ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Public Mental Health
Clinical symptoms and risk factors in people with mental disorders: findings from the interRAI Emergency Screener for Psychiatry in Brazil
Provisionally accepted
- 1Universidade Luterana do Brasil, Canoas, Brazil
- 2Katholieke Universiteit Leuven, Leuven, Belgium
- 3University of Waterloo, Waterloo, Canada
- 4Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- 5Universidade Federal do Rio Grande, Rio Grande, Brazil
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Backgroud: Emergency rooms in general hospitals receive patients experiencing acute crises, exacerbations of chronic mental disorders, and psychiatric emergencies. This study aims to describe the main characteristics and clinical symptoms of the sample of mental health patients across main diagnoses, and to identify the risk factors of suicide, as well as of hetero-aggression. This study aims to investigate the associations between clinical symptoms, risk factors for suicide attempts and hetero aggression, and psychiatric diagnoses in patients with mental disorders and addictions. Method: This is a quantitative, cross-sectional, and analytical study. The Emergency Screener for Psychiatry instrument was applied to screen patients in an Emergency Care Unit in Primary Health Care and a Mental Health Unit of a University Hospital in Brazil. A comparative analysis of the main characteristics of patients between the sites was conducted. Logistic models were used to identify risk factors of suicide attempts and hetero aggression. Results: The scales of depression severity (OR:2.69), risk of harm to others (OR:3.31), and social withdrawal (OR:4.27) were identified as risk factors for suicide attempts. A protective factor was the item reporting if family/friends or professionals are concerned about the patient's self-harm (OR:0.34). For hetero-aggression risk, using the harm to others scale, only the mania scale (OR:4.31) and history of four or more previous hospitalizations (OR:2.80) were significant. In both models, no significant associations were found for the type of diagnosis or the patient's admission site. Conclusion: The Emergency Screener for Psychiatry proved to be a useful screening instrument to identify risk factors of suicide attempts and hetero aggression of patients in emergencies settings and general hospitals.
Keywords: Drug abuse, Emergencies, General hospital, Mental Health Disorders, Risk factors, screening
Received: 30 Oct 2025; Accepted: 02 Jan 2026.
Copyright: © 2026 Rocho de Borba, de Almeida Mello, Hirdes, Ferlin and Hirdes. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Alice Hirdes
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