Trial Outcomes & Findings for Telepsychiatry to Enable Expedited Disposition of Psychiatric Emergencies (NCT NCT05771545)
NCT ID: NCT05771545
Last Updated: 2026-01-08
Results Overview
Amount of time, in hours and minutes, that the patient spends in the ED prior to disposition
Recruitment status
ACTIVE_NOT_RECRUITING
Target enrollment
959 participants
Primary outcome timeframe
Patients arrive in the ED at a specific time and leave the ED at a specific time. We will compute the amount of time spent in the ED by each patient, up to two weeks.
Results posted on
2026-01-08
Participant Flow
Participant milestones
| Measure |
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.
|
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: Instead of coming to the hospital physically, the attending psychiatrist will evaluate the patient via a video-link.
|
|---|---|---|
|
Overall Study
STARTED
|
525
|
434
|
|
Overall Study
COMPLETED
|
525
|
434
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Telepsychiatry to Enable Expedited Disposition of Psychiatric Emergencies
Baseline characteristics by cohort
| Measure |
Pre-Innovation (Usual Care)
n=525 Participants
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.
|
Innovation (Tele-Psychiatry)
n=434 Participants
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: Instead of coming to the hospital physically, the attending psychiatrist will evaluate the patient via a video-link.
|
Total
n=959 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Customized
Age 18-33
|
226 Participants
n=18 Participants
|
205 Participants
n=17 Participants
|
431 Participants
n=35 Participants
|
|
Age, Customized
Age 34-50
|
175 Participants
n=18 Participants
|
129 Participants
n=17 Participants
|
304 Participants
n=35 Participants
|
|
Age, Customized
Age 51-68
|
88 Participants
n=18 Participants
|
76 Participants
n=17 Participants
|
164 Participants
n=35 Participants
|
|
Age, Customized
Age 69+
|
36 Participants
n=18 Participants
|
24 Participants
n=17 Participants
|
60 Participants
n=35 Participants
|
|
Sex: Female, Male
Female
|
203 Participants
n=18 Participants
|
161 Participants
n=17 Participants
|
364 Participants
n=35 Participants
|
|
Sex: Female, Male
Male
|
322 Participants
n=18 Participants
|
273 Participants
n=17 Participants
|
595 Participants
n=35 Participants
|
|
Race/Ethnicity, Customized
Jewish
|
443 Participants
n=18 Participants
|
377 Participants
n=17 Participants
|
820 Participants
n=35 Participants
|
|
Race/Ethnicity, Customized
Arab
|
76 Participants
n=18 Participants
|
56 Participants
n=17 Participants
|
132 Participants
n=35 Participants
|
|
Race/Ethnicity, Customized
Foreign Workers or Tourists
|
6 Participants
n=18 Participants
|
1 Participants
n=17 Participants
|
7 Participants
n=35 Participants
|
|
Region of Enrollment
Israel
|
525 participants
n=18 Participants
|
434 participants
n=17 Participants
|
959 participants
n=35 Participants
|
PRIMARY outcome
Timeframe: Patients arrive in the ED at a specific time and leave the ED at a specific time. We will compute the amount of time spent in the ED by each patient, up to two weeks.Amount of time, in hours and minutes, that the patient spends in the ED prior to disposition
Outcome measures
| Measure |
Pre-Innovation (Usual Care)
n=525 Participants
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.
|
Innovation (Tele-Psychiatry)
n=434 Participants
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: Instead of coming to the hospital physically, the attending psychiatrist will evaluate the patient via a video-link.
|
|---|---|---|
|
ED Time
|
106 Minutes
Interval 70.0 to 159.0
|
103 Minutes
Interval 65.0 to 155.0
|
SECONDARY outcome
Timeframe: Patients arrive in the ED at a specific time. Those who are admitted are eventually discharged. Violent incidents can occur during the entire time spent in the hospital, whether in the ED or on the ward, up to 90 days total.Adjudicated violent incidents that occur, whether in the ED or on the psychiatry ward. Includes hitting, kicking, throwing, and property destruction
Outcome measures
| Measure |
Pre-Innovation (Usual Care)
n=525 Participants
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.
|
Innovation (Tele-Psychiatry)
n=434 Participants
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: Instead of coming to the hospital physically, the attending psychiatrist will evaluate the patient via a video-link.
|
|---|---|---|
|
Violent Incidents
|
108 Participants
|
96 Participants
|
SECONDARY outcome
Timeframe: For patients admitted to the hospital through the ED, the beginning time is their arrival to ED, the end is the time of hospital discharge, up to 90 days later.Population: Only those who were admitted to hospital; does not include those discharged from the Emergency Department
Length of stay, in days, starting with time of arrival to ED
Outcome measures
| Measure |
Pre-Innovation (Usual Care)
n=388 Participants
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.
|
Innovation (Tele-Psychiatry)
n=343 Participants
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: Instead of coming to the hospital physically, the attending psychiatrist will evaluate the patient via a video-link.
|
|---|---|---|
|
Hospital Length of Stay
|
18 days
Interval 9.0 to 39.0
|
23 days
Interval 11.0 to 41.0
|
Adverse Events
Pre-Innovation (Usual Care)
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Innovation (Tele-Psychiatry)
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place