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Published (Version of record)CC BY-NC V4.0, Open Access
Published (Version of record)CC BY-NC V4.0, Open
Journal article
Defining the concept of mental dysregulation in patients requiring ambulance and/or emergency department care: protocol for a Delphi consensus study
BMJ open, Vol.14(1), pp.1-7
23/01/2024
PMID: 38262647
Appears in Recent Faculty of Health Publications
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Abstract
Introduction: From the patient and staff perspective, care delivery for patients experiencing a mental health problem in ambulance and emergency department (ED) settings is challenging. There is no uniform and internationally accepted concept to reflect people with a mental health problem who require emergency care, be it for, or as a result of, a mental health or physical health problem. On initial presentation to the emergency service provider (ambulance or ED), the cause of their healthcare condition/s (mental health and/or physical health) is often initially unknown. Due to this (1) the prevalence and range of underlying causes (mental and/or physical) of the patients presenting condition is unknown; (2) misattribution of physical symptoms to a mental health problem can occur and (3) diagnosis and treatment of the initial somatic complaint and cause(s) of the mental/physical health problem may be hindered. This study will name and define a new concept: ‘mental dysregulation’ in the context of ambulance and ED settings.
Methods and analysis: A Delphi study, informed by a rapid literature review, will be undertaken. For the literature review, a steering group (ie, persons with lived experience, ED and mental health clinicians, academics) will systematically search the literature to provide a working definition of the concept: mental dysregulation. Based on this review, statements will be generated regarding (1) the definition of the concept; (2) possible causes of mental dysregulation and (3) observable behaviours associated with mental dysregulation. These statements will be rated in three Delphi rounds to achieve consensus by an international expert panel (comprising persons with lived experience, clinicians and academics).
Ethics and dissemination: This study has been approved by the Medical Ethical Committee of the University of Applied Sciences Utrecht (reference number: 258-000-2023_Geurt van der Glind). Results will be disseminated via peer-reviewed journal publication(s), scientific conference(s) and to key stakeholders.
Details
- Title
- Defining the concept of mental dysregulation in patients requiring ambulance and/or emergency department care: protocol for a Delphi consensus study
- Creators
- Geurt Van de Glind - University of Applied Sciences UtrechtJulia Crilly - Gold Coast HealthNiek Galenkamp - University of Applied Sciences UtrechtBart Schut - PLEULente Werner - PLEUEric Chan - Foothills Medical CentreEmily Hilton - PLEULisette Schoonhoven - University of SouthamptonFloortje E Scheepers - University Medical Center UtrechtRachel Muir - Griffith University (Australia, Gold Coast)David Baden - Diakonessenhuis hospitalMark van Veen - University of Applied Sciences UtrechtWietske H W Ham - University of Applied Sciences Utrecht
- Publication Details
- BMJ open, Vol.14(1), pp.1-7
- Publisher
- British Medical Journal Publishing Group
- Grant note
- This study is partly funded by a fellowship awarded from the Netherlands Organisation for Health Research and Development (ZonMw), under grant number 10040022110004.
- Identifiers
- 991013317525502368
- Copyright
- © Author(s) (or their employer(s)) 2024.
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article