Annual Report 2010
METROPOLITAN EMERGENCYINFORMATION CENTER
FOR THE MENTAL ILLNESS (MEICMI)

Japanese Association of Mental Health Services（NPO）

THE RESULTS OF 2010
4
Number ofthe phonecalls
Primary
emergent
Secondaryemergent
Psychosomaticallycomplicated56789101112123Total

985 1278 1119 1195 1063 1130 1101 1045 1130 1171 1002 1156 13375
8981078128

1612

910117263129292629132641492737363

111243133411252

NUMERICAL CHANGE IN PHONE CALLS
36.8/day 37.1/day

700033.7/day 33.8/day 33.0/day 32.6/day
6000
5000

29.0/day

31.1/day29.5/day 30.2/day
202

4000

192
164

3000
2000

161

131132.1/day
250
198 192

184

170

193
170

167

154

141 148

150

200
150
100

71 69

1000
0

177

33.2/day
31.1/day127
81

36.2/day300
34.3/day

30.8/day
32.3/day

350

40

44

16

21

40

37

7

13

47
25
8854
33
4

1347

46

46

963

61

667
50

650
9

Triaged as theprimary
emergent case
Triaged as thesecondaryemergent caseNumber ofcalledTriaged as thepsycho
somaticallycomplicated1303

Latter half of '10

Former half of '10Latter half of '09

Former half of '09

Latter half of '08

Former half of '08

Latter half of '07

number / hour

Former half of '07

Latter half of '06

Former half of '06

Latter half of '05

Former half of '05

Latter half of '04

Former half of '04

Latter half of '03

Former half of '03

Latter half of '02

CHANGE IN THE CALLSACCORDING TO TIME

3.5

3.0

2.5

2.0
0:00-6:00

1.5
6:00-9:00

1.0
9:00-17:00

0.5
17:00-22:00

22:00-24:00

0.0

4

CHANGE IN MALE / FEMALE RATIO
70.0%60.0%
50.0%
40.0%
30.0%

men

20.0%

female10.0%

uncertain

0.0%

5

DISTRIBUTION OF AGE

OF THE PATIENTS

0500

1000

number of the cases
1500
2000

uncertain
70～
60～

Age

50～
40～
30～
20～

uncertain

16～１９

female～15male6

WHO MADE THE EMERGENCY CALLTO MEICMI ?
10266 48
145

42 36

142
19He/She by him/herself
Family member who lives with the patient
Family member who does not live with the patient

775

Family member uncertain about living with him/her480
158

Other acquaintance564

PoliceEmergency staff of the Fire Department

943Psychiatric institution (public)

6993

Psychiatric institution (private)
Physical institution (general hospital & clinic)

2754

Other public institution
Rehabilitation facilities
Institution for the welfare of the aged people
Others
Uncertain

7

WHERE IS THE PATIENT?
765

in his/her own house

194
611
57

in his/her acquaintance house566

on the street

50
372

At the police station

520
278

Admitted to the physical hospitalIn the ambulance car

Admitted to the mental hospital

291
9671

Out-patient of the physical hospital or clinic
Out-patient of the mental hospital or clinic
Others
Uncertain
8HISTORY OF TREATMENT (OUT-PATIENT)

FOR MENTAL ILLNESS

being a out-patient of mental
clinic6%
16%

5%

being a out-patient ofpsychiatric hospital
48%

25%

having been out-patients but
not being out-patient now
having no history of treatment
uncertain
9

MAJOR REASONFOR PHONE CALL TO MEICMI
Request to get consultation
Request to introduce medical facilities

201

722

1363

Disorder of consciousness

728

Epileptic seizure

1012
1207

79
18283

Violence
Attempted suicide / desire to suicide
Paranoid-hallucinatory state/strange behavior

1337

Excitement/distraction
Anxiety and depression

4008

1601

Eating disorder / sleeping disorder
Running out of medicine

816Side effect of medicine
Others10

CHANGE IN MAJOR REASONFOR PHONE CALL TO MEICMI

40.0%

Disorder of consciousness

35.0%

Epileptic seizure

30.0%

Violence

25.0%

Attempted suicide / desire to suicide
Paranoid-hallucinatory state/strange behavior

20.0%

Excitement/distraction

15.0%

Anxiety and depression / sleeping disorder

10.0%

Eating disorder

5.0%
0.0%

Running out of medicine
Side effect of medicine
Request to introduce medical facilities
Request to get consultation
Others11WHAT MEICMI DID FOR

THE EMERGENCY PHONE CALLS

117
211763328

363
Listening and giving some advice

25

Introduction of medical facilities

838

Introduction of counseling facilities
Advice to call police
Advice to call fire department
7252
3478

Advice by the triage-doctor
Triaged as the primary emergent case
Triaged as the secondary emergent case
Triaged as the psycho somatically
12complicatedCHANGE IN WHAT MEICMI DID
FOR THE EMERGENCY PHONE CALLS
Triaged as the psycho
somatically complicated

20.0%

60.0%

18.0%

50.0%

16.0%

40.0%

14.0%

30.0%

12.0%

20.0%

Triaged as the primaryemergent case

10.0%

10.0%

Advice by the triage-doctor

8.0%

0.0%

6.0%

-10.0%

4.0%-20.0%

2.0%-30.0%

0.0%-40.0%

Triaged as the secondary
emergent case

Advice to call police
Advice to call fire department
Introduction of counselingfacilities
Introduction of medical
facilities

13
Listening and giving someadvice

WHAT DECISION WAS MADE FINALLYFOR THE PATIENTTriaged as the psychosomatically complicatedout-patientvoluntary admission

Triaged as the secondaryemergent caseinvoluntary admission
with consent by family

Triaged as the primaryemergent casecanceled by patient or
his/her family
050 100 150 200 250 300 350 400
number of patients
14

DISTRIBUTION OF DIAGNOSESOF PATIENTS
Unspecified

Triaged as
the psycho
somaticallycomplicatedF0: Dementia
F1: Mental and behavioral disorders
due to psychoactive substance use
F2: Schizophrenia

Triaged asthesecondary
emergent…

F3: Mood disorder
F4: Neurotic disorder
F5: Eating disorder / sleepingdisorder
F6: Personality disorder

Triaged as
the primaryemergentcaseF7/8: Mental retardation

050

100 150 200 250 300 350 400

number of patients

F9: behavioral and emotional
disorders
G4: Epilepsy
Others15

MEASURE OF TRANSPORTATION
85
13

Public transportation
facilities

21

By car72

By taxi
153

118

Ambulance car of the fire
department
Patrol car of the police
department
Ambulance car of the privatetransportation company

115

OthersUnknown

16

REASON OF NOT BEING REFERREDTO MEDICAL FACILITIES

78

16
no need of emergent treatment1078

no beds (beds saved for emergency having been consumed)

219
624

still in the process of consulting

193
246

refered to the somatical emergency
high possiblity of hurting himself /herself or others becauseof mental disoder
diorders due to psycho-active substance use

839
593

being not accompanied by the person responsible forprotetion of the patient with mental disorder
not having measures of transportation

336
9241

not having medical insurance cardpatient outside of Tokyoothers

17

CHANGE IN REASON OF NOT BEINGREFERRED TO MEDICAL FACILITIES

20.0%

100.0%

18.0%

90.0%

16.0%

80.0%

14.0%

70.0%

12.0%

60.0%

10.0%

50.0%

8.0%

40.0%

6.0%

30.0%

4.0%

20.0%

2.0%

10.0%

0.0%

0.0%

no beds (beds saved for emergency having beenconsumed)
still in the process of consulting
refered to the somatical emergency
high possiblity of hurting himself /herself or others
because of mental disoder
diorders due to psycho-active substance use
being not accompanied by the person responsible forprotetion of the patient with mental disorder
not having measures of transportation
not having medical insurance cardpatient outside of Tokyo
othersno need of emergent treatment18