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Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

05.09.2021 | COVID-19 | Original Paper Zur Zeit gratis

Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown

verfasst von: Murat Yalçın, Alper Baş, Rabia Bilici, Yusuf Özay Özdemir, Engin Emrem Beştepe, Samet Kurnaz, Mustafa Güneş, Velat Kurt, Elif Koyu

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 12/2021

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Abstract

Background

We aimed to explore the impact of the preventive measures and partial lockdown to the psychiatric emergency department (PED) visits during COVID-19 pandemic in a mental health epicenter in Istanbul.

Methods

A total of 5839 patients admitted to PED during the lockdown period (LP) between March 30 and May 31, 2020, were enrolled in this retrospective cohort study. Data of these patients were compared to those of patients in the same period in 2019 between April 1 and June 2, 2019 (non-LP). We also investigated the monthly number of PED visits and hospitalizations between March 1 and December 31, 2020, and compared it to the same period in 2019.

Results

The volume of PED visits and hospitalizations in LP decreased by 12% and 41.6%, respectively. The rates of patients presenting anxiety and depressive disorders and bipolar disorders were found to significantly increase in LP than non-LP (p < 0.001; p < 0.001; p < 0.01, respectively). Depressive disorders, prior history of mental illness, and aggressive behavior were found to predict frequent PED visits while decrease in age and male gender found to predict hospitalizations. Regarding suicide attempt, younger patients and those with new-onset mental disorders were found to be at high risk in LP. Patients diagnosed with COVID-19 in PED visits were mostly with psychotic and bipolar disorders.

Conclusion

Policy-makers should focus on studies on mental health services to reorganize and enhance such services, which are crucial to prevent and manage adverse mental health consequences of the pandemic and congestion in PEDs.

WHO (2020) Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). https://www.who.int/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov). Accessed 28 Dec 2020

C González-Sanguino B Ausín MÁ Castellanos 2020 Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain Brain Behav Immun 87 172 176 https://doi.org/10.1016/j.bbi.2020.05.040CrossRefPubMedPubMedCentral

JF Goularte SD Serafim R Colombo 2021 COVID-19 and mental health in Brazil: psychiatric symptoms in the general population J Psychiatr Res 132 32 37 https://doi.org/10.1016/j.jpsychires.2020.09.021CrossRefPubMed

J Xiong O Lipsitz F Nasri 2020 Impact of COVID-19 pandemic on mental health in the general population: a systematic review J Affect Disord 277 55 64 https://doi.org/10.1016/j.jad.2020.08.001CrossRefPubMedPubMedCentral

Ministry of Health of Turkish Republic (2020) General Covid-19 Table. https://covid19.saglik.gov.tr/EN-69532/general-coronavirus-table.html. Accessed 10 Feb 2021

WHO (2020) Turkey: WHO Coronavirus Disease (COVID-19) Dashboard | WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int/region/euro/country/tr

Ministry of Internal Affairs of Turkish Republic (2020) Koronavirüs Salgını Yeni Tedbirleri İle İlgili Basın Açıklaması. https://www.icisleri.gov.tr/koronavirus-salgini-yeni-tedbirleri-ile-ilgili-basin-aciklamasi. Accessed 9 Jan 2021

PA Geoffroy F Bellivier J Scott B Etain 2014 Seasonality and bipolar disorder: a systematic review, from admission rates to seasonality of symptoms J Affect Disord 168 210 223 https://doi.org/10.1016/j.jad.2014.07.002CrossRefPubMed

B Hinterbuchinger D König A Gmeiner 2020 Seasonality in schizophrenia—an analysis of a nationwide registry with 110,735 hospital admissions Eur Psychiatry https://doi.org/10.1192/j.eurpsy.2020.47CrossRefPubMedPubMedCentral

10.

I Torjesen 2020 Covid-19: Mental health services must be boosted to deal with “tsunami” of cases after lockdown BMJ 369 m1994 https://doi.org/10.1136/bmj.m1994CrossRefPubMed

11.

R Williams DA Jenkins DM Ashcroft 2020 Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study Lancet Public Heal 5 e543 e550 https://doi.org/10.1016/S2468-2667(20)30201-2CrossRef

12.

SE Short S Mollborn 2015 Social determinants and health behaviors: conceptual frames and empirical advances Curr Opin Psychol 5 78 84 https://doi.org/10.1016/j.copsyc.2015.05.002CrossRefPubMedPubMedCentral

13.

M Gómez-Ramiro G Fico G Anmella 2021 Changing trends in psychiatric emergency service admissions during the COVID-19 outbreak: report from a worldwide epicentre J Affect Disord 282 26 32 https://doi.org/10.1016/j.jad.2020.12.057CrossRefPubMed

14.

E Capuzzi C Brita Di A Caldiroli 2020 Psychiatric emergency care during Coronavirus 2019 (COVID 19) pandemic lockdown: results from a Department of Mental Health and Addiction of northern Italy Psychiatry Res 293 113463 https://doi.org/10.1016/j.psychres.2020.113463CrossRefPubMedPubMedCentral

15.

AA Butt AB Kartha NA Masoodi 2020 Hospital admission rates, length of stay, and in-hospital mortality for common acute care conditions in COVID-19 vs. pre-COVID-19 era Public Health 189 6 11 https://doi.org/10.1016/j.puhe.2020.09.010CrossRefPubMed

16.

MM Mafham E Spata R Goldacre 2020 COVID-19 pandemic and admission rates for and management of acute coronary syndromes in England Lancet 396 381 389 https://doi.org/10.1016/S0140-6736(20)31356-8CrossRefPubMedPubMedCentral

17.

MM Jeffery G D’Onofrio H Paek 2020 Trends in emergency department visits and hospital admissions in health care systems in 5 states in the first months of the COVID-19 pandemic in the US JAMA Intern Med 180 1328 1333 https://doi.org/10.1001/jamainternmed.2020.3288CrossRefPubMedPubMedCentral

18.

C Hoyer A Ebert K Szabo 2020 Decreased utilization of mental health emergency service during the COVID-19 pandemic Eur Arch Psychiatry Clin Neurosci https://doi.org/10.1007/s00406-020-01151-wCrossRefPubMedPubMedCentral

19.

MN Goldenberg V Parwani 2020 Psychiatric emergency department volume during COVID-19 pandemic Am J Emerg Med https://doi.org/10.1016/j.ajem.2020.05.088CrossRefPubMedPubMedCentral

20.

J Thornton 2020 COVID-19: A&E visits in England fall by 25% in week after lockdown BMJ 369 m1401 https://doi.org/10.1136/bmj.m1401CrossRefPubMed

21.

M Clerici F Durbano F Spinogatti 2020 Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? An analysis of register data Ir J Psychol Med 37 283 290 https://doi.org/10.1017/ipm.2020.29CrossRefPubMed

22.

AK Shinn M Viron 2020 Perspectives on the COVID-19 pandemic and individuals with serious mental illness J Clin Psychiatry https://doi.org/10.4088/JCP.20com13412CrossRefPubMed

23.

P Muruganandam S Neelamegam V Menon 2020 COVID-19 and severe mental illness: impact on patients and its relation with their awareness about COVID-19 Psychiatry Res 291 113265 https://doi.org/10.1016/j.psychres.2020.113265CrossRefPubMedPubMedCentral

24.

S Taylor MM Paluszek GS Rachor 2021 Substance use and abuse, COVID-19-related distress, and disregard for social distancing: a network analysis Addict Behav 114 106754 https://doi.org/10.1016/j.addbeh.2020.106754CrossRefPubMed

25.

P Murthy VL Narasimha 2021 Effects of the COVID-19 pandemic and lockdown on alcohol use disorders and complications Curr Opin Psychiatry 34 376 385 https://doi.org/10.1097/YCO.0000000000000720CrossRefPubMedPubMedCentral

26.

G Vallecillo R Perelló R Güerri 2021 Clinical impact of COVID-19 on people with substance use disorders J Public Health (Oxf) 43 9 12 https://doi.org/10.1093/pubmed/fdaa181CrossRef

27.

WDS Killgore SA Cloonan EC Taylor 2021 Alcohol dependence during COVID-19 lockdowns Psychiatry Res https://doi.org/10.1016/j.psychres.2020.113676CrossRefPubMedPubMedCentral

28.

VE Horigian RD Schmidt DJ Feaster 2021 Loneliness, mental health, and substance use among US young adults during COVID-19 J Psychoactive Drugs 53 1 9 https://doi.org/10.1080/02791072.2020.1836435CrossRefPubMed

29.

B Pfefferbaum CS North 2020 Mental health and the Covid-19 pandemic N Engl J Med 383 510 512 https://doi.org/10.1056/nejmp2008017CrossRefPubMed

30.

K Saha J Torous ED Caine M Choudhury De 2020 Psychosocial effects of the COVID-19 pandemic: large-scale Quasi-experimental study on social media J Med Internet Res 22 e22600 https://doi.org/10.2196/22600CrossRefPubMedPubMedCentral

31.

J Li Z Yang H Qiu 2020 Anxiety and depression among general population in China at the peak of the COVID-19 epidemic World Psychiatry 19 249 250 https://doi.org/10.1002/wps.20758CrossRefPubMedPubMedCentral

32.

F Iasevoli M Fornaro G D’Urso 2020 Psychological distress in serious mental illness patients during the COVID-19 outbreak and one-month mass quarantine in Italy Psychol Med https://doi.org/10.1017/S0033291720001841CrossRefPubMedPubMedCentral

33.

Y Kuang M Shen Q Wang 2020 Association of outdoor activity restriction and income loss with patient-reported outcomes of psoriasis during the COVID-19 pandemic: a web-based survey J Am Acad Dermatol 83 670 672 https://doi.org/10.1016/j.jaad.2020.05.018CrossRefPubMedPubMedCentral

34.

SJ Ferrando L Klepacz S Lynch 2020 Psychiatric emergencies during the height of the COVID-19 pandemic in the suburban New York City area J Psychiatr Res S0022–3956 31032 31033 https://doi.org/10.1016/j.jpsychires.2020.10.029CrossRef

35.

AE Pinkham RA Ackerman CA Depp 2020 A longitudinal investigation of the effects of the COVID-19 pandemic on the mental health of individuals with pre-existing severe mental illnesses Psychiatry Res https://doi.org/10.1016/j.psychres.2020.113493CrossRefPubMedPubMedCentral

36.

JA Karantonis SL Rossell M Berk TE Rheenen Van 2021 The mental health and lifestyle impacts of COVID-19 on bipolar disorder J Affect Disord 282 442 447 https://doi.org/10.1016/j.jad.2020.12.186CrossRefPubMed

37.

P Davide P Andrea O Martina 2020 The impact of the COVID-19 pandemic on patients with OCD: effects of contamination symptoms and remission state before the quarantine in a preliminary naturalistic study Psychiatry Res 291 113213 https://doi.org/10.1016/j.psychres.2020.113213CrossRefPubMedPubMedCentral

38.

V Khosravani F Aardema SMS Ardestani F Sharifi Bastan 2021 The impact of the coronavirus pandemic on specific symptom dimensions and severity in OCD: a comparison before and during COVID-19 in the context of stress responses J Obsessive Compuls Relat Disord 29 100626 https://doi.org/10.1016/j.jocrd.2021.100626CrossRefPubMedPubMedCentral

39.

NA Fineberg B Dell’Osso U Albert 2019 Early intervention for obsessive compulsive disorder: an expert consensus statement Eur Neuropsychopharmacol 29 549 565 https://doi.org/10.1016/j.euroneuro.2019.02.002CrossRefPubMed

40.

F Tian H Li S Tian 2020 Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the level I emergency response to COVID-19 Psychiatry Res 288 112992 https://doi.org/10.1016/j.psychres.2020.112992CrossRefPubMedPubMedCentral

41.

AF Klassen A Miller S Fine 2004 Health-related quality of life in children and adolescents who have a diagnosis of attention-deficit/hyperactivity disorder Pediatrics 114 e541 e547 https://doi.org/10.1542/peds.2004-0844CrossRefPubMed

42.

JH Newcorn JM Halperin PS Jensen 2001 Symptom profiles in children with ADHD: effects of comorbidity and gender J Am Acad Child Adolesc Psychiatry 40 137 146 https://doi.org/10.1097/00004583-200102000-00008CrossRefPubMed

43.

M Dragovic V Pascu T Hall 2020 Emergency department mental health presentations before and during the COVID-19 outbreak in Western Australia Australas Psychiatry 28 627 631 https://doi.org/10.1177/1039856220960673CrossRefPubMedPubMedCentral

44.

LD Hawke SP Barbic A Voineskos 2020 Impacts of COVID-19 on youth mental health, substance use, and well-being: a Rapid Survey of Clinical and Community Samples: Répercussions de la COVID-19 sur la santé mentale, l’utilisation de substances et le bien-être des adolescents: un sondage rapide d’échantillons cliniques et communautaires Can J Psychiatry 65 701 709 https://doi.org/10.1177/0706743720940562CrossRefPubMedPubMedCentral

45.

L Sher 2020 The impact of the COVID-19 pandemic on suicide rates QJM 113 707 712 https://doi.org/10.1093/qjmed/hcaa202CrossRefPubMed

46.

T Niederkrotenthaler D Gunnell E Arensman 2020 Suicide research, prevention, and COVID-19: towards a global response and the establishment of an international research collaboration Crisis 41 321 330 https://doi.org/10.1027/0227-5910/a000731CrossRefPubMedPubMedCentral

47.

D Hernández-Calle G Martínez-Alés R Mediavilla 2020 Trends in psychiatric emergency department visits due to suicidal ideation and suicide attempts during the COVID-19 pandemic in Madrid Spain J Clin Psychiatry https://doi.org/10.4088/JCP.20l13419CrossRefPubMed

48.

T Tanaka S Okamoto 2021 Increase in suicide following an initial decline during the COVID-19 pandemic in Japan Nat Hum Behav https://doi.org/10.1038/s41562-020-01042-zCrossRefPubMed

49.

P Devitt 2020 Can we expect an increased suicide rate due to Covid-19? Ir J Psychol Med 37 264 268 https://doi.org/10.1017/ipm.2020.46CrossRefPubMed

50.

YJA Chaput MJ Lebel 2007 Demographic and clinical profiles of patients who make multiple visits to psychiatric emergency services Psychiatr Serv 58 335 341 https://doi.org/10.1176/ps.2007.58.3.335CrossRefPubMed

51.

BC Sun HR Burstin TA Brennan 2003 Predictors and outcomes of frequent emergency department users Acad Emerg Med 10 320 328 https://doi.org/10.1111/j.1553-2712.2003.tb01344.xCrossRefPubMed

52.

RB Kvaran OS Gunnarsdottir A Kristbjornsdottir 2015 Number of visits to the emergency department and risk of suicide: a population- based case-control study BMC Public Health 15 1 9 https://doi.org/10.1186/s12889-015-1544-5CrossRef

53.

DG Beiser CE Ward M Vu 2019 Depression in emergency department patients and association with health care utilization Acad Emerg Med 26 878 888 https://doi.org/10.1111/acem.13726CrossRefPubMedPubMedCentral

54.

ED Ballard M Cwik CL Storr 2014 Recent medical service utilization and health conditions associated with a history of suicide attempts Gen Hosp Psychiatry 36 437 441 https://doi.org/10.1016/j.genhosppsych.2014.03.004CrossRefPubMedPubMedCentral

55.

S Schmoll L Boyer JM Henry R Belzeaux 2015 Patients récurrents aux urgences psychiatriques: analyse démographique et clinique Encephale 41 123 129 https://doi.org/10.1016/j.encep.2013.01.002CrossRefPubMed

56.

D Poremski P Wang M Hendriks 2020 Reasons for frequent psychiatric emergency service use in a large urban center Psychiatr Serv 71 440 446 https://doi.org/10.1176/appi.ps.201800532CrossRefPubMed

57.

C Pieh S Budimir T Probst 2020 The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria J Psychosom Res 136 110186 https://doi.org/10.1016/j.jpsychores.2020.110186CrossRefPubMedPubMedCentral

58.

C González-Sanguino B Ausín MA Castellanos M Muñoz 2020 Mental health consequences of the COVID-19 outbreak in Spain. A longitudinal study of the alarm situation and return to the new normality Prog Neuro-Psychopharmacol Biol Psychiatry 107 110219 https://doi.org/10.1016/j.pnpbp.2020.110219CrossRef

59.

A D’Agostino S D’Angelo B Giordano 2021 Brief psychotic disorder during the national lockdown in Italy: an emerging clinical phenomenon of the COVID-19 pandemic Schizophr Bull 47 15 22 https://doi.org/10.1093/schbul/sbaa112CrossRef

60.

A Varatharaj N Thomas MA Ellul 2020 Neurological and neuropsychiatric complications of COVID-19 in 153 patients: a UK-wide surveillance study The Lancet Psychiatry 7 875 882 https://doi.org/10.1016/S2215-0366(20)30287-XCrossRefPubMedPubMedCentral

61.

C Roncero L García-Ullán JI Iglesia-Larrad de la 2020 The response of the mental health network of the Salamanca area to the COVID-19 pandemic: the role of the telemedicine Psychiatry Res 291 113252 https://doi.org/10.1016/j.psychres.2020.113252CrossRefPubMedPubMedCentral

62.

Y-T Xiang N Zhao YJ Zhao 2020 An overview of the expert consensus on the mental health treatment and services for major psychiatric disorders during COVID-19 outbreak: China’s experiences Int J Biol Sci 16 2265 2270 https://doi.org/10.7150/ijbs.47419CrossRefPubMedPubMedCentral

Titel: Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown
verfasst von: Murat Yalçın
Alper Baş
Rabia Bilici
Yusuf Özay Özdemir
Engin Emrem Beştepe
Samet Kurnaz
Mustafa Güneş
Velat Kurt
Elif Koyu
Publikationsdatum: 05.09.2021
Verlag: Springer Berlin Heidelberg
Schlagwort: COVID-19
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 12/2021
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-021-02171-0

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Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown