES is fairly off. Psychiatrist work in PES, they don't do surgery. Expo512 ( talk) 07:59, 24 November 2007 (UTC)
The wikipedia article on psychosurgery implies that is rarely done anymore and this referance:
http://neurosurgery.mgh.harvard.edu/Functional/psysurg.htm implies that one must carefully consider and review each case before a neurosurgeon will operate. Not psych emergency material
Expo512 (
talk) 08:35, 24 November 2007 (UTC)
One of the dramatic new changes to the delivery of emergency psychiatric services is through the use of telemedicine. I updated the "Delivery" section including a peer reviewed article on emergency psychiatric telemedicine....and the section was subsequently removed....any insight as to why? —Preceding unsigned comment added by Afishkind ( talk • contribs) 01:25, 12 January 2009 (UTC)
The detailed description of what emergency psychiatry teams to is great, but I think likely US-specific. Where I am in Canada there is very very limited telephone psychiatry at any point (as it is generally not covered by the provincial medical plan). Could some one put in more information from other countries? —Preceding
unsigned comment added by
128.189.206.23 (
talk) 22:52, 13 May 2009 (UTC)
As this article is almost entirely US based I'm wondering how this relates to what we have in the UK. We have acute crisis teams but also the PICU, psychiatric intensive care. Is this the same thing? Secretlondon ( talk) 20:59, 11 March 2016 (UTC)
Hello fellow Wikipedians,
I have just modified one external link on Emergency psychiatry. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes:
When you have finished reviewing my changes, please set the checked parameter below to true or failed to let others know (documentation at {{
Sourcecheck}}
).
This message was posted before February 2018.
After February 2018, "External links modified" talk page sections are no longer generated or monitored by InternetArchiveBot. No special action is required regarding these talk page notices, other than
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source check}}
(last update: 18 January 2022).
Cheers.— InternetArchiveBot ( Report bug) 14:14, 23 December 2016 (UTC)
I'm not trying to be a censor, but is it really needed to have pictures of recreational drugs (weed, mushrooms, etc) on this page? Especially with no other caption than "psychoactive drugs" It has nothing to do with emergency psychiatry, other than intoxication being a risk for the crisis center. It just doesn't seem appropriate for the article. If nobody objects, I'll remove it. NimbleNavigator ( talk) 21:27, 18 January 2017 (UTC)
I changed the caption to "Illicit psychoactive drugs". My browser messed up, I didn't see it was next to "substance abuse and dependence". My apologies NimbleNavigator ( talk) 21:29, 18 January 2017 (UTC)