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Between 2005 and 2017, MH presentations to ED became significantly more frequent. The opening of PECC reduced length of stay in ED and provided an admission trajectory for patients expressing suicidality, while retaining the pathway to the acute psychiatric ward for those patients presenting with psychosis. Between 2005 and 2017, MH presentations to ED became significantly more frequent. The opening of PECC reduced length of stay in ED and provided an admission trajectory for patients expressing suicidality, while retaining the pathway to