{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T19:11:51Z","timestamp":1768849911512,"version":"3.49.0"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"unspecified","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1049023X25101325_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The aim of this study was to analyze the prevalence of psychiatric symptoms in prehospital emergency care and the characteristics of this patient group as well as the association with deprivation in the district, self-assessment of health status, and the frequency of emergency calls due to or accompanied by psychiatric diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X25101325_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective cross-sectional study descriptively and analytically evaluated all ground-based Emergency Medical Service and rescue service incidents dispatched by the Integrated Regional Control Center (IRLS) in the period from January 1, 2021 through December 31, 2021. In addition to the clinical parameters and the demographic data of the patients, the sociodemographic characteristics of the incident location at the district level, unemployment rate, net equivalent household income, and the proportion of single-person households, as well as personal assessment of mental health and overall well-being, were included in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X25101325_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 68,345 deployment protocols were examined. Of these, 6.4% were emergency incidents due to or involving psychiatric diagnoses. Emergency physician (EP) involvement in these operations was 56.1%. RM Andersen\u2019s Behavioral Model of Health Services Use (1968) was used as a theoretical reference model for the description, analysis, and explanation of the use of health-related care. The analyses showed that interventions due to or involving psychiatric diagnoses without emergency doctor alerts were more frequent in urban districts with a high proportion of single-person households and a high net equivalized houshold income.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X25101325_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The accumulation in individual city districts and the factors identified by Andersen point to opportunities to target preventive measures to avoid emergencies involving psychiatric diagnoses in order to use limited resources efficiently.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1049023x25101325","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T05:53:40Z","timestamp":1757310820000},"page":"214-223","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Psychiatric Diagnoses in Prehospital Emergency Care and Sociodemographic Characteristics of the Incident Location at the District Level"],"prefix":"10.1017","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3231-1430","authenticated-orcid":false,"given":"Valesca Sophie","family":"Deutsch","sequence":"first","affiliation":[{"name":"Johannes Gutenberg University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yacin","family":"Keller","sequence":"additional","affiliation":[{"name":"Integrated Regional Control Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen","family":"Hardt","sequence":"additional","affiliation":[{"name":"University Medical Center of the Johannes Gutenberg University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katja","family":"Petrowski","sequence":"additional","affiliation":[{"name":"University Medical Center of the Johannes Gutenberg University"},{"name":"University of Dresden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"S1049023X25101325_ref16","first-page":"490","article-title":"Development of dispatch numbers and spectrum of emergency medical services in Germany. 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[Application of Andersen\u2019s behavioral model of health care utilization \u2013 a systematic review.] German Medical Science GMS Publishing House. 2019."},{"key":"S1049023X25101325_ref3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-12-51"},{"key":"S1049023X25101325_ref14","first-page":"21","article-title":"Which health-related reasons lead to prehospital emergency care and how does subjective emergency status connect to subsequent care?","volume":"24","author":"Piedmont","year":"2021","journal-title":"Emergency Rescue Med."},{"key":"S1049023X25101325_ref11","first-page":"387","volume-title":"Cardiovascular Emergency and Acute Medicine.","author":"Schmiedhofer","year":"2020"},{"key":"S1049023X25101325_ref15","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2019.1635670"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X25101325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T05:15:34Z","timestamp":1768799734000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X25101325\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["S1049023X25101325"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x25101325","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}