Mental health

Mental health services provided in emergency departments - State and territory data

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The proportion of mental health-related emergency departments (ED) presentations triaged as Urgent or higher has increased over time, ranging from 4% in Western Australia to 18% in New South Wales

Across most states and territories, the most frequent principal diagnosis group for mental health-related ED presentations was Mental and behavioural disorders due to psychoactive substance use (F10–F19)

The proportion of mental health-related ED presentations seen on time has decreased over time with the largest decreases in Tasmania (22%) and South Australia (19%)

A separate section focusing on state and territory data can be found on the following page - Mental health services provided in emergency departments.

Service provision

Between 2014–15 and 2023–24, there was variability between jurisdictions, with the rates of mental health-related ED presentations (per 10,000 population) decreasing in some (New South Wales, South Australia, and Tasmania) and increasing in the others (Table ED.1).

In 2023–24, the Northern Territory had the highest rate (266), and Victoria had the lowest (97). This pattern is consistent since 2014–15 (Figure ED.1) and aligns with the broader trend observed in general emergency department rates, where the Northern Territory consistently reports the highest rate and Victoria the lowest rate (AIHW, 2025a).

Figure ED.1: Mental health-related ED presentations by state and territory, 2014–15 to 2023–24

Line chart showing number and rate per 10,000 population of mental health-related ED presentations by state and territory, 2014–15 to 2023–24.

Measure


Source: Mental health services provided in emergency departments states and territories 2023–24 tables (Table ED.6) | Data source overview

Table ED.1: Change in mental health-related emergency department presentation rates per 10,000 population by state and territory, 2014–15 to 2023–24

New South WalesVictoriaQueenslandWestern AustraliaSouth AustraliaTasmaniaAustralian Capital TerritoryNorthern
Territory
2014–1511782116103125107101250
2023–2411197130130119105107266
Rate change-6151427-6-2616

Principal diagnosis

In 2023–24, the 3 most frequent principal diagnosis groupings for mental health-related ED presentations across all states and territories were Mental and behavioural disorders due to psychoactive substance use (F10–F19), Neurotic, stress-related and somatoform disorders (F40–F49), and Schizophrenia, schizotypal and delusional disorders (F20–F29) (Figure ED.2). Specifically:

  • the Northern Territory (53%) reported the highest proportion of presentations for F10–F19 diagnoses, while Western Australia (34%) recorded the highest proportion for F40–F49 diagnoses
  • the group Schizophrenia, schizotypal and delusional disorders (F20–F29) was the next most frequent for Victoria (19%) and South Australia (18%).

Figure ED.2: Top 3 most frequent principal diagnosis groupings among mental health-related emergency department presentations by state and territory, 2023–24

Column chart showing the 3 most frequent principal diagnosis groupings for mental health-related ED presentations by state and territory in 2023–24.


Source: Mental health services provided in emergency departments states and territories 2023–24 tables (Table ED.10) | Data source overview

Trends in principal diagnosis over time

During the past decade, 2014–15 to 2023–24 key trends in the principal diagnosis (Figure ED.3):

  • Northern Territory consistently shows the highest proportions of F10–F19 diagnoses (53%–60%), while Western Australia has the highest proportions of F40–F49 diagnoses (34%–37%) over time
  • Victoria and South Australia have shown an upward trend in the proportions of presentations for F20–F29 diagnoses since 2020–21 (15%–19% and 12%–18% respectively)
  • South Australia has shown a decline in F40–F49 diagnoses, dropping from a peak of 30% in 2020–21 to 17% in 2023–24, following a period of relative stability in earlier years.

Figure ED.3: Proportions of the 3 most frequent principal diagnosis groupings in mental health emergency department presentations by state and territory, 2014–15 to 2023–24

Line charts showing the change in proportions of the 3 most frequent principal diagnosis groupings for mental health-related ED presentations by state and territory from 2014–15 to 2023–24.

Principal diagnosis group


Source: Mental health services provided in emergency departments states and territories 2023–24 tables (Table ED.10) | Data source overview

What are the characteristics of emergency departments services?

Waiting time

An ED presentation is classified as ‘seen on time’ when commencement of clinical care is within the time specified in the definition of the triage category. In 2023–24, New South Wales (68%), Victoria (65%), and Queensland (66%) had the highest proportions of presentations seen on time. Tasmania (42%), Western Australia (41%), and South Australia (40%) reported the lowest proportions of presentations seen on time (Figure ED.4). Nationally, in 2023–24, 67% of patients were seen on time for their triage category across all EDs (AIHW 2025a), and 60% for mental health-related ED presentations (AIHW 2025b).

In 2023–24, Victoria (16 minutes) and New South Wales (17 minutes) had the shortest median waiting time. Western Australia (47 minutes) and South Australia (43 minutes) had the longest median compared to the national median waiting time of 21 minutes (AIHW, 2025b). 

Across all states and territories, the trend in relation to the proportion of mental health-related ED presentations seen on time has decreased since 2014–15. Tasmania (64% to 42%), Western Australian (61% to 41%), and South Australia (59% to 40%) recorded the largest decreases in proportions of mental health-related ED presentations seen on time over the period from 2014–15 to 2023–24 (Figure ED.4).

Figure ED.4: Characteristics of mental health-related emergency department presentations by state and territory, 2014–15 to 2023–24


Characteristic


Source: Mental health services provided in emergency departments states and territories 2023–24 tables (Table ED.6); Table ED wait time LOS 2324 | Data source overview

Length of stay

Length of emergency department stay refers to the elapsed time from presentation to physical departure from the ED unit. In 2023–24, South Australia (7 hours and 2 minutes) had the longest median length of stay for all mental health-related ED presentations, followed by Tasmania (6 hours and 44 minutes) (Figure ED.4). The national median length of stay was 5 hours and 3 minutes for all mental health-related presentations in 2023–24 (AIHW, 2025b).

For mental health-related presentations ending in admission, the longest median lengths of stay were in Tasmania (14 hours and 56 minutes) and South Australia (11 hours and 18 minutes). The national median length of stay was 7 hours 13 minutes for mental health-related presentations ending in admission (AIHW, 2025b).

For more data, go to Data tables (Table ED wait time LOS 2324).

Episode end status

In 2023–24, the most frequently recorded episode end status for all states and territories mental health-related ED presentations was either “Admitted to this hospital” (ranging from 29% in New South Wales to 57% in Australian Capital Territory) or “Departed without being admitted or referred to another hospital” (ranging from 36% in Australian Capital Territory to 61% in Tasmania). Nationally, 38% and 52% of mental health-related presentations resulted in these two respective status categories (AIHW, 2025b). New South Wales reported highest rate of “Did not wait to be attended by a health care professional” or “Left at own risk” (7%).

For more data, go to Data tables (Table ED.8).

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