American emergency room wait times for psychiatric conditions from 2019 to 2021

Submitted: 12 June 2024
Accepted: 7 October 2024
Published: 14 October 2024
Abstract Views: 2749
PDF: 277
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Use of Emergency Departments (EDs) for psychiatric complaints has increased significantly in past decades. The onset of the COVID-19 pandemic saw large shifts in ED usage, with a relative increase in mental health complaints in EDs. This paper will investigate the difference in ED wait times for psychiatric and non-psychiatric complaints over this period. Utilized National Hospital Ambulatory Medical Care Survey (NHAMCS), from 2019 to 2021, for average wait times for psychiatric versus non-psychiatric complaints. Compared the average wait times for psychiatric complaints by region, triage status, and ICD-10 F code. There was no significant difference in the average wait times overall between these conditions (P = 0.57). People with schizophrenia or psychosis had a significantly higher wait time (P = 0.03) compared to mental health symptoms secondary to physiologic conditions. Northeastern American EDs also had prolonged wait times for psychiatric conditions (P < 0.01) Research into factors of prolonged wait times can advise quality improvements such as the implementation of evidence-based triage and workup tools, and directed psychiatric education.

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How to Cite

Monahan, Z., Mack, A., Place, A., Pierce, A., & Hartwell, M. (2024). American emergency room wait times for psychiatric conditions from 2019 to 2021. Emergency Care Journal, 20(4). https://doi.org/10.4081/ecj.2024.12719