Abstract
Objective: The aim of this study was to carry out the translation and present the evidence of validity of the Brazilian version of the interRAI Emergency Screener for Psychiatry (ESP). Method: this is a cross-sectional study conducted in a municipal hospital in the metropolitan region of Porto Alegre, Rio Grande do Sul. A total of 161 patients were evaluated in the first 24 hours of emergency arrival using ESP. Exploratory factor analyses of the sections of the instrument and reliability analyses were conducted using Cronbach's alpha and McDonald's Omega. Results: the analyzes suggested a factorial structure adequate to the purpose of the instrument, with two sections (Mental State Indicators and Harm to Self and Others) having a two-factor solution, contrary to the expected one-factorial expectation. However, the two-factor sections have theoretical interpretability and consistency. The factor loadings of the items were adequate, all with values equal to or greater than 0.30. The interpreted factors showed internal consistency, assessed by Cronbach's Alpha and McDonald's Ommega indices, with values ranging between 0.60 and 0.94. Conclusion: the Brazilian version of the interRAI Emergency Screener for Psychiatry (ESP) demonstrates adequate psychometric properties through the internal structure of the instrument. Future studies should investigate the relationship of the scores produced by the instrument with clinical diagnosis and with covariates relevant to mental health outcomes.
Highlights
Emergency services in general hospitals are part of the Psychosocial Care Network (Brasil, 2011) supported by the Psychiatric Reform Law (Brasil, 2001) and Ordinance MS/GM No 2048, November 5, 2002 (Brasil, 2002) which specify that psychiatric emergency care is the responsibility of emergency rooms (ER) in general hospitals
Adaptation of the interRAI Emergency Screener for Psychiatry (ESP) to Brazilian Portuguese For the adaptation of the interRAI Emergency Screener for Psychiatry (ESP) (Rabinowitz et al, 2013) the steps indicated in the literature were followed (Mocking et al, 2020)
This Table describes the number of factors suggested by parallel analysis, amplitude of factor loadings, intercorrelations between factors and reliability measures
Summary
Emergency services in general hospitals are part of the Psychosocial Care Network (Brasil, 2011) supported by the Psychiatric Reform Law (Brasil, 2001) and Ordinance MS/GM No 2048, November 5, 2002 (Brasil, 2002) which specify that psychiatric emergency care is the responsibility of emergency rooms (ER) in general hospitals. Patients with primary complaints of mental health issues represent a substantial proportion of people seeking emergency services. A study (Moulin, Evans, Xing, & Melnikow, 2018) conducted between 2009 and 2014 showed that 28.2% of the demands for care in emergency departments (ER) in California, United. States were frequent users of mental health units, deeming those who seek ER more than four times in the period of one year. Another survey (Matsumoto, O'Driscoll, Lawrance, Jakubow, Madden, & Kelly, 2017) conducted at a hospital in Ontario, Canada showed that mental disorders and additions account for 10.3% of emergency room, 8.7% of admissions and. The research identified that respiratory problems, mental disorders and abdominal/pelvic complaints are the three most common diagnostic groups in emergency rooms (ER)
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