Identifying predictors of malingering in psychiatric emergency room settings and evaluating intervention strategies to reduce unnecessary er utilization. Literature review
1 General Directorate of Health Affairs, Najran, Saudi Arabia.
2 Vinnytsia National Pirogov Medical University, Vinnytsia Oblast, Ukraine.
3 North Vista Hospital, Clinical documentation specialist, Las Vegas, Nevada, USA.
4 University of Benin, Department of Medicine and Surgery, Benin, Edo State, Nigeria.
5 George Washington University, School of Public Health, District Columbia, USA.
6 IMG Research Academy, Winnipeg, Canada.
7 National American University, Denver, Colorado USA.
8 Trinity School of Medicine, St. Vincent and the Grenadines.
Review
World Journal of Biology Pharmacy and Health Sciences, 2024, 19(03), 092–102.
Article DOI: 10.30574/wjbphs.2024.19.3.0589
Publication history:
Received on 24 July 2024; revised on 02 September 2024; accepted on 05 September 2024
Abstract:
Malingering in psychiatric emergency room (ER) settings presents a significant challenge, leading to unnecessary healthcare resource utilization and potentially compromising patient care. This literature review examines predictors of malingering and evaluates intervention strategies aimed at reducing unnecessary ER visits. The review identifies a range of predictors, including demographic factors, clinical presentations, historical elements, and motivational aspects, that may indicate malingering. Tools such as structured interviews, validity scales, and behavioral observations are highlighted for their effectiveness in identifying malingering behaviors in psychiatric ERs. The review also explores various intervention strategies, including early identification protocols, staff training programs, and collaborative care models, which have shown promise in mitigating the impact of malingering on healthcare systems. These strategies are important in ensuring that resources are appropriately allocated while maintaining high standards of patient care. However, ethical considerations, particularly the balance between detecting malingering and providing genuine patient care, remain critical challenges. Addressing these issues is essential for improving the efficiency and effectiveness of emergency psychiatric care and ensuring that patients receive appropriate and timely care.
Keywords:
Malingering; Psychiatric Emergency Room; Healthcare Resource Utilization; Predictors of Malingering.
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Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0