Telepsychiatry to Enable Expedited Disposition of Psychiatric Emergencies

NCT ID: NCT05771545

Last Updated: 2026-01-08

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

959 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-07-01

Study Completion Date

2026-06-30

Brief Summary

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The goal of this observational study is to examine the effect of using a video link for evaluation of patients in the psychiatric emergency room. Under current Israeli law, the attending physician must come in to physically examine the patient before they can be admitted involuntarily. Patients often de-compensate and even may become violent while waiting for the attending to arrive. Previous studies have shown that evaluation of such patients via video-link has an extremely high concordance with in person evaluation. This study will compare patients who are evaluated via video-link with historical controls evaluated under usual conditions. This is an observational study, which is taking advantage of a change in practice to collect data on two different ways of delivering care, via chart reviews. If successful, this study will show that the video-link is feasible and acceptable to patients and staff. The following hypotheses will be tested:

1. The intervention will result in shorter ED time compared to historical controls.
2. The intervention will result in fewer violent incidents compared to historical controls.
3. The intervention will result in shorter overall hospital length of stay compared to historical controls.

Detailed Description

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Conditions

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Psychiatric Emergency

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Pre-Innovation (Usual Care)

Patients evaluated in the psychiatric emergency department for possible involuntary admission during the year prior to the innovation in care. During this period, the attending psychiatrist was required to physically come to the hospital to examine the patient.

No interventions assigned to this group

Innovation (Tele-Psychiatry)

Patients evaluated in the psychiatric emergency department for possible involuntary admission during the innovation period. Instead of physically coming to the hospital, the attending physician will evaluate the patient via video-link, which will be facilitated by the on-site psychiatric resident.

Telepsychiatry

Intervention Type OTHER

Instead of coming to the hospital physically, the attending psychiatrist will evaluate the patient via a video-link.

Interventions

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Telepsychiatry

Instead of coming to the hospital physically, the attending psychiatrist will evaluate the patient via a video-link.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Must be evaluated in the psychiatric ED for potential involuntary admission

Exclusion Criteria

* Not justice-involved (i.e., brought in by police after committing a crime)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hebrew University of Jerusalem

OTHER

Sponsor Role lead

Responsible Party

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Adam Rose

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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HaEmek Medical Center

Afula, , Israel

Site Status

Jerusalem Mental Health Center - Eitanim

Jerusalem, , Israel

Site Status

Jerusalem Mental Health Center

Jerusalem, , Israel

Site Status

Shaar Menashe Psychiatric Hospital

Pardés H̱anna Karkur, , Israel

Site Status

Geha Psychiatric Hospital

Petah Tikva, , Israel

Site Status

Ziv Medical Center

Safed, , Israel

Site Status

Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Lev Hasharon Mental Health Center

Tsur Moshe, , Israel

Site Status

Countries

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Israel

References

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Shalev L, Bistre M, Lubin G, Avirame K, Raskin S, Linkovski O, Eitan R, Rose AJ. Enabling Expedited Disposition of Emergencies Using Telepsychiatry in Israel: Protocol for a Hybrid Implementation Study. JMIR Res Protoc. 2023 Oct 17;12:e49405. doi: 10.2196/49405.

Reference Type DERIVED
PMID: 37847548 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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HebrewUJ123

Identifier Type: -

Identifier Source: org_study_id

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