June 3, 2026 · Annals of emergency medicine · DOI: 10.1016/j.annemergmed.2026.04.001

Medical Screening of Adult Psychiatric Patients Presenting to the Emergency Department

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The authors aim to evaluate and categorize the existing literature on medical screening practices for adult psychiatric patients presenting to emergency departments. Through a scoping review of 145 publications, they identified eight key themes in medical screening, with a notable emphasis on laboratory testing, history taking, and vital sign assessment. The findings highlight the need for high-quality prospective studies to better assess the diagnostic accuracy of these practices, as current recommendations largely discourage routine laboratory testing.

Luca Ünlü, Johannes A Griese, Bruno Minotti, Christopher R Carpenter, Christian Appenzeller-Herzog, Philipp Sterzer, Michael Christ, Navid Azad, Kimberly Nordstrom, Clare Skinner, Jelmer Alsma, Victor Stiebel, Simon Kurzhals, Ian Ward Abdalla Maia, Roland Bingisser, Michael P Wilson, Christian H Nickel

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