Author
Dr. Akanksha Chaudhary, R. Jayapriya, Dipesh Kumar
Keywords
Psychiatric Emergencies; Crisis Intervention; Acute Psychiatry; Emergency Department Psychiatry; Suicidal Ideation; Acute Psychosis Management.
Abstract
Psychiatric emergencies represent acute mental health crises requiring immediate clinical assessment and intervention to ensure patient safety and manage severe psychological disturbances. Common psychiatric emergencies include acute psychosis, severe suicidal ideation, violent or aggressive behaviour, acute substance intoxication or withdrawal, and severe mood episodes. This cross-sectional analytical study examines the clinical profile, management challenges, and treatment outcomes associated with psychiatric emergencies in hospital settings among 168 patients. Acute psychosis and severe suicidal ideation were the most frequently presenting psychiatric emergencies. Combined pharmacological and psychosocial crisis management approaches demonstrated the highest clinical resolution rates (F=6.78, p=0.002). The study highlights the importance of early assessment, structured crisis intervention protocols, and multidisciplinary collaboration in managing psychiatric emergencies effectively.
References
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[49] Vettriselvan, R., Deepan, A., Jaiswani, G., Balakrishnan, A., & Sakthivel, R. (2025). Health Consequences of Early Marriage: Examining Morbidity and Long-Term Wellbeing. In Social, Political, and Health Implications of Early Marriage (pp. 189-212). IGI Global Scientific Publishing.
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[51] Vijayalakshmi, M., Subramani, A. K., Vettriselvan, R., Catherin, T. C., & Deepika, R. (2025). Sustainability and Responsibility in the Digital Era: Leveraging Green Marketing in Healthcare. In Digital Citizenship and Building a Responsible Online Presence (pp. 285-306). IGI Global Scientific Publishing.
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[53] Zahoor, H., Mustafa, N., Ashifa, K. M., Safaei, M., & El Gamil, R. (2025). Unlocking resilience: Emotional intelligence and self-leadership shape stress perception among health students. International Journal of Innovation and Learning, 38(4), 395–419.
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[3] Baker, A. P., & Buchan, T. (1969). Psychiatric emergencies in general practice. Central African Journal of Medicine, 15(8), 179–184.
[4] Brown, J. H., & Harvey, M. L. (1971). Emergency Services: Psychiatric Emergencies in the General Hospital. Canadian Psychiatric Association Journal, 16(2), 105–110.
[5] Carubia, B., Becker, A., & Levine, B. H. (2016). Child psychiatric emergencies: updates on trends, clinical care, and practice challenges. Current Psychiatry Reports, 18(4), 41.
[6] Currier, G. W., & Allen, M. H. (2000). Emergency psychiatry: physical and chemical restraint in the psychiatric emergency service. Psychiatric Services, 51(6), 717–719.
[7] Grover, S., & Avasthi, A. (2023). Clinical practice guidelines for the assessment and management of elderly presenting with psychiatric emergencies. Indian Journal of Psychiatry, 65(2), 140–158.
[8] Kirchner, H., et al. (2023). The significance of nonurgent psychiatric emergencies in an ED. BMC Emergency Medicine, 23(1), 131.
[9] Lofchy, J., Boyles, P., & Delwo, J. (2015). Emergency psychiatry: clinical and training approaches. Canadian Journal of Psychiatry, 60(7), 1.
[10] Mavrogiorgou, P., Brune, M., & Juckel, G. (2011). The management of psychiatric emergencies. Deutsches Arzteblatt International, 108(13), 222.
[11] Moetteli, S., et al. (2021). Psychiatric emergencies in the community in Switzerland. Administration and Policy in Mental Health, 48(6), 1055–1064.
[12] Nordstrom, K., et al. (2019). Boarding of mentally ill patients in emergency departments. Western Journal of Emergency Medicine, 20(5), 690.
[13] Parker, C. B. (2019). Psychiatric emergencies in nonpsychiatric settings. Psychosomatics, 60(4), 352–360.
[14] Richmond, J. S., et al. (2021). American Association for Emergency Psychiatry recommendations to address psychiatric staff shortages. Psychiatric Services, 72(4), 437–443.
[15] Roth, A. J., & Weiss, T. R. (2010). Psychiatric emergencies. Psycho-Oncology, 297–302.
[16] Schick, B., et al. (2022). Emergency medical care of patients with psychiatric disorders. BMC Emergency Medicine, 22(1), 173.
[17] Segal, S. P., Bola, J. R., & Watson, M. A. (1996). Race, quality of care, and antipsychotic prescribing practices in psychiatric emergency services. Psychiatric Services, 47(3), 282.
[18] Zun, L. (2016). Care of psychiatric patients: the challenge to emergency physicians. Western Journal of Emergency Medicine, 17(2), 173.
[19] Arockia, V. J., Vettriselvan, R., Rajesh, D., Velmurugan, P. R. R., & Cheelo, C. (2025). Leveraging AI and Learning analytics for enhanced distance learning: transformation in education. In AI and learning analytics in distance learning (pp. 179-206). IGI Global Scientific Publishing.
[20] Ashifa, K. M. (2019). Developmental initiatives for persons with disabilities: Appraisal on village-based rehabilitation of Amar Seva Sangam. Indian Journal of Public Health Research & Development, 10(12), 1257–1261.
[21] Rasi, R. A., & Ashifa, K. M. (2019). Role of community-based programmes for active ageing: Elders self-help group in Kerala. Indian Journal of Public Health Research & Development, 10(12).
[22] Ashifa, K. M. (2020). Effect of substance abuse on physical health of adolescents. European Journal of Molecular & Clinical Medicine, 7(2), 3155–3160.
[23] Ashifa, K. M. (2020). Physical health hazards of schizophrenia patients. Systematic Reviews in Pharmacy, 11(12), 1848–1850.
[24] Ashifa, K. M. (2021). Analysis on the determinants of health status among tribal communities. Journal of Cardiovascular Disease Research, 12(3), 531–534.
[25] Ashifa, K. M. (2021). Health status of primitive tribal women in India. Journal of Cardiovascular Disease Research, 12(5), 772.
[26] Ashifa, K. M. (2022). A situation analysis of the social well-being of elderly during the COVID-19 pandemic. International Journal of Health Sciences, 6(3), 10156–10163.
[27] Ashifa, K. M., & Ramya, P. (2019). Health afflictions and quality of work life among women working in fireworks industry. International Journal of Engineering and Advanced Technology, 8(6S3), 1723–1725.
[28] Basha, R., Pathak, P., Sudha, M., Soumya, K. V., & Arockia Venice, J. (2025). Optimization of quantum dilated convolutional neural networks: Image recognition with quantum computing. Internet Technology Letters, 8(3), e70027.
[29] Catherine, S., Gupta, N., Gopi, E., & Swadhi, R. (2025). Enhancing Patient Engagement and Outcomes Through Digital Transformation: Machine Learning in Medical Marketing. In Impact of Digital Transformation on Business Growth and Performance (pp. 285-312). IGI Global Scientific Publishing.
[30] Devi, M., Manokaran, D., Sehgal, R. K., Shariff, S. A., & Vettriselvan, R. (2025). Precision Medicine, Personalized Treatment, and Network-Driven Innovations: Transforming Healthcare With AI. In AI for Large Scale Communication Networks (pp. 303-322). IGI Global Scientific Publishing.
[31] Elkin, N., Mohammed, A. K., Kilincel, S., Soydan, A. M., Tanriver, S. C., Celik, S., & Ranganathan, M. (2025). Mental health literacy and happiness among university students: A social work perspective to promoting well-being. Frontiers in Psychiatry, 16, 1541316.
[32] Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025). Striking a Balance: Mental Health Challenges and Work-Life Integration among Women Faculty in Indian B-Schools. Texila International Journal of Public Health, 13(2).
[33] Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025). Strategic Role of Human Resource Management in Enhancing Occupational Health and Safety Practices in Business Schools in India. Texila International Journal of Public Health, 13(2).
[34] Jenifer, R. D., Vettriselvan, R., Saxena, D., Velmurugan, P. R., & Balakrishnan, A. (2025). Green Marketing in Healthcare Advertising: A Global Perspective. In AI Impacts on Branded Entertainment and Advertising (pp. 303-326). IGI Global Scientific Publishing.
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[36] Mustafa, N., Zahoor, H., Gamil, R. E., Ashifa, K. M., & Safaei, M. (2026). Empowering future caregivers: the role of self-leadership in reducing stress among nursing students. International Journal of Innovation and Learning, 39(1), 74-103.
[37] Natraj, N. A., Abirami, T., Ananthi, K., Venice, J. A., Chandru, R., & Rathish, C. R. (2024). The Impact of 5G Technology on the Digital Supply Chain and Operations Management Landscape. In Applications of New Technology in Operations and Supply Chain Management (pp. 289-311). IGI Global Scientific Publishing.
[38] Ranganathan, M., Jacob, A., Ashifa, K. M., Kumar, G. J., Anthony, M., Vijay, M., & Kumari, R. B. (2024). An investigation of the effects of chronic stress on attention in parents of children with neurodevelopmental disorders. Universal Journal of Public Health, 12(1), 37–50.
[39] Shanthi, H. J., Gokulakrishnan, A., Sharma, S., Deepika, R., & Swadhi, R. (2025). Leveraging Artificial Intelligence for Enhancing Urban Health: Applications, Challenges, and Innovations. In Nexus of AI, Climatology, and Urbanism for Smart Cities (pp. 275-306). IGI Global Scientific Publishing.
[40] Swadhi, R., Gayathri, K., Suresh, N. V., Catherine, S., & Velmurugan, P. R. (2025). Leveraging Machine Learning for Enhanced Patient Engagement and Outcomes: Revolutionizing Healthcare Marketing. In Impact of Digital Transformation on Business Growth and Performance (pp. 313-340). IGI Global Scientific Publishing.
[41] Swadhi, R., Velmurugan, P. R., Mahalingam, U., Keerthana, R., & Padmavathy, N. (2026). Embedding Fairness and Resilience: Human-Centered Leadership in AI-Driven Workplaces. In Centering Positive Organizational Cultures Through Human-Centered Leadership (pp. 139-162). IGI Global Scientific Publishing.
[42] Venice, J. A., Arivazhagan, D., Suman, N., Shanthi, H. J., & Swadhi, R. (2025). Recommendation systems and content personalization: algorithms, applications, and adaptive learning. In AI for Large Scale Communication Networks (pp. 323-348). IGI Global Scientific Publishing.
[43] Venice, J. A., Vettriselvan, R., Rajesh, D., Suresh, N. V., & Abirami, P. (2025). Enabling personalized learning and adaptive systems through strategic management: cloud integration in education. In Bridging Academia and Industry Through Cloud Integration in Education (pp. 49-72). IGI Global Scientific Publishing.
[44] Venice, J. A., Vettriselvan, R., Jain, S., Madusudanan, K., & Aarthy, C. C. J. (2025). Performance Evaluation and Metrics in Blockchain Powered AI/ML: Data Analytics for Cognitive Internet of Things (CIoT). In Transforming Education With AI-Powered Personalized Learning (pp. 143-178). IGI Global Scientific Publishing.
[45] Venice, A., Swadhi, R., Gayathri, K., Chandra, P., & Sajana, K. P. (2026). Rehabilitation Robotics and Adaptive Motion Planning for Patient-Centric Care. In Intelligent Motion Control for Human-Centered Systems (pp. 51-76). IGI Global Scientific Publishing.
[46] Vettriselvan, R. (2025). Harnessing innovation and digital marketing in the era of industry 5.0: resilient healthcare SMEs. In The Future of Small Business in Industry 5.0 (pp. 163-186). IGI Global Scientific Publishing.
[47] Vettriselvan, R., & Anto, M. R. (2018). Pathetic health status and working condition of Zambian women. Indian Journal of Public Health Research & Development, 9(9), 259-264.
[48] Vettriselvan, R., & Rajan FSA, A. J. (2019). Occupational Health Issues Faced by Women in Spinners. Indian Journal of Public Health Research & Development, 10(1).
[49] Vettriselvan, R., Deepan, A., Jaiswani, G., Balakrishnan, A., & Sakthivel, R. (2025). Health Consequences of Early Marriage: Examining Morbidity and Long-Term Wellbeing. In Social, Political, and Health Implications of Early Marriage (pp. 189-212). IGI Global Scientific Publishing.
[50] Vettriselvan, R., Ramya, R., Selvalakshmi, V., Jyothi, P., & Velmurugan, P. R. (2026). Empowering Patients through Knowledge: Educational Strategies in Rehabilitation. In Holistic Approaches to Health Recovery (pp. 263-290). IGI Global Scientific Publishing.
[51] Vijayalakshmi, M., Subramani, A. K., Vettriselvan, R., Catherin, T. C., & Deepika, R. (2025). Sustainability and Responsibility in the Digital Era: Leveraging Green Marketing in Healthcare. In Digital Citizenship and Building a Responsible Online Presence (pp. 285-306). IGI Global Scientific Publishing.
[52] Vijayalakshmi, M., Subramani, A. K., Vettriselvan, R., Velmurugan, P. R., & Hasine, J. (2025). Strategic Collaborations in Medical Innovation and AI-Driven Globalization: Advancing Healthcare Startups. In Navigating Strategic Partnerships for Sustainable Startup Growth (pp. 85-110). IGI Global Scientific Publishing.
[53] Zahoor, H., Mustafa, N., Ashifa, K. M., Safaei, M., & El Gamil, R. (2025). Unlocking resilience: Emotional intelligence and self-leadership shape stress perception among health students. International Journal of Innovation and Learning, 38(4), 395–419.
Received : 17 February 2026
Accepted : 29 April 2026
Published : 02 May 2026
DOI: 10.30726/ijmrss/v13.i2.2026.13259