COVID-19’s effects on emergency psychiatry

Brooks, Victoria

doi:10.12788/cp.0013

Cited by 4 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, this diagnostic subgroup was a predictor for presentations with a new-onset diagnosis during the COVID-19-period ( p = 0.034). This finding is in line with prior studies that saw the number of patients with psychotic disorders rising during the pandemic, both directly via neuropsychiatric sequelae after SARS-CoV-2 infection ( 36 , 77 , 78 ) and indirectly ( 10 , 14 , 79 , 80 ). In line with this, there were also significantly more cases with signs of delusion in the COVID-19-period than the control period ( Table 1 ).…”

Section: Discussionsupporting

confidence: 92%

Increase in presentations with new-onset psychiatric disorders in a psychiatric emergency department in Berlin, Germany during the second wave of the COVID-19 pandemic – a retrospective cross-sectional study

Adam,

Moran,

Kippe

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

IntroductionWhile numerous studies have identified an increase in symptoms of depression as well as anxiety and distress due to the COVID-19 pandemic, relatively few studies have investigated the new-onset of psychiatric diseases during the pandemic.MethodsThis study focuses on the number of psychiatric new-onset diagnoses in a psychiatric emergency department (pED) in Berlin, Germany during the second wave of the pandemic (i.e. from 09/15/2020 to 03/01/2021 = COVID-19-period) compared to pre-pandemic times (09/15/2019 to 03/01/2020 = control period). We focused on diagnostic subgroups and performed logistic regression analysis to investigate potential risk groups based on covariables such as age, gender, homelessness, attending in police custody and familial relationship.ResultsOverall, there was a 59.7% increase in new-onset psychiatric diagnoses during the COVID-19-period. Increases in the following diagnoses were observed: new-onset of substance-related and addictive disorders (+192.5%), depressive disorders (+115.8%), schizophrenia spectrum and psychotic disorders (+113.3%) and anxiety disorders (+63.6%). These diagnostic subgroups, together with attending in police custody, were found to predict pED presentations with new-onset during the COVID-19-period. Interestingly, in the group of new-onset psychiatric diseases in the COVID-19-period, higher amounts of job loss and living alone as well as a relative decrease in familial relationships were observed.DiscussionCOVID-19 infections and post-COVID-19 syndrome are unlikely to have played a substantial role in the increase of new-onset diseases in this study. Conclusion: Our findings underline the role of indirect factors in new-onset of psychiatric diseases during the pandemic and should be a caveat for future pandemic control policies.

show abstract

Section: Discussionsupporting

confidence: 92%

Increase in presentations with new-onset psychiatric disorders in a psychiatric emergency department in Berlin, Germany during the second wave of the COVID-19 pandemic – a retrospective cross-sectional study

Adam,

Moran,

Kippe

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6] US and European hospitals conducted significantly fewer psychiatric consultations in the emergency department (ED) and saw fewer patients with psychiatric disorders in the months of March, April and May 2020. 2,3,[5][6][7][8][9][10][11][12][13][14][15][16][17] Some studies reported rising European psychiatric ED volumes towards the end of lockdown periods, but visit rates remained lower than prepandemic volumes. 16,17 As COVID-19 cases declined in May 2020, nonessential businesses began to reopen.…”

Section: Introductionmentioning

confidence: 99%

Locked down or locked out? Trends in psychiatric emergency services utilization during the COVID-19 pandemic

Duncan

Herrera

Okobi

et al. 2022

J Health Serv Res Policy

View full text Add to dashboard Cite

Objective To estimate changes in Boston Emergency Services Team (BEST) psychiatric emergency services (PES) encounter volume (total and by care team) and inpatient disposition during the first 8 months of the COVID-19 pandemic. Methods Data on 30,657 PES encounters was extracted from the four-county, BEST reporting system. The study period consisted of the first 34 weeks of 2019 and 2020. This period corresponded to the first five stages of Massachusetts’s COVID-19 public health restrictions: pre-lockdown, lockdown, Phase I, II and III reopenings. Descriptive and regression analyses were performed to estimate changes in encounter volume by care team and disposition. Results Compared to the same period in 2019, covariate-adjusted, weekly PES encounters decreased by 39% (β = −0.40, 95% Confidence Interval (CI) = [−0.51, −0.28], p < 0.00) during the lockdown. PES volume remained significantly lower during Phase I reopening compared to the previous year but returned to 2019 levels during Phase II. The covariate-adjusted proportion of weekly encounters that led to inpatient admission significantly increased by 16% (CI = [0.11, 0.21], p < 0.00) for mobile crisis teams (MCTs) and significantly declined by 13% (CI = [−0.19, −0.07], p < 0.00) for BEST-designated emergency departments during the lockdown period compared to the prior year. Conclusions The overall drop in PES utilization and the rise in inpatient admissions for MCT encounters suggests that during the early phases of the pandemic, patients delayed psychiatric care until they had a psychiatric crisis. Public health messaging about the lockdowns and absent equivalent messaging about the availability of telehealth services may have made patients more reluctant to seek psychiatric care.

show abstract

“…3 The decrease in psychiatric emergency departments was between 15 and 52% in different countries. 4 Life in a forensic facility, similarly to prisons, in some ways resembles the life of the rest of the public during the Corona pandemic. Yet, even more restrictions were implemented to prevent the spread of the disease among inmates and staff.…”

Section: Introductionmentioning

confidence: 99%

Promjene u tjelesnoj težini, potrošnji lijekova i agresivnom ponašanju u forenzičkih pacijenta tijekom COVID-19 pandemije

Arbanas

Horina

Periša

et al. 2022

Zb. Prav. fak. Sveuč. Rij. (Online)

View full text Add to dashboard Cite

The main objective of this study was to assess behavioural changes in forensic patients (those assessed as not guilty by reason of insanity and sent for an involuntary forensic treatment) during the COVID-19 pandemic restrictions. There were 82 patients treated at the Department for Forensic Psychiatry of the University Psychiatric Hospital Vrapče in 2020, 45 of which stayed in the department for the whole year. Data were extracted from their charts and from the nurses’ reports about their body masses, additional therapy prescribed and incidents at the ward. During the lock-down due to the COVID-19 pandemic, the body masses of the forensic patients decreased signifi cantly in the first weeks of the lock-down and stayed low during the rest of 2020. Patients used fewer additional antipsychotics, benzodiazepines, hypnotics and pain killers in April 2020 as compared to February 2020. In June 2020, the use of these drugs returned to pre-pandemic levels, with the exception of antipsychotics. In August 2020, painkiller use increased to higher than pre-pandemic levels. The number of incidents during lock-down was lower compared to pre-pandemic levels.

show abstract

COVID-19’s effects on emergency psychiatry

Cited by 4 publications

References 2 publications

Increase in presentations with new-onset psychiatric disorders in a psychiatric emergency department in Berlin, Germany during the second wave of the COVID-19 pandemic – a retrospective cross-sectional study

Increase in presentations with new-onset psychiatric disorders in a psychiatric emergency department in Berlin, Germany during the second wave of the COVID-19 pandemic – a retrospective cross-sectional study

Locked down or locked out? Trends in psychiatric emergency services utilization during the COVID-19 pandemic

Promjene u tjelesnoj težini, potrošnji lijekova i agresivnom ponašanju u forenzičkih pacijenta tijekom COVID-19 pandemije

Contact Info

Product

Resources

About