Dramatic reduction of psychiatric emergency consultations during lockdown linked to <scp>COVID</scp>‐19 in Paris and suburbs

Pignon, Baptiste; Gourévitch, Raphaël; Tebeka, Sarah; Dubertret, Caroline; Cardot, Hélène; Masson, V. Dauriac–Le; Trebalag, Anne-Kristelle; Barruel, David; Yon, Liova; Hémery, François; Loric, Marie; Rabu, Corentin; Pélissolo, Antoine; Leboyer, Marion; Schürhoff, Franck; Pham‐Scottez, Alexandra

doi:10.1111/pcn.13104

Cited by 109 publications

(101 citation statements)

References 11 publications

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“…The aim of the present study was to measure changes in the incidence and features of psychiatric assessments performed in the ER during the COVID-19 lockdown, in March-April 2020, in 4 city districts of the north of Italy, as compared to those of the corresponding time lapse during 2019. Consistently with current literature (Alamia et al 2020;Gonçalves-Pinho et al 2020;Hoyer et al 2020;Pignon et al 2020), we found a significant reduction in the numbers of both psychiatric assessments performed and individuals assessed. The decrease was even more evident in the first half of the lockdown, while, in the second half, numbers tended to re-align with those of the previous year.…”

Section: Discussionsupporting

confidence: 92%

“…We also found a decrease, though not significant, in admission rates for anxiety and depressive episodes, in line with others (Hoyer et al 2020;Pignon et al 2020), who hypothesised an impact of extended measures of social distancing on patients' willingness to seek help for mental health problems through inhospital consultations. Our results also support the Stimulus-Organism-Response theory and the study conducted by Zheng et al (2020), which found only moderate detrimental effects of pandemic severity on social anxiety.…”

Section: Discussionsupporting

confidence: 92%

“…Compared with the corresponding period in the antecedent year, during the lockdown period we found a greater decrease in the number of contacts with the ER services among women, in line with what elsewhere reported (Gonçalves-Pinho et al 2020) but in contrast with other studies (Pignon et al 2020). This finding might be due to better coping strategies of females, higher fear of contagion than in males if attending the ER, and higher diligence in applying the rules of the lockdown, as well as other general rules, as explained by the lower rate of traffic rules violations (Taggi 2005).…”

Section: Discussionsupporting

confidence: 92%

“…Access to the emergency room (ER) is considered an index of severe psychiatric distress since it underlines a compelling request due to the patient's discomfort. Surprisingly, in contrast with the a priori hypothesis supported by research on lockdown, recent reports from Italy, France, Germany, Portugal, China and the United Kingdom studying the impact of the COVID-19 quarantine found a decrease in psychiatric ER visits (Alamia et al 2020;Gonçalves-Pinho et al 2020;Hoyer et al 2020;Pignon et al 2020;Saponaro et al 2020), psychiatric ward admissions (Clerici et al 2020) and other ER non-psychiatric visits (Cao et al 2020;Thornton 2020).…”

Section: Introductionmentioning

confidence: 88%

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Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna, Italy

Beghi¹,

Brandolini

Casolaro

et al. 2020

International Journal of Psychiatry in Clinical Practice

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 88%

See 2 more Smart Citations

Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna, Italy

Beghi¹,

Brandolini

Casolaro

et al. 2020

International Journal of Psychiatry in Clinical Practice

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“…Intuitively, a decline was anticipated in the number of trauma patients seen as a result of the restricted movements during lockdown. Some recent studies however, have shown a decrease in activity and/or delays in treatment for the management of cardio-vascular [4], neuro-vascular [5] and psychiatric disorders [6].…”

Section: Introductionmentioning

confidence: 99%

Teleradiology as a relevant indicator of the impact of COVID-19 pandemic management on Emergency Room activities: a nationwide worrisome survey

Vatele¹,

Gentile

THOMSON³

et al. 2020

Preprint

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Objectives: To evaluate the impact of COVID-19’s lockdown on radiological examinations in Emergency Services.Methods: Retrospective, multicentre analysis of radiological examinations requested, via our teleradiology network, from 2017 to 2020 during two timeframes (calendar weeks 5 to 8 and then 12 to 15).We included CT-scans or MRIs performed for strokes, multiple traumas (body-CT, BC), cranial traumas (CTr) and acute non-traumatic abdominal pain (ANTAP). We evaluated the number and percentages of examinations performed, of those with a pathological conclusion, and of examinations involving the chest.Results: Our study included 25 centres in 2017, 29 in 2018, 43 in 2019 and 59 in 2020.From 2017 to 2019, the percentages of examinations were constant, which was also true for chest CTs. Each centre’s number of examinations, gender distribution and patient ages were unchanged.In 2020, examinations significantly decreased : suspected strokes decreased by 36% (1052 vs 675, p <0.001), BC by 62% (349 vs 134, p <0.001), CTr by 52% (1853 vs 895, p <0.001) and for ANTAP, appendicitis decreased by 38% (145 vs 90, NS) sigmoiditis by 44% (98 vs 55, NS), and renal colic by 23% (376 vs 288, NS).The number of exams per centre decreased by 13% (185.5 vs. 162.5, p <0.001) whereas the number of examinations of the "chest" region increased by 170% (1205 vs 3766, p <0.001).Conclusion: Teleradiology enabled us to monitor the impact of the COVID-19 pandemic management on emergency activities, showing a global decrease in the population's use of care

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Positive outcomes associated with the COVID‐19 pandemic in Australia

Cornell

Nickel

Cvejic

et al. 2021

Health Prom J of Aust

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Issue addressed To investigate whether Australians have experienced any positive effects during the COVID‐19 pandemic. Methods National online longitudinal survey. As part of a June 2020 survey, participants (n = 1370) were asked ‘In your life, have you experienced any positive effects from the COVID‐19 pandemic’ (yes/no) and also completed the World Health Organisation‐Five well‐being index. Differences were explored by demographic variables. Free‐text responses were thematically coded. Results Nine hundred sixty participants (70%) reported experiencing at least one positive effect during the COVID‐19 pandemic. Living with others (P = .045) and employment situation (P < .001) at baseline (April) were associated with experiencing positive effects. Individuals working for pay from home were more likely to experience positive effects compared to those who were not working for pay (aOR = 0.45, 95% CI: 0.32, 0.63, P < .001) or who were working for pay outside the home (aOR = 0.40, 95% CI: 0.28, 0.58, P < .001). 54.2% of participants reported a sufficient level of well‐being, 23.2% low well‐being and a further 22.6% very low well‐being. Of those experiencing positive effects, 945/960 (98%) provided an explanation. The three most common themes were ‘Family time’ (33%), ‘Work flexibility’ (29%) and ‘Calmer life’ (19%). Conclusions A large proportion of participants reported positive effects resulting from changes to daily life due to the COVID‐19 pandemic in Australia. So what The needs of people living alone, and of those having to work outside the home or who are unemployed, should be considered by health policymakers and employers in future pandemic preparedness efforts.

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Dramatic reduction of psychiatric emergency consultations during lockdown linked to COVID‐19 in Paris and suburbs

Cited by 109 publications

References 11 publications

Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna, Italy

Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna, Italy

Teleradiology as a relevant indicator of the impact of COVID-19 pandemic management on Emergency Room activities: a nationwide worrisome survey

Positive outcomes associated with the COVID‐19 pandemic in Australia

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