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Table 2 Consultations outside emergency rooms (ERs) among patients with mental illnesses (MI), ER users and patients with MI not ER users for any reason, outpatient consultations for any reason within a week prior to an ER visit, and outpatient consultations for mental health (MH) reasons within a year prior to an ER visit, and a week or a month after an ER visit and hospitalization among patients by sex, age, and residential areas in 2014–15 and 2005–06

From: Assessing quality indicators related to mental health emergency room utilization

 

Patients with MI users of ERs

Relative trend (%)d

Patients with MI not users of ERs

Relative trend (%)d

2014–15

2005–06

2014–15

2005–06

Meana

SD

Median

Mean

SD

Median

Mean

SD

Median

Mean

SD

Median

Patients with MI

17.75

23.96

10.00

17.04

21.29

11.00

0.01

7.53

9.39

5.00

8.48

9.16

6.00

−11.20

 Women

17.64

22.40

11.00

17.40

20.34

12.00

 

8.03

8.77

6.00

9.07

8.80

7.00

 

 Men

17.90

25.98

9.00

16.54

22.53

9.00

 

6.79

10.18

4.00

7.54

9.64

5.00

 

 12–17 years

7.84

12.04

4.00

7.81

11.68

5.00

 

3.99

5.71

3.00

4.74

6.10

3.00

 

 18–24 years

9.07

15.27

5.00

9.48

12.93

6.00

 

5.18

7.80

3.00

6.28

7.06

5.00

 

 25–44 years

11.86

17.02

7.00

11.89

14.34

8.00

 

6.83

8.54

5.00

7.38

7.67

6.00

 

 45–64 years

16.70

22.50

10.00

16.80

20.04

11.00

 

7.78

8.91

6.00

8.74

8.79

7.00

 

 65 years+

28.30

29.74

19.00

28.48

28.37

20.00

 

10.58

12.15

8.00

11.99

12.53

9.00

 

 Montreal

20.50

26.92

12.00

19.32

23.29

13.00

 

7.98

9.76

6.00

9.00

9.41

7.00

 

 Areas> 100,000

16.66

22.45

10.00

16.07

20.05

10.00

 

7.22

9.55

5.00

8.29

9.82

6.00

 

 Semi-urban

16.24

22.13

9.00

15.69

20.28

10.00

 

7.27

9.62

5.00

7.63

8.09

6.00

 

 Rural

14.63

19.71

8.00

14.42

18.37

9.00

 

6.76

7.63

5.00

7.57

7.92

6.00

 
 

Outpatient consultations for any reason within a week prior to an ER visit (yes)b

Relative trend (%)d

Outpatient consultations for MH reasons within a year prior to an ER visit (yes)c

Relative trend (%)d

  

2014–15

2005-06

2014–15

2005–06

  

N (ind.)

% (ind.)

N (ind.)

% (ind.)

N (ind.)

% (ind.)

N (ind.)

% (ind.)

  

Patients with MI

126,391 (341,037)

37.06

120,070 (326,572)

36.77

0.80

56,079 (124,863)

44.91

42,464 (117,120)

36,26

23.87

  

Women

76,149 (198,688)

38.33

73,062 (188,867)

38.68

 

30,262 (65,193)

46.50

22,449 (60,711)

36.98

   

Men

50,242 (142,349)

35.29

47,008 (137,705)

34.14

 

25,717 (59,570)

43.17

20,015 (56,949)

35.48

   

12–17 years

4095 (19,533)

20.96

3220 (14,639)

22.00

 

3695 (7103)

52.02

2415 (6048)

39.93

   

18–24 years

7729 (30,282)

25.52

7525 (26,654)

28.23

 

6505 (15,333)

42.42

4692 (13,889)

33.78

   

25–44 years

27,917 (89,498)

31.19

33,952 (103,693)

32.74

 

18,629 (36,594)

50.91

16,918 (41,270)

41.02

   

45–64 years

36,612 (98,689)

37.10

38,876 (103,170)

37.68

 

16,055 (32,749)

49.02

13,078 (32,535)

40.20

   

65 years+

50,038 (103,035)

48.56

36,497 (78,416)

46.54

 

11,195 (33,084)

33.83

5361 (23,405)

22.91

   

Montreal

58,081 (140,507)

41.34

57,077 (137,893)

41.39

 

23,952 (55,836)

42.90

19,067 (51,986)

36.68

   

Areas> 100,000

27,169 (74,591)

36.42

24,125 (68,187)

35.38

 

12,610 (26,261)

48.02

8395 (22,197)

37.82

   

Semi-Urban

16,300 (50,689)

32.16

15,619 (49,101)

31.81

 

8202 (17,172)

47.76

6505 (17,441)

37.30

   

Rural

24,303 (73,730)

32.96

22,658 (69,690)

32.51

 

11,021 (24,963)

44.14

8128 (24,728)

32.90

   
 

Outpatient consultations for MH reasons 1 week after an ER visit

Relative trend (%)d

Outpatient consultations for MH reasons 1 month after an ER visit

Relative trend (%)d

  

2014–15

2005-06

2014–15

2005–06

  

N (ind.)

% (ind.)

N (ind.)

% (ind.)

N (ind.)

% (ind.)

N (ind.)

% (ind.)

  

After an ER visit

 Patients with MI

12,788 (121,378)

10.54

14,842 (115,702)

12.83

−18.26

30,561 (121,378)

25.18

33,938 (115,702)

29.33

−14,16

  

 Women

6790 (63,367)

10.63

7919 (60,362)

13.12

 

16,537 (63,867)

25.89

18,117 (60,362)

30.01

   

 Men

5998 (57,511)

10.43

6923 (55,340)

12.51

 

14,024 (57,511)

24.38

15,821 (55,340)

28,59

   

 12–17 years

1021 (7120)

14.34

879 (6015)

14.61

 

2187 (7120)

30.72

1680 (6015)

27.93

   

 18–24 years

1595 (14,888)

10.71

1651 (13,738)

12.02

 

3620 (14,888)

24.32

3681 (30,225)

26.79

   

 25–44 years

4673 (35,942)

13.00

6530 (41,236)

15.84

 

11,017 (35,942)

30.65

14,692 (41,236)

35.63

   

 45–64 years

3742 (31,547)

11.86

4438 (31,893)

13.92

 

9000 (31,547)

28.53

10,482 (31,893)

32.87

   

 65 years+

1757 (31,881)

5.51

1344 (22,820)

5.89

 

4737 (31,881)

14.86

3403 (22,820)

14.91

   

 Montreal

6188 (53,941)

11.47

6864 (51,618)

13.30

 

13,525 (53,941)

25.07

14,892 (51,618)

28.85

   

 Areas> 100,000

2628 (25,528)

10.29

3201 (21,873)

14.63

 

6590 (25,528)

25.81

6957 (21,873)

31.81

   

 Semi-Urban

1722 (16,938)

10.17

2039 (17,234)

11.83

 

4424 (16,938)

26.12

5213 (17,234)

30.25

   

 Rural

2168 (24,339)

8.91

2646 (24,202)

10.93

 

5855 (24339)

24,06

6671 (24,202)

27.56

   
 

Outpatient consultations for MH reasons 1 week after an hospitalization

Relative trend (%)d

Outpatient consultations for MH reasons 1 month after an hospitalization

Relative trend (%)d

  

2014–15

2005-06

2014–15

2005–06

  

N (ind.)

% (ind.)

N (ind.)

% (ind.)

N (ind.)

% (ind.)

N (ind.)

% (ind.)

  

Patients with MI

9531 (135,919)

7.01

6281 (126,668)

4.96

41.42

25,833 (135,919)

19.01

18,164 (126,668)

14.34

32.54

  

 Women

5294 (76,407)

6.93

3461 (71,576)

4,84

 

14,670 (76,407)

19.20

9901 (71,576)

13.83

   

 Men

4237 (59,512)

7.12

2820 (55,092)

5.12

 

11,163 (59,512)

18.76

8263 (55,092)

15.00

   

 12–17 years

675 (4135)

16.32

512 (3412)

15.01

 

1417 (4135)

34.27

1071 (3412)

31.39

   

 18–24 years

826 (6698)

12.33

693 (6730)

10.30

 

1867 (6698)

27.87

1782 (6730)

26.48

   

 25–44 years

2748 (25,277)

10.87

2153 (28,879)

7.46

 

6961 (25,277)

27.54

5980 (28,879)

20.71

   

 45–64 years

2628 (34,313)

7.66

1860 (36,360)

5.12

 

7486 (34,313)

21.82

5913 (36,360)

16.26

   

 65 years+

2654 (65,496)

4.05

1063 (51,287)

2.07

 

8102 (65,496)

12.37

3418 (51,287)

6.66

   

 Montreal

4325 (59,660)

7.25

2698 (56,259)

4.80

 

10,663 (59,660)

17.87

7629 (56,259)

13.56

   

 Areas> 100,000

1959 (27,990)

7.00

1366 (24,533)

5.57

 

5710 (27,990)

20.40

3826 (24,533)

15.60

   

 Semi-Urban

1466 (20,206)

7.26

937 (18,710)

5.01

 

4157 (20,206)

20.57

2864 (18,710)

15.31

   

 Rural

1711 (27,325)

6.26

1222 (26,218)

4.66

 

5138 (27,325)

18.80

3689 (26,218)

14.07

   
  1. aMean number of outpatient visits per year
  2. bAll types of consultation, i.e. any reason
  3. cConsultations for MH reasons only
  4. dRelative trends calculated as: last value (in 2014–15) minus initial value (in 2005–06) divided by the initial value (in 2005–06) multiplied by 100 to obtain value in percentage. Age: standardized data