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Catalonia’s Psychiatric ERs Face Urgent Overhaul After Terrassa Suicide

An influential editorial urges an immediate redesign of emergency mental health care following the 48‑hour ER wait that ended in a patient’s death.

Overview

  • Official data show depressive symptoms in Spain nearly tripled from 5.4% in 2019 to 14.6% in 2023, sharply increasing demand for care.
  • Doctors’ groups report saturated services and warn that the Terrassa incident could recur given chronic shortages of psychiatrists and psychologists.
  • In 2022, 62.8% of psychiatric hospitalizations were handled through emergency departments, where traditional boxes are deemed inadequate for safe assessment.
  • Only 21 of 68 Catalan public hospitals have dedicated psychiatric emergency units, prompting calls for segregated spaces and more specialized staff.
  • Spain has about 9 psychiatrists per 100,000 people (13 in Catalonia) versus 19 in the EU, with one in five over 60, alongside rising complaints to the Síndic de Greuges about deficient care.