{"id":20463,"date":"2024-09-23T13:57:11","date_gmt":"2024-09-23T17:57:11","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=20463"},"modified":"2024-09-30T14:41:02","modified_gmt":"2024-09-30T18:41:02","slug":"virtual-versus-in-person-follow-up-after-a-psychiatric-emergency-visit","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/virtual-versus-in-person-follow-up-after-a-psychiatric-emergency-visit\/","title":{"rendered":"Virtual versus in-person follow-up after a psychiatric emergency visit: a population-based cohort study"},"content":{"rendered":"<p><strong>Objective\u00a0<\/strong>\u2014\u00a0With increased utilization of virtual care in mental health, examining its appropriateness in various clinical scenarios is warranted. This study aimed to compare the risk of adverse psychiatric outcomes following virtual versus in-person mental health follow-up care after a psychiatric emergency department (ED) visit.<\/p>\n<p><strong>Methods\u00a0<\/strong>\u2014\u00a0Using population-based health administrative data in Ontario (2021), we identified 28,232 adults discharged from a psychiatric ED visit who had a follow-up mental health visit within 14 days postdischarge. We compared those whose first follow-up visit was virtual (telephone or video) versus in-person on their risk for experiencing either a repeat psychiatric ED visit, psychiatric hospitalization, intentional self-injury, or suicide in the 15-90 days post-ED visit. Cox proportional hazard models generated adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs), adjusted for age, income quintile, psychiatric hospitalization, and intentional self-injury in the 2 years prior to ED visit. We stratified by sex and diagnosis at index ED visits based on the International Classification of Diseases and Related Health Problems, 10th Revision, Canada (ICD-10-CA) coding.<\/p>\n<p><strong>Results<\/strong>\u00a0\u2014\u00a0About 65% (n = 18,354) of first follow-up visits were virtual, while 35% (n = 9,878) were in-person. About 13.9% and 14.6% of the virtual and in-person groups, respectively, experienced the composite outcome, corresponding to incidence rates of 60.9 versus 74.2 per 1000 person-years (aHR 0.95, 95% CI 0.89 to 1.01). Results were similar for individual elements of the composite outcome, when stratifying by sex and index psychiatric diagnosis, when varying exposure (7 days) and outcome periods (60 and 30 days), and comparing \u00ab\u00a0only\u00a0\u00bb virtual versus \u00ab\u00a0any\u00a0\u00bb in-person follow-up during the 14-day follow-up.<\/p>\n<p><strong>Conclusions and relevance<\/strong> \u2014 These results support virtual care as a modality to increase access to follow-up after an acute care psychiatric encounter across a wide range of diagnoses. Prospective trials to discern whether this is due to the comparable efficacy of virtual and in-person care, or due solely to appropriate patient selection may be warranted.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective\u00a0\u2014\u00a0With increased utilization of virtual care in mental health, examining its appropriateness in various clinical scenarios is warranted. This study aimed to compare the risk of adverse psychiatric outcomes following virtual versus in-person mental health follow-up care after a psychiatric emergency department (ED) visit. Methods\u00a0\u2014\u00a0Using population-based health administrative data in Ontario (2021), we identified 28,232 [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,62,34],"migration-helper-qa-sample-set":[],"class_list":["post-20463","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-health-services-research","topic-mental-health-and-addictions"],"acf":{"citation":"Crocker M, Huang A, Fung K, Stukel TA, Toulany A, Saunders N, Kurdyak P, Barker LC, Hauck TS, Rotenberg M, Hamovitch E, Vigod SN. <em>Can J Psychiatry<\/em>. 2024; Sep 23 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1177\/07067437241281068","ices_scientist":[1372,13136,1348,1152,16244,19704,21808],"site":[6733],"research_program":[6745],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Virtual versus in-person follow-up after a psychiatric emergency visit: a population-based cohort study<\/title>\n<meta name=\"description\" content=\"Objective\u00a0\u2014\u00a0With increased utilization of virtual care in mental health, examining its appropriateness in various clinical scenarios is warranted. 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