Paramedics’ Perceptions,Knowledge and Skills regarding Emergency Psychiatric Patients in Riyadh,Saudi Arabia

Abstract

Introduction

Mental healthcare experts worldwide have been calling for increased contributions from medical professionals and organisations to improve the skills of healthcare practitioners and their coordination with mentally ill patients. However, the contributions and roles of paramedics in treating the mentally ill are still considered limited, and few studies have been conducted on paramedics’ judgement and decision-making when caring for patients with mental illness. This study aimed to assess paramedics’ perceptions, knowledge and skills in dealing with psychiatric emergencies.

Methods

A cross-sectional study was conducted among participants from the Saudi Red Crescent Authority; different hospitals in Riyadh were invited from September to October 2019 to complete a validated structured questionnaire. The Statistical Package for the Social Sciences version 22 (SPSS 22) software was used for data analysis.

Results

A total of 124 participants were included in this study; their mean age was 29.93 years, 95.2% were male, 78.9% had a bachelor degree and 12.1% had higher education. The majority of participants agreed that it is important for paramedics to know about mental illness (91.1%) and stated that they were comfortable managing a person with mental illness (63.7%). Almost half (49.6%) disagreed with the statement that psychiatric disorders are caused by religious or supernatural factors, whereas 24% were unsure, and 26.4% agreed. On assessing paramedics’ knowledge and skills, 31.4% scored above average, 42% scored average (average defined as answering six to seven out of 10 questions correctly), and 26.6% scored below average. However, when asked if they carry out the mental status examination on mentally ill patients, 66.1% stated ‘no’.

Conclusion

This study indicated that the majority of paramedics have positive perceptions regarding mental illness; moreover, it was shown that paramedics are knowledgeable and trained in dealing with emergency psychiatric patients. Further investigation regarding the practice and role of paramedics is necessary.

Keywords

paramedics emergency medical services psychiatric emergency situations mental health

References

Commonwealth Department of Health and Aged Care. The National Mental Health Report 2000: changes in Australia's mental health services under the First National Mental Health Plan of the National Mental Health Strategy 1993-1998. Canberra: Australian Government; 2000.

Shaban

Paramedics’ clinical judgment and mental health assessments in emergency contexts: research, practice, and tools of the trade.

Australasian Journal of Paramedicine 2015; 4.

World Health Organization. 2005. Incidence and prevalence of mental illness. Available at: www.who.int/mental_health/en/

Saudi Red Crescent Authority. Incidence and prevalence of PES. Available at: www.srca.org.sa/ar/Statistics/AnnualReport

Pajonk

F.G.

, Bartels

H.H.

, Biberthaler

, Bregenzer

, Moecke

Psychiatric emergencies in preclinical emergency service: incidence, treatment and evaluation by emergency physi-cians and staff.

Der Nervenarzt 2001; 72: 685–92.

Richards

J.R.

, Ferrall

S.J.

Inappropriate use of emergency medical services transport: com-parison of provider and patient perspectives.

Acad Emerg Med 1999; 6: 14–20.

Schmidt

T.A.

, Atcheson

, Federiuk

Hospital follow-up of patients categorized as not needing an ambulance using a set of emergency medical technician protocols.

Pre-hosp Emerg Care 2001; 5: 366–70.

Daniel

2019. Assessing the knowledge of emergency medical care practitioners in the Free State, South Africa, on aspects of pre-hospital management of psychiatric emergen-cies. Available at: www.panafrican-med-journal.com/content/article/33/132/full/ [Ac-cessed 19 December 2019].

Saudi Red Crescent Authority. 2019. Available at: https://www.srca.org.sa/en/About/About [Accessed 27 March 2019].

10.

Emergency, Disasters and Ambulatory Transportation General Department. 2020. Availa-ble at: www.moh.gov.sa/Ministry/Forms/EDATGD/Pages/default.aspx [Accessed 27 March 2019].

11.

Department of Emergency Medicine. Available at: http://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/Pages/EmergencyMedicine.aspx [Accessed 27 March 2019].

12.

Emond

, Furness

, Deacon-Crouch

Undergraduate paramedic students’ perception of mental health using a pre and post questionnaire.

Australasian Journal of Paramedicine 2015; 12.

13.

Psychiatry. In: Saudi Arabia, American Journal of Psychiatry. 2006. Available at: https://ajp.psychiatryonline.org/doi/10.1176/ajp.140.11.1455 [Accessed 29 May 2020].

14.

Wahass

, Kent

A comparison of public attitudes in Britain and Saudi Arabia towards auditory hallucinations. Available at: https://journals-sagepub-com-s.web.bisu.edu.cn/doi/10.1177/002076409704300303 [Accessed 29 May 2020].