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This report describes repeated emergency presentations of an individual with acute persistent MSK pain in their twenties living with mental health. Their mental health diagnoses included depression, mood disorders, and anorexia nervosa. This person also had mental health related inpatient admissions that were not captured under the retrospective record review for a large district hospital emergency department using the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) classification system. This case report attempts to demonstrate that improving the understanding of preexisting vulnerabilities and mental health diagnoses may assist with informing healthcare design to develop specialised care pathways for acute injury presentations within triage settings.<\/jats:p>","DOI":"10.1002\/ccr3.8010","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T05:36:02Z","timestamp":1698384962000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multiple emergency department encounters for acute musculoskeletal presentation with an existing mental health diagnosis"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7435-5354","authenticated-orcid":false,"given":"Priya","family":"Arora","sequence":"first","affiliation":[{"name":"Northern Sydney (Arabanoo) Precinct Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney  Camperdown New South Wales Australia"},{"name":"Northern Beaches Community Mental Health Services (NBCMHS) Brookvale Community Health Centre  Brookvale New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James M","family":"Elliott","sequence":"additional","affiliation":[{"name":"Northern Sydney (Arabanoo) Precinct Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney  Camperdown New South Wales Australia"},{"name":"Royal North Shore Hospital\u2014The Kolling Institute  St Leonards New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fereshteh","family":"Pourkazemi","sequence":"additional","affiliation":[{"name":"Central Sydney (Patyegarang) Precinct Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney  Camperdown NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxanna","family":"Nasseri\u00a0Pebdani","sequence":"additional","affiliation":[{"name":"Central Sydney (Patyegarang) Precinct Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney  Camperdown NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-019-0380-9"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-027700"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2002.32643"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-06051-9"},{"key":"e_1_2_11_6_1","first-page":"S83","article-title":"Course and prognostic factors for neck pain in whiplash\u2010associated disorders (WAD): results of the bone and joint decade 2000\u20102010 task force on neck pain and its associated disorders","volume":"33","author":"Carroll LJ","year":"1976","journal-title":"Phila Pa"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)61340-X"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100139"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60457-8"},{"key":"e_1_2_11_10_1","unstructured":"YehD MarthedalE.Common Presentations in Emergency Medicine.Springer Publishing Company:1\u201093."},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2008.04.032"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1852-1"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/advances\/nmac063"},{"key":"e_1_2_11_14_1","unstructured":"Australian Institute of Health and Welfare.Physical health of people with mental illness [Internet]. 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