Wikipedia:Featured article candidates/Emergency psychiatry/archive1

The following is an archived discussion of a featured article nomination. Please do not modify it. Subsequent comments should be made on the article's talk page or in Wikipedia talk:Featured article candidates. No further edits should be made to this page.

The article was not promoted 07:15, 4 September 2007.

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Emergency psychiatry

Self-nomination. Article has been listed as a "Good Article" and went through a peer review. I reviewed the Featured article criteria, and the article seems to check out OK (from my humble reading). APA style referencing is used in the article. Looking to get this article to one of Wikipedia's best :)! Chupper 01:15, 26 August 2007 (UTC)

• Oppose for now looks promising but some things need to be addressed and I ain't got to prose yet:

ok, the first two refs which from two books; given the number of refs it is highly desirable (if not necessary) to have page numbers or chapters at the very least. Some reviewers will insist on page numbers.

Well, if the editors insist that page numbers be inserted, I will. The APA style, used in this article, states page numbers should not be used in short books such as these. If a reader were attempting to locate information cited here, the books have table of contents and are short enough so the information can be found relatively quickly. I guess I'm confused why Wikipedia would conflict with that... Again though, if the editors insist, I'll check out all of those books from the library again and add in page numbers. Just let me know... Chupper 00:29, 3 September 2007 (UTC)

:I have a little trouble with the scope of the article as there are a couple of overlapping themes - Emergency psychiatry as a discipline per se vs. psychiatric emergencies (wherever they occur) vs. psychiatry in the ER. A fourth is the set up of special subunits in ER (ED in Oz) which are called PECC units in Australia. This is mentioned. First glance leaves me unsure of what the article is actually focussing on.

I've renamed some of the sections and reworded some of the prose. I hope it is more clear now. The article should deal with emergency psychiatry as a very practical and clinical discipline (probably like most other branches of medicine). The Delivery of services section should now further describe how and where the practice of emergency psychiatry takes place. Chupper 00:29, 3 September 2007 (UTC)

:Need to add a couple of psych med emergencies - this is touched on but there's no mention of NMS (neuroleptic malignant syndrome) - dangerous overdoses - eg tricyclics which are lethal, lithium toxicity, and serotonin reactions - eg from mixing SSRI with tramadol or any form of amphetamines. All these need to be briefly mentioned. I am happy to insert them.

Wow, thanks for opening my eyes to these conditions. I'm just a lowly undergrad trying to wrap my brain around the subject. I've added information I've been able to find from the sources I have. (See Hazardous drug reactions and interactions subsection) Your expertise is really appreciated! Chupper 00:29, 3 September 2007 (UTC)

Anyway - its all doable but does need some nutting out - I can change to support once we address some of these. Good work so far cheers, Casliber (talk · contribs) 00:23, 27 August 2007 (UTC)

Thanks for your helpful suggestions! I'll get to work on these over the next several days. Chupper 19:16, 28 August 2007 (UTC)

I've addressed some of the issues above. I look forward to more comments or feedback. Chupper 00:29, 3 September 2007 (UTC)

OK - I've had a think about this and I think a radical but easy-to-install shift is the answer. In psychiatry there is no subspecialty (i.e. vocation as such) called 'Emergency Psychiatry, though there is a large amount of material on either Psychaitric emergencies or Psychiatry in the ER, both of which are amply represented here. As it stands the article reads as if it refers to a discipline of psychiatry in para 1 of lead, yet para 2 is all about services, as is the rest of the article - psych emergencies and some discussion on services.

I'm thinking the two options are either - rename and refocus as Psychiatry in the ER, or call it Psychiatric emergencies. The first is probably a better bet as it is a more inherently cohesive subject, whereas the second could just be a list with links to all the separate articles. I was goingt to say it would be a good fork from the Emergency medicine article but that one itself is way underdeveloped as is....cheers, Casliber (talk · contribs) 02:38, 3 September 2007 (UTC)

Well, you do bring up some good points. I've given this a lot of thought, and I must admit, I'm not excited about the idea of a name change.

• I don't like psychiatry in the ER because I feel like it is misleading. Psychiatric emergencies don't always take place in the ER. Often times psych hospitals treat psych emergencies. And sometimes these emergencies are treated outside of hospital settings. And ER physicians, psychiatrists, and ER psychiatrists aren't the only people treating these patients.
• I like psychiatric emergencies a bit more, but still, the history section wouldn't really fit in an article like this and I want the article to be more "discipline" in nature.
• I disagree with the fact that emergency psychiatry is not a subspecialty. Hundreds of books have been published with emergency psychiatry as the main subject (a few of which are used in this article). Medical schools have emergency psychiatry rotations. The APA publishes Emergency Psychiatry and refers to it as a discipline.
• I did understand that you were saying the article doesn't seem to cover the subject as a discipline. I gave this a lot of thought, and while I see where you are coming from, I'm thinking most medical specialties would be presented in a service way, right? I guess what I mean to say is medicine is the science of "maintaining and/or restoring human health through the study, diagnosis, and treatment of patients." So any discipline under medicine will probably be a clinical application of that field. Psychology or anthropology may be different because they are academic (sometimes applied) disciplines where as medicine is always an applied discipline. The other concern is that "emergency psychiatry" is relatively new, and like psychiatry, pulls its science from many disciplines including neuroscience, psychology, pharmacology, and medicine. All this kind of keeps this "discipline" in a clinical perspective.

So, I hope I didn't come across as rude. I appreciate your comments. Let me know your thoughts about what I wrote above. Realize, of course, I may be completely off and wrong here :). Chupper 03:53, 3 September 2007 (UTC)

No no, this is a place to nut things out and often things have to be negotiated/massaged before they evolve into something. Agee that it is an area of psychiatry and an important one - what I meant was that it wasn't a subspecialty with an addittional training scheme etc. etc. Anyway, opening sentence is a bit better. Will have another look and see how it can progress.cheers, Casliber (talk · contribs) 21:03, 3 September 2007 (UTC)

Again, don't hesitate to let me know if I'm wrong about something or making incorrect assumptions... Due to your comments I didn't really like the lead sentence, so I rewrote it. Let me know if it captures more of the theme of the article - "Emergency psychiatry is the clinical application of psychiatry in emergency settings." Does that fit better? Chupper 14:05, 3 September 2007 (UTC)

The above discussion is preserved as an archive. Please do not modify it. Subsequent comments should be made on the article's talk page or in Wikipedia talk:Featured article candidates. No further edits should be made to this page.