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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0540

Increasing complexity in psychiatric emergency services: a retrospective analysis of presentations and length of stay at a tertiary hospital

INCREASING COMPLEXITY IN PSYCHIATRIC EMERGENCY SERVICES: A RETROSPECTIVE ANALYSIS OF ADMISSIONS AND LENGTH OF STAY IN A TERTIARY HOSPITAL

While the total number of psychiatric emergency presentations remained relatively stable, stays exceeding 24 hours and, particularly, hospital admissions increased substantially (a 119% increase in admissions).

The study aimed to examine changes in demand for psychiatric emergency care through length of stay and hospital admissions. Using a retrospective observational design, all psychiatric emergency presentations recorded at Hospital 12 de Octubre in Madrid in 2024 and 2025 were compared; the total number of emergency presentations, stays exceeding 24 hours, psychiatric admissions, and the main reasons for presentation were assessed. The total number of emergency presentations decreased by 4.3%, from 3,567 in 2024 to 3,415 in 2025. The proportion of stays exceeding 24 hours rose from 26.1% (n = 933) in 2024 to 30.9% (n = 1,056) in 2025, an increase of 4.8 percentage points. Psychiatric admissions increased by 119%, from 400 in 2024 to 877 in 2025. The main reasons for presentation were self-harming behaviors, behavioral problems, decompensated severe mental disorders, and substance intoxication or poisoning. In conclusion, although the number of presentations remained relatively stable, clinical complexity increased substantially; these findings indicate growing demand for intensive psychiatric care and a need for resource allocation and system adaptation to manage more severe cases.

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