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The psychiatric patient in emergency room and Z zone


Public mental health in a smal area of 8 boroughs and 74,753 inhabitans in the centre of Italy. Mental Health Departement during 1 year:almost 3500 psychiatric patients: 2.8% of the inhabitans of this small area. people presenting psychiatric desorders during the life, are estimated 25%; and then in this area possibly will be 28,000 persons who needed psychiatric help (OMS: 2001 Mental Health report).

Bipolar desorders 33%, anxiety and DAP 28%, schizophreniza 12%, borderline desorders 7%, psychosomatic desorders compulsive behaviour 6%, psychiatric symptoms in neurological desorders 5%, bhavioural desorder 4%, social problems 2.8%, il 1.5% eating desorders, psychiatric symptoms abuse related 0.7%.

Materials and methods

File archives research.


Standardized initial approach step by step in the emergency room or Z zone.


The psychiatric patient in emergency room and Z zone.

Drug Treatment parenterally administered.

Conscious or unconscious patient.

Step 1 objective problems caused by the initial approach

Step 2 difficulties of gathering initial anamnesis information

Step 3 therapeutics start (usually not standardized attempts of limiting drugs or persuasion method)or treatment of an unconscious patient with suicidal mania

Step 4 finding a suitable hospitalization area in advance to deal with the patient.

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Correspondence to Assunta Lepri.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Lepri, A., Ponsillo, N.G., Spatuzzi, V. et al. The psychiatric patient in emergency room and Z zone. Ann Gen Psychiatry 9, S171 (2010).

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  • Mental Health
  • Emergency Room
  • Social Problem
  • Psychiatric Symptom
  • Health Departement