Skip to main content

Acute Psychiatric Disorder

  • Chapter
  • First Online:
Clinical Pathways in Emergency Medicine

Abstract

Acute psychosis has both functional and organic causes. In the emergency department, ruling out causes of organic psychosis first is crucial.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Diagnostic and statistical manual of mental disorders. 4th ed, text revision (DSM-IV-TR). http://dsm.psychiatryonline.org/doi/abs/10.1176/appi.books.9780890420249.dsm-iv-tr.

  2. Tintinalli JE, Peacock FW, Wright MA. Emergency medical evaluation of psychiatric patients. Ann Emerg Med. 1994;23:859–62.

    Article  CAS  PubMed  Google Scholar 

  3. Marx J, Hockerberg R, Walls R. Rosen’s emergency medicine concepts and clinical practice. 7th ed. 2010; Mosby; Philadelphia. ISBN: 978-0-323-05472-0.

    Google Scholar 

  4. Health and training institute. Acute psychiatric management. 2nd ed. http://dsm.psychiatryonline.org/doi/abs/10.1176/appi.books.9780890420249.dsm-iv-tr.

  5. Crow TJ, Harrington CA. Etiopathogenesis and treatment of psychosis. Annu Rev Med. 1994;45:219–34.

    Article  CAS  PubMed  Google Scholar 

  6. Breslow RE, Klinger BI, Erickson BJ. Acute intoxication and substance abuse among patients presenting to a psychiatric emergency service. Gen Hosp Psychiatry. 1996;18(3):183–91.

    Article  CAS  PubMed  Google Scholar 

  7. Frame DS, Kercher EE. Acute psychosis: functional vs. organic. Emerg Med Clin North Am. 1991;9:123.

    CAS  PubMed  Google Scholar 

  8. Battaglia J, et al. Haloperidol, lorazepam, or both for psychotic agitation? A multicenter, prospective, double-blind, emergency department study. Am J Emerg Med. 1997;15:335.

    Article  CAS  PubMed  Google Scholar 

  9. Shale JF, et al. A review of the safety and efficacy of droperidol for the rapid sedation of severely agitated and violent patients. J Clin Psychiatry. 2003;64:500.

    Article  CAS  PubMed  Google Scholar 

  10. Amore M M.D., Menchetti M M.D., Tonti C PsyD, Scarlatti F M.D., Lundgren E M.D., Esposito W M.D., Berardi D M.D. Predictors of violent behavior among acute psychiatric patients: clinical study. Psychiatry Clin Neurosci. 2008;62(3):247–55.

    Article  PubMed  Google Scholar 

  11. Hall RCW M.D., Popkin MK M.D., Devaul RA M.D., Faillace LA M.D., Stickney SK R.N. Physical illness presenting as psychiatric disease. Arch Gen Psychiatry. 1978;35(11):1315–20. doi:10.1001/archpsyc.1978.01770350041003.

    Article  CAS  PubMed  Google Scholar 

  12. Binder RL M.D., McNiel DE Ph.D. Emergency psychiatry: contemporary practices in managing acutely violent patients in 20 psychiatric emergency rooms. Psychiatry Online. 1999;50(12):1553–4.

    CAS  Google Scholar 

  13. Martel M, Sterzinger A, Miner J, Clinton J, Biros M. Management of acute undifferentiated agitation in the emergency department: a randomized double-blind trial of droperidol, ziprasidone, and midazolam. Acad Emerg Med. 2005;12:1167–72. doi:10.1197/j.aem.2005.07.017.

    Article  PubMed  Google Scholar 

  14. Lukens TW, et al. Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Ann Emerg Med. 2006;47(1):79–99.

    Article  PubMed  Google Scholar 

  15. Yildiz A, Sachs GS, Turgay A. Pharmacological management of agitation in emergency settings. Emerg Med J. 2003;20:339–46. doi:10.1136/emj.20.4.339.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. American College of Emergency Physicians. Clinical policy for the initial approach to patients presenting with altered mental status. Ann Emerg Med. 1999;33:251.

    Article  Google Scholar 

  17. Talbot-Stern JK, Green T, Royle TJ. Psychiatric manifestations of systemic illness. Emerg Med Clin North Am. 2000;18:199.

    Article  CAS  PubMed  Google Scholar 

  18. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Arlington: American Psychiatric Association; 2013.

    Google Scholar 

  19. Allen MH. Managing the agitated psychotic patient: a reappraisal of the evidence. SOJ Clin Psychiatry. 2000;61 Suppl 14:11.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ravi Pattanshetty MBBS, DipEM, MCEM .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer India

About this chapter

Cite this chapter

Pattanshetty, R. (2016). Acute Psychiatric Disorder. In: David, S. (eds) Clinical Pathways in Emergency Medicine. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2713-7_16

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-2713-7_16

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2711-3

  • Online ISBN: 978-81-322-2713-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics