Patterns and Predictors of Psychiatric Emergency Admissions: A 5-Year Multicenter Retrospective Study from Turkey

Patterns and Predictors of Psychiatric Emergency Admissions: A 5-Year Multicenter Retrospective Study from Turkey | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Patterns and Predictors of Psychiatric Emergency Admissions: A 5-Year Multicenter Retrospective Study from Turkey Mahmut Fırat Kaynak, İsmail Altıntop, Yalcın Kahya This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8996722/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 7 You are reading this latest preprint version Abstract Background The global rise in psychiatric emergencies has placed increasing pressure on emergency departments (EDs), yet region-specific data remain scarce. This study aims to examine the demographic and clinical characteristics of adults admitted to psychiatric inpatient care through EDs over a five-year period in a Turkish metropolitan region. Methods A retrospective observational analysis was conducted in two tertiary hospitals in Kayseri, Türkiye, covering psychiatric admissions from January 2015 to December 2020. Sociodemographic and clinical data were retrieved from electronic health records. Statistical analyses included descriptive statistics, chi-square tests, t-tests, ANOVA, and binary logistic regression. Results A total of 773 patients were included. Anxiety disorders (42%) were the most frequent diagnoses, followed by bipolar disorder and schizophrenia. Logistic regression identified male gender, substance use, night-time ED visits, and admission to addiction-focused services as predictors of discharge against medical advice (p < 0.05). Conclusion This study highlights key demographic and clinical trends in psychiatric emergency admissions in Türkiye. The findings underscore the importance of developing targeted ED protocols that address substance-related crises and improve retention in care. Local insights can support national efforts to optimize psychiatric emergency systems. Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Reviewers agreed at journal 26 Apr, 2026 Reviewers agreed at journal 21 Apr, 2026 Reviews received at journal 09 Apr, 2026 Reviewers agreed at journal 24 Mar, 2026 Reviewers invited by journal 19 Mar, 2026 Submission checks completed at journal 12 Mar, 2026 First submitted to journal 11 Mar, 2026 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-8996722","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":610158629,"identity":"f7fd8076-e56a-448a-929e-5c18b305fe05","order_by":0,"name":"Mahmut Fırat Kaynak","email":"data:image/png;base64,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","orcid":"","institution":"Emergency Medicine, PHCC","correspondingAuthor":true,"prefix":"","firstName":"Mahmut","middleName":"Fırat","lastName":"Kaynak","suffix":""},{"id":610158630,"identity":"b056e00e-36be-4cd4-8f03-51c7fb8928b2","order_by":1,"name":"İsmail Altıntop","email":"","orcid":"","institution":"Kayseri University","correspondingAuthor":false,"prefix":"","firstName":"İsmail","middleName":"","lastName":"Altıntop","suffix":""},{"id":610158631,"identity":"6bf027e6-d232-415d-8058-0bd645f3102f","order_by":2,"name":"Yalcın Kahya","email":"","orcid":"","institution":"Kayseri University","correspondingAuthor":false,"prefix":"","firstName":"Yalcın","middleName":"","lastName":"Kahya","suffix":""}],"badges":[],"createdAt":"2026-02-28 16:08:40","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-8996722/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-8996722/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":105563793,"identity":"d5d1f589-b9a8-43b9-b250-ad1cb7723d39","added_by":"auto","created_at":"2026-03-27 12:47:50","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":662658,"visible":true,"origin":"","legend":"","description":"","filename":"physcC4B1atrC4B1ccasesmanuscriptDejavu11.pdf","url":"https://assets-eu.researchsquare.com/files/rs-8996722/v1_covered_9fe26af5-8f08-4de2-955d-d3229ec7c21f.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Patterns and Predictors of Psychiatric Emergency Admissions: A 5-Year Multicenter Retrospective Study from Turkey","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"international-journal-of-mental-health-systems","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"jmhs","sideBox":"Learn more about [International Journal of Mental Health Systems](http://ijmhs.biomedcentral.com/)","snPcode":"13033","submissionUrl":"https://submission.nature.com/new-submission/13033/3","title":"International Journal of Mental Health Systems","twitterHandle":"@BioMedCentral","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"","lastPublishedDoi":"10.21203/rs.3.rs-8996722/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8996722/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eThe global rise in psychiatric emergencies has placed increasing pressure on emergency departments (EDs), yet region-specific data remain scarce. This study aims to examine the demographic and clinical characteristics of adults admitted to psychiatric inpatient care through EDs over a five-year period in a Turkish metropolitan region.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eA retrospective observational analysis was conducted in two tertiary hospitals in Kayseri, T\u0026uuml;rkiye, covering psychiatric admissions from January 2015 to December 2020. Sociodemographic and clinical data were retrieved from electronic health records. Statistical analyses included descriptive statistics, chi-square tests, t-tests, ANOVA, and binary logistic regression.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eA total of 773 patients were included. Anxiety disorders (42%) were the most frequent diagnoses, followed by bipolar disorder and schizophrenia. Logistic regression identified male gender, substance use, night-time ED visits, and admission to addiction-focused services as predictors of discharge against medical advice (p\u0026thinsp;\u0026lt;\u0026thinsp;0.05).\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eThis study highlights key demographic and clinical trends in psychiatric emergency admissions in T\u0026uuml;rkiye. The findings underscore the importance of developing targeted ED protocols that address substance-related crises and improve retention in care. Local insights can support national efforts to optimize psychiatric emergency systems.\u003c/p\u003e","manuscriptTitle":"Patterns and Predictors of Psychiatric Emergency Admissions: A 5-Year Multicenter Retrospective Study from Turkey","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-03-23 17:40:13","doi":"10.21203/rs.3.rs-8996722/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"reviewerAgreed","content":"86417670646784681434293543985091045102","date":"2026-04-26T15:01:24+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"104854120083976008240623910505351649200","date":"2026-04-21T17:00:06+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-04-09T11:31:39+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"243608806475976664644201612995378366017","date":"2026-03-24T07:31:16+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2026-03-19T07:21:57+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2026-03-12T23:07:57+00:00","index":"","fulltext":""},{"type":"submitted","content":"International Journal of Mental Health Systems","date":"2026-03-11T16:21:07+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"international-journal-of-mental-health-systems","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"jmhs","sideBox":"Learn more about [International Journal of Mental Health Systems](http://ijmhs.biomedcentral.com/)","snPcode":"13033","submissionUrl":"https://submission.nature.com/new-submission/13033/3","title":"International Journal of Mental Health Systems","twitterHandle":"@BioMedCentral","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"010f75c7-acaf-446d-9225-4b658d6df46c","owner":[],"postedDate":"March 23rd, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2026-03-23T17:40:13+00:00","versionOfRecord":[],"versionCreatedAt":"2026-03-23 17:40:13","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8996722","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8996722","identity":"rs-8996722","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}