A decrease in psychiatric consultations at the emergency room and inpatient wards of a large general hospital in Israel during the SARS-CoV-2 (COVID-19) pandemic

Schreiber, Shaul; Tene, Oren; Mordel, Clara; Sason, Anat; Peles, Einat

doi:10.1016/j.genhosppsych.2021.02.005

Cited by 8 publications

(12 citation statements)

References 6 publications

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“…Over the period examined, there was a 30% reduction in HED psychiatric consultations in 2020 compared with 2019. This reduction in psychiatric consultations in the early stages of the pandemic is consistent with evidence from other countries (4)(5)(6)(7)(8)(9)(10)(11).…”

Section: Discussionsupporting

confidence: 88%

“…In general, projections indicate an increase in depression and post-traumatic stress disorder (PTSD) on a basis of biological mechanisms and social consequences (2,3). On the other hand, some preliminary reports on mental health management in the acute phase of the pandemic have found a decrease in requests for psychiatric consultations in hospital emergency departments (HEDs) (4)(5)(6)(7)(8)(9)(10)(11). Clearly, the type of organization of mental health care has a strong influence on how each country copes with the crisis.…”

Section: Introductionmentioning

confidence: 99%

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Emergency Psychiatric Consultations During and After the COVID-19 Lockdown in Italy. A Multicentre Study

et al. 2021

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Aims: The aim was to analyse the psychiatric consultations in nine Italian hospital emergency departments, by comparing the lockdown and post-lockdown periods of 2020 with the equivalent periods of 2019.Methods: Characteristics of psychiatric consultations, patients, and drug prescriptions were analyzed. Joinpoint models were used to identify changes in the weekly trend of consultations.Results: A 37.5% decrease in the number of consultations was seen during the lockdown period and 17.9% after the lockdown. The number of individual patients seen decreased by 34.9% during the lockdown and 11.2% after the lockdown. A significant change in the number of consultations from week 11 to week 18 occurred, followed by a gradual increase. There was a higher percentage of patients with previous psychiatric hospitalizations during the lockdown period (61.1 vs. 56.3%) and a lower percentage after the lockdown (59.7 vs. 64.7%). During the lockdown there was a large increase in psychiatric consultations for substance use disorders, whereas more consultations for manic episodes occurred after the lockdown. A 3.4% decrease was observed in consultations for suicidal ideation and planning during the lockdown, followed by an upward rebound after the lockdown, along with an increase in consultations for suicide attempts. During lockdown antipsychotic and benzodiazepine prescriptions increased by 5.2 and 4.1%, respectively. After the lockdown, the number of compulsory hospitalizations was higher than in 2019.Conclusions: We observed a decrease of psychiatric consultations during and after the lockdown. There was an increase in consultations for manic episodes and suicidality after the lockdown. The focus of psychiatric services must remain high particularly in this latter period.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Emergency Psychiatric Consultations During and After the COVID-19 Lockdown in Italy. A Multicentre Study

et al. 2021

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“…Fear of contagion was evident in Israel during the COVID-19 pandemic outbreak as for example, the increase in the number of COVID-19 inpatients was accompanied by a decrease in the number of emergency room admissions, the latter from about 1,40,000 each year during 2016–2019 to 1,11,750 during 2020. This was explained by the reluctance of patients with other acute conditions or exacerbations of chronic medical conditions to approach the emergency room for fear of contagion ( Schreiber et al, 2021 ).…”

Section: Fear Of Contagionmentioning

confidence: 99%

Adjustment Disorder in the Face of COVID-19 Outbreak: The Impact of Death Anxiety, Media Exposure, Fear of Contagion and Hypochondriasis Symptoms

et al. 2021

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Based on the theoretical view of Terror Management Theory, the current research examines whether higher levels of death anxiety symptoms, in the face of the COVID-19 outbreak, increase the extent to which participants are exposed to information regarding the spread of the pandemic, as well as the fear of contagion and symptoms of hypochondriasis, which all in turn increase symptoms of adjustment disorder. A total number of 302 participants filled out self-report questionnaires regarding death anxiety, adjustment disorder, the extent of exposure to information regarding COVID-19, fear of contagion, hypochondriasis, and demographic information. Structural Equation Modeling analysis indicated a very good fit of the theoretical model with the data, confirming the mediation effect of exposure to information, fear of contagion, and symptoms of hypochondriasis on the association between death anxiety and adjustment disorder symptoms. Implications for practice are discussed.

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“…Dieser Befund überrascht insbesondere vor dem Hintergrund der intensiven weltweiten medialen Berichterstattung. In der Folge hätte eher eine Zunahme dieser Diagnosegruppen erwartet werden können [5]. Ob hier eine Abnahme der nicht dringlichen Patienten vorlag oder möglicherweise neu entwickelte Ressourcen seitens der Patienten in der Krise einen Einfluss auf die Entwicklung hatten, müssen weitere Untersuchungen zeigen.…”

Section: Ergebnisseunclassified

“…Die aktuelle Datenlage zu den Auswirkungen des Lockdowns auf das Anforderungsprofil seitens psychiatrischer Notfallpatienten lässt folgende erste Rückschlüsse zu. Die überwiegenden Studien zur Fallzahlentwicklung beschreiben einen deutlichen Rückgang der Patientenzahlen mit einer nur langsamen Erholung [4,5,[7][8][9][10][11]. Vorerkrankte bzw.…”

Section: Introductionunclassified

Welchen Einfluss hatte der Lockdown 2020 auf die Inanspruchnahme einer zentralen Notaufnahme durch psychiatrische Notfallpatienten

Ullrich¹,

Kirchner

Hulsmans

et al. 2022

Psychiatr Prax

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Zusammenfassung Ziel der Studie Die aktuelle Coronaviruspandemie (COVID-19-Erkrankung) stellt die Gesundheitssysteme weltweit vor große Herausforderungen. Speziell psychiatrische Patienten sind in besonderer Weise von Lockdown-Maßnahmen betroffen. Die Häufigkeit psychiatrischer Notfälle ist ein sensibler Indikator für die psychische Belastung. Das Ziel dieser Arbeit war die Identifizierung von Auswirkungen während des durchgeführten Lockdowns auf psychiatrische Notfallvorstellungen. Methodik Es erfolgte im Jahr 2021 eine retrospektive Erhebung aller psychiatrischen Notfallkontakte in der ZNA. Das Jahr 2019 diente als Referenzjahr. Ergebnisse Es fand sich ein Rückgang der psychiatrischen Fallzahlen. Des Weiteren konnte eine Veränderung in der Altersstruktur und der Diagnoseverteilung beschrieben werden. Schlussfolgerung Es lassen sich z. T. deutliche Auswirkungen durch den Lockdown auf psychiatrische Notfälle im Setting einer Notaufnahme beschreiben. Entgegen der Hypothese fielen die Fallzahlen.

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A decrease in psychiatric consultations at the emergency room and inpatient wards of a large general hospital in Israel during the SARS-CoV-2 (COVID-19) pandemic

Cited by 8 publications

References 6 publications

Emergency Psychiatric Consultations During and After the COVID-19 Lockdown in Italy. A Multicentre Study

Emergency Psychiatric Consultations During and After the COVID-19 Lockdown in Italy. A Multicentre Study

Adjustment Disorder in the Face of COVID-19 Outbreak: The Impact of Death Anxiety, Media Exposure, Fear of Contagion and Hypochondriasis Symptoms

Welchen Einfluss hatte der Lockdown 2020 auf die Inanspruchnahme einer zentralen Notaufnahme durch psychiatrische Notfallpatienten

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