28th National Clinical Education Symposium Presentation Abstracts

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OP-57 Coping Attitudes and Intolerance of Uncertainty in Individuals with Substance Use Disorder: A Cross-Sectional Study - Page 143
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OP-58 The Association Between Hematological Inflammatory Markers and Clinical Diagnoses and Disease Characteristics in Inpatients at the Psychiatry Department of Aydın Adnan Menderes University Hospital - Page 145
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OP-59 Valproate Is Associated with Lower Inflammatory Burden in Euthymic Bipolar Disorder: Evidence from Novel Composite Inflammatory Indices - Page 147
Betül Bakay, Fatmanur Akgün Kılavuz

OP-60 Cardiac Electrophysiological Changes in Patients with Methamphetamine and Cannabis Use Disorder: A Comparative ECG Study - Page 148
Emre Nedret Sezgin, Filiz Kulacaoglu, , Merve Gumusay

OP-61 Psychological Resilience and Suicidality in Bipolar Disorder: Exploring the Impact of Metabolic Syndrome - Page 150
Eylül Yeral, Filiz Kulacaoğlu Öztürk

OP-62 The Relationship Between Sleep Quality, Chronotype, and Resilience and Suicide Risk in Major Depression - Page 152
Amine Kilictutan, Simge Seren Kirlioglu Balcioglu

20 APRIL 2026, MONDAY
18:30 - 19:45 OP-56 The Hidden Face of Emergencies: Psychiatric Consultations in the Emergency Department - Predictors of Psychiatric Admission and Treatment Refusal

OP-56 The Hidden Face of Emergencies: Psychiatric Consultations in the Emergency Department - Predictors of Psychiatric Admission and Treatment Refusal

Mehmet Rıdvan VARLI1, Şule Bıçakcı Ay1, Yasemin Koçyiğit1, Kübra ÖZCAN ÇETİN1

1. Etlik City Hospital, Psychiatry Department

DOI: 10.5080/61upk.ozt472 Page 141

BACKGROUND AND AIM:Psychiatric presentations to emergency departments (EDs) constitute a heterogeneous, high-risk group associated with prolonged waiting times compared to general medical presentations. Understanding their characteristics is essential for effective service planning. This study aimed to describe the profiles of patients referred for ED psychiatric consultation and identify factors associated with psychiatric inpatient admission and treatment refusal.
METHODS:This retrospective descriptive study included all patients aged 18 years and older referred for ED psychiatric consultation between 6 October 2022 and 1 March 2024 (n = 2,146). Presentations on different days by the same patient were counted separately, whereas multiple visits for the same clinical episode were analyzed as a single presentation. Diagnoses were established via structured clinical interviews according to DSM-5 criteria. Data extracted from hospital records included sociodemographic variables, clinical characteristics, consultation reasons, and treatment outcomes. Descriptive statistics and multivariable logistic regression analyses were performed. The study was approved by the Ankara Etlik City Hospital Ethics Committee(AEŞH-BADEK-2024-838).
RESULTS:Women comprised 53.9% of the sample, and 70.7% of consultations occurred outside regular working hours. The most common consultation reason was suicide attempt (21.0%), predominantly via drug overdose (81.1%). Psychotic disorders(22.9%), depressive disorders (19.3%), and anxiety disorders(16.9%) were the most frequent diagnoses. Overall, 4.5% of patients were admitted to a psychiatric ward, while 5.6% were discharged following treatment refusal. Psychiatric admission was more likely among patients with psychotic disorders, bipolar disorder in manic or hypomanic episodes, and drug-related suicide attempts. Management without psychotropic medication predicted lower admission rates. Treatment refusal was significantly higher among patients with an unclear psychiatric history and lower among those with documented diagnoses.
CONCLUSIONS:Emergency psychiatric consultations involve a clinically complex population requiring rapid risk assessment and coordinated care. Strengthening communication-focused and person-centered interventions may be worth exploring and could be considered in future interventions to improve emergency psychiatric outcomes. Keywords: Emergency Departments, Emergency Psychiatric Services, Hospital Admission, Treatment Refusal, Suicide