The importance of rapid assessment tools in evaluating mental health in emergency departments among patients with chronic diseases.

Journal: Frontiers in public health

Volume: 12

Issue: 

Year of Publication: 2024

Affiliated Institutions:  Department of Emergency Medicine, Peerless Hospital and BK Roy Research Center, Kolkata, India. Department of Infectious Diseases, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States. Department of Internal Medicine, Employees State Insurance Corporation, Chennai, Tamil Nadu, India. Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States. Dubai Academic Health Corporation, Dubai, United Arab Emirates. BBA Hospital Management, George Group of Colleges, Kolkata, India. Clinical Pharmacology and Research, Peerless Hospital and BK Roy Research Center, Kolkata, India. Department of Orthopedics and Trauma, Peerless Hospital and BK Roy Research Center, Kolkata, India. Department of Public Health, Bharati Vidyapeeth Deemed University Medical College, Pune, India. National AIDS Research Center, University of Aberdeen, Aberdeen, Scotland, United Kingdom. Independent Practice, Dubai, United Arab Emirates.

Abstract summary 

Rapid screening tools such as the WHO well-being Index (WWBI), Six-item screener (SIS), and the CLOX-1 test can be used to assess overall mental health and cognition, respectively. We sought to evaluate mental health with cognition in individuals with chronic diseases and stable vital signs presenting to the Emergency Department (ED).An observational study in the ED with 279 participants was conducted.Chronic diseases were more prevalent among 51-70 years (43.4%) and diabetes was most common (58.8%). Fever (22.6%) and GI bleeding (32.6%) presentation were high. Participants with low WWBI had low SIS compared to the ones with higher scores (83.3% vs. 17.7%,  < 0.001) and also had low CLOX-1 compared to ones with high CLOX-1 (67.3% vs. 5%, <0.001). A positive correlation between WWBI with SIS (correlation coefficient = 0.305,  < 0.001) and CLOX-1 (0.441, <0.001). Regression analysis indicates a positive association between WWBI and the SIS (standardized regression coefficient = 0.187, 95%CI = 0.236-1.426, and  = 0.006) and CLOX 1 (0.338, 0.2-0.463, <0.001).In the ED, the evaluation of mental health even among cognitive impaired is feasible and crucial.

Authors & Co-authors:  Vallath Sivasubramanian Ravikumar Lalendran Krishnan Samanta Banerjee Das Kundu Richharia More Khithani Nazimudeen Gunturu Dasgupta

Study Outcome 

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Statistics
Citations :  Manwell LA, Barbic SP, Roberts K, Durisko Z, Lee C, Ware E, et al. . What is mental health? Evidence towards a new definition from a mixed methods multidisciplinary international survey. BMJ Open. (2015) 5:e007079. doi: 10.1136/bmjopen-2014-007079, PMID:
Authors :  15
Identifiers
Doi : 1258749
SSN : 2296-2565
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
CLOX-1;WHO well-being index;emergency department;mental health;six-item screener
Study Design
Study Approach
Country of Study
Publication Country
Switzerland