Clinical Study

A Comparison of Medical and Psychobehavioral Emergency Department Visits Made by Adults with Intellectual Disabilities

Table 1

Proportion of visits by medical or psychobehavioral presentation category.

Medical crisis categoryN = 98Case example(s)

Injury 41 (41.8%)Client ran across street on yellow light and was hit by a car
Ill-defined symptoms/signs 11 (11.2%)Client became lethargic, was not eating, and was acting very much out of character
Nervous system/sense organs 10 (10.2%)Client had 6 seizures in one day
Digestive 9 (9.2%)Client was experiencing chronic constipation
Infectious/parasitic 7 (7.1%)Client was vomiting all day and had a very high fever
Other (includes endocrine/nutritional/metabolic, musculoskeletal, circulatory, respiratory, genitourinary, pregnancy, and skin) 20 (20.4%)Client needed to be assessed for a urinary tract infection
Client broke out with skin irritation

Psychobehavioral crisis category N = 123Case example(s)

Physical aggression40 (32.5%)Son pushed mother against wall and hit her in the head
Suicidal ideation/behaviour25 (20.3%)Client argued with parent and then overdosed on psychotropic medications and was admitted to hospital
Other psychiatric symptoms16 (13.0%)Anxious, depressed, and experiencing hallucinations
Verbal aggression9 (7.3%)Client has been very verbally abusive these past few weeks. He had threatened to hurt roommate
Property damage6 (4.9)Client agitated, was angry, and trashed apartment
Other (e.g., missing, sexual deviance, and arson), 24 (19.5%)Client was upset with a staff and eloped from her day program.