The management of adult psychiatric emergencies in low-income and middle-income countries: a systematic review.
Journal: The lancet. Psychiatry
Volume: 2
Issue: 6
Year of Publication: 2017
Affiliated Institutions:
London School of Hygiene & Tropical Medicine, London, UK; Sangath, Porvorim, Goa, India.
Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, UK; Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
London School of Hygiene & Tropical Medicine, London, UK.
Social Medicine Institute, University of Rio de Janeiro, Rio de Janeiro, Brazil.
Mental Health School of Rio de Janeiro, Philippe Pinel Institute, Brazil.
Medical Sciences School, University of Rio de Janeiro State, Brazil.
Centre for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi, India.
MRC/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda.
Schizophrenia Research Foundation, Chennai, India.
London School of Hygiene & Tropical Medicine, London, UK; Sangath, Porvorim, Goa, India; Centre for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi, India. Electronic address: vikram.patel@lshtm.ac.uk.
Abstract summary
The aim of this Review is to identify effective interventions and treatment guidelines to manage common types of psychiatric emergencies in non-specialist settings in low-income and middle-income countries. Mental health specialist services in low-income and middle-income countries are scarce. We did a systematic review of interventions for psychiatric emergencies and a literature search for low-income and middle-income-specific treatment guidelines for psychiatric emergencies. A dearth of high-quality guidelines and contextualised primary evidence for management of psychiatric emergencies in low-income and middle-income countries exists. Filling these gaps in present guidelines needs to be an urgent research priority in view of the adverse health and social consequences of such presentations and the present drive to scale up mental health care.
Authors & Co-authors:
Nadkarni Abhijit A
Hanlon Charlotte C
Bhatia Urvita U
Fuhr Daniela D
Ragoni Celina C
de Azevedo Perocco Sérgio Luiz SL
Fortes Sandra S
Shidhaye Rahul R
Kinyanda Eugene E
Rangaswamy Thara T
Patel Vikram V
Study Outcome
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