Table 1 Expert Content Validation Results for the Initial Algorithm (N = 10)

1.

Is it reasonable to distinguish between mental and physical problems with the patient’s chief complaint?

2.

Is it appropriate to confirm that the physical problem of the patient who came to the emergency room is the result of suicide attempt?

2–1.

Is it reasonable to classify an emergency if a physical problem is the result of a suicide attempt?

2–2.

Is it reasonable to use KTAS if physical problems are not the result of suicide attempts?

3.

If aggressive behavior is observed, is it reasonable to classify as urgent?

3–1.

Is it reasonable to have a psychiatrist’s face-to-face medical treatment immediately in an urgent?

4.

Is it reasonable to classify as an emergency if you have severe agitation / suicide attempts?

4–1.

The criteria for severe agitation are based on the Excited Component of the Positive and Negative Syndrome Scale. Is the classifier valid?

4–2.

Is it appropriate to have a psychiatrist visit in 15 to 30 min in an emergency?

4–3.

Is it appropriate to report to an emergency medical specialist if an emergency is found that causes physical damage due to suicide attempts?

5.

Is it reasonable to classify as a para-emergency if you show mild agitation?

5–1.

The criteria for mild agitation are based on the Excited Component of the Positive and Negative Syndrome Scale. Is the classifier valid?

5–2.

Is it reasonable to have a psychiatrist visit within 30 to 60 min if you are para-emergency?

6.

Is the non-emergency classifier valid?

6–1.

If it is non-emergency, is it reasonable to have a psychiatrist visit within 60 to 120 min?

6–2.

If it is non-emergency, is it reasonable to make a discharge or outpatient appointment if the patient does not complain of a subjective psychiatric emergency?