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To determine the pattern of presentations and characteristics of patients at a psychiatric emergency services facility. The cross-sectional study was conducted in November 2016 at the Department of Psychiatry and Behavioural Sciences, Jinnah Postgraduate Medical Centre, Karachi, and comprised all patients presenting to the departmental emergency services. Data was documented on a pre designed semi-structured proforma, and analysed using SPSS 22. Of the 316 cases, 162(51.3%) were males and 154(48.7%) were females. The overall mean age was