Psychosis:
- Cause
- Identification
- Management
Violence:
- Cause
- Identification
- Management
- Safety
Drug misuse:
- Identification
- Management
Emergency Medicine Journal 2006;23:304-312; doi:10.1136/emj.2005.027888
© 2006 BMJ Publishing Group Ltd and the College of Emergency Medicine.
PREHOSPITAL CARE
The ABC of community emergency care
16 mental health
University of East Aglia School of Nursing and Midwifery, Norwich, UK
Correspondence to:
Correspondence to:
Rosie Doy
UEA School of Nursing and Midwifery, Edith Cavell Building, Colney Lane Norwich, NR4 7TJ, UK; r.doy@uea.ac.uk
Accepted 4 December 2005
Abbreviations: ASW, approved social worker; NICE, National Institute for Clinical Excellence
Keywords: Mental health; emergency care; psychosis; violence; drug misuse
| The first 150 words of the full text of this article appear below. |
This article will consider the identification and management of psychosis, violence, and drug misuse in a pre-hospital and emergency setting.
Box 1 Article objectives
PSYCHOTIC ILLNESS
One per cent of the population experience at least one acute episode of schizophrenia1 during their life and a similar number will be affected by bipolar disorder (manic depression). These patients have an increased risk of harming themselves—for example, postnatal depression and psychosis is now the leading cause of all maternal deaths by suicide.
Psychosis is therefore a relatively common condition with serious consequences.
FEATURES OF PSYCHOSIS
Psychosis usually first appears in the late teens or early twenties (slightly later for women). Classically the person is unable to distinguish between reality and thoughts because of hallucinations or delusions.
Box 2 Signs and symptoms of psychosis
- Delusions—false, fixed beliefs that are not amenable to
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This article has been cited by other articles:
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Redmond, A. D
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