{"pk":9649,"title":"The Peregrinating Psychiatric Patient in the Emergency Department","subtitle":null,"abstract":"Many emergency department (ED) psychiatric patients present after traveling. Although such travel, orperegrination, has long been associated with factitious disorder, other diagnoses are more commonamong travelers, including psychotic disorders, personality disorders, and substance abuse. Travelers’intense psychopathology, disrupted social networks, lack of collateral informants, and unawareness of localresources complicate treatment. These patients can consume disproportionate time and resources fromemergency providers. We review the literature on the emergency psychiatric treatment of peregrinatingpatients and use case examples to illustrate common presentations and treatment strategies. Difficultiesin studying this population and suggestions for future research are discussed. [West J Emerg Med.2016;17(5)600-606.]","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Psychiatry"},{"word":"Travel"},{"word":"health utilization"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6f5749cb","frozenauthors":[{"first_name":"Scott","middle_name":"A.","last_name":"Simpson, MD, MPH","name_suffix":"","institution":"University of Colorado, Denver, School of Medicine, Department of Psychiatry, Aurora, Colorado\nDenver Health Medical Center, Department of Psychiatry, Denver, Colorado","department":"None"},{"first_name":"Jagoda","middle_name":"","last_name":"Pasic, MD, PhD","name_suffix":"","institution":"University of Washington School of Medicine, Department of Psychiatry, Seattle, Washington","department":"None"}],"date_submitted":"2016-02-23T18:01:01Z","date_accepted":"2016-02-23T18:01:01Z","date_published":"2016-07-19T23:58:21Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9649/galley/5359/download/"}]}