A study on knowledge, attitude and practices of emergency physicians in management of patients with mental health disorders in the city of Hyderabad, India

Objectives:
To know if Emergency physicians (EPs) screen mental health (MH) disorders in patients. This study aims at finding out the current knowledge, attitude and practices (KAP) of EPs and their departmental policies in management of patients with MH disorders.
Material and methods:
A personal interview based on a questionnaire was conducted with 117 EPs working in 38 multi-specialty hospitals (with minimum 50 total bed strength) across Hyderabad city, India during June 2015 to August 2015. The respondents had atleast one year of experience in core emergency medicine.
Results:
85% of EPs understand MH disorders are a major healthcare burden and over 90% of them have seen mentally ill patients in Emergency Department(ED). Yet 85% rarely evaluate MH of patients. Over 2/3rd don’t know any criteria of diagnosing depression and only 14% have recieved some training in managing MH issues of patients. 84% physicians said that their departments do not have a MH policy and 82% believe this is a major reason that evaluation of MH is ignored. 44% EPs say their attitude towards these patients is influenced by their personal experiences.
Conclusions:
MH evaluation of patients is neglected in EDs. Overall management of mentally ill patients is inconsistent. Absence of a departmental MH policy and lack of training in EPs are major causes.