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Highlights The current COVID-19 pandemic is causing severe mental health problems. We investigated the characteristics of emergency psychiatric consultations during the phase 1 of lockdown in a Department of Mental Health and Addiction located in Lombardy region, Italy, compared to similar period of 2019. There was a marked reduction in the number of psychiatric emergency consultations. Some patients were significantly more likely to present to emergency psychiatric consultations during lockdown. COVID-19 epidemic may have a negative impact on more vulnerable individuals.

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