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Emergency Psychiatric Assessment Patients often concern the emergency department in distress and with a concern that they may be violent or intend to harm others. These clients need an emergency psychiatric assessment. A psychiatric assessment of an upset patient can take time. Nonetheless, it is important to begin this process as quickly as possible in the emergency setting. 1. Medical Assessment A psychiatric examination is an assessment of an individual's mental health and can be performed by psychiatrists or psychologists. Throughout the assessm