{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:24:30Z","timestamp":1784309070510,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,12]],"date-time":"2021-09-12T00:00:00Z","timestamp":1631404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["108\u2010S4103"],"award-info":[{"award-number":["108\u2010S4103"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["106\u2010N04"],"award-info":[{"award-number":["106\u2010N04"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["107\u2010004080"],"award-info":[{"award-number":["107\u2010004080"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Previous studies demonstrated a trend of increasing common mental disorders among the Emergency Department (ED) visitors in Western countries. Little is known about the current conditions of the emergency psychiatric services in Asian countries. This study aims to survey the current epidemiology and the changing ecology of emergency psychiatry services in Taiwan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 804 psychiatry consultations were initiated at the ED during the 1\u2010year period from July 1, 2014 to June 30, 2015 in a medical center in northern Taiwan. Clinical data of gender, age, chief complaints, tentative diagnoses, dispositions, and ED staying hours were compared to a previous report in the same hospital in 1988.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Psychiatry consultation was initiated in 0.72% of all ED visits (804\/111,923). Among these visits, females were 1.73 times of the males. The most common chief complaints were psychosis\/mania (33.5%) and suicide\/self\u2010harm (33.2%), followed by homicide\/violence (12.8%) and anxiety\/depression (10.3%). Top tentative diagnoses were schizophrenia spectrum and other psychotic disorders (31.3%), trauma\u2010 and stressor\u2010related disorders (17.5%), bipolar disorders (15.9%), and depressive disorders (14.2%). Compared to 1988, there are three major changes: (1) over\u2010representation of female patients, (2) an increase of \u201cneurosis\u201d patients, and (3) an increase of suicide\/self\u2010harm as chief problem.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study portrays the current epidemiology and changing ecology of psychiatric emergency in Taiwan. The increase of neurotic and suicide\/self\u2010harm patients requires more services and clinical training in managing common mental disorders and suicide in the ED.<\/jats:p><\/jats:sec>","DOI":"10.1111\/appy.12487","type":"journal-article","created":{"date-parts":[[2021,9,12]],"date-time":"2021-09-12T17:40:33Z","timestamp":1631468433000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A quarter of century after: The changing ecology of psychiatric emergency services"],"prefix":"10.1111","volume":"14","author":[{"given":"Wen\u2010Hao","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3585-7843","authenticated-orcid":false,"given":"Ming H.","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Psychiatry, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4129-0879","authenticated-orcid":false,"given":"Shih\u2010Cheng","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Psychiatry, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9290-110X","authenticated-orcid":false,"given":"Chen\u2010Chung","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Psychiatry, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Min","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Psychiatry, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2762-7295","authenticated-orcid":false,"given":"Chi\u2010Shin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Psychiatry, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3821-4744","authenticated-orcid":false,"given":"Yi\u2010Ting","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Psychiatry, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7894-9484","authenticated-orcid":false,"given":"Tzung\u2010Jeng","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Psychiatry, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3477-3015","authenticated-orcid":false,"given":"Yi\u2010Ling","family":"Chien","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Psychiatry, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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