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Urgent Psychiatric Consultations for Suicidal Ideation and Behaviors in Italian Adolescents during Different COVID-19 Pandemic Phases

Access to the emergency department (ED) for acute psychiatric problems, especially for suicide attempts (SA), has increased in the last decade. This increase has exceptionally accelerated after the COVID-19 pandemic. The aim of this project was to study the increase in acute psychiatric care demand...

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Autores principales: Serra, Giulia, Apicella, Massimo, Iannoni, Maria Elena, Trasolini, Monia, Andracchio, Elisa, Chieppa, Fabrizia, Averna, Roberto, Guidetti, Clotilde, Maglio, Gino, Reale, Antonino, Vicari, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381114/
https://www.ncbi.nlm.nih.gov/pubmed/37511725
http://dx.doi.org/10.3390/jpm13071112
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author Serra, Giulia
Apicella, Massimo
Iannoni, Maria Elena
Trasolini, Monia
Andracchio, Elisa
Chieppa, Fabrizia
Averna, Roberto
Guidetti, Clotilde
Maglio, Gino
Reale, Antonino
Vicari, Stefano
author_facet Serra, Giulia
Apicella, Massimo
Iannoni, Maria Elena
Trasolini, Monia
Andracchio, Elisa
Chieppa, Fabrizia
Averna, Roberto
Guidetti, Clotilde
Maglio, Gino
Reale, Antonino
Vicari, Stefano
author_sort Serra, Giulia
collection PubMed
description Access to the emergency department (ED) for acute psychiatric problems, especially for suicide attempts (SA), has increased in the last decade. This increase has exceptionally accelerated after the COVID-19 pandemic. The aim of this project was to study the increase in acute psychiatric care demand of children and adolescents in the short and medium term after the pandemic, in relation to public health measures and in comparison with a pre pandemic reference period. We retrospectively studied 5445 child psychiatric (CP) consultations requested for any reason and for suicide attempt (SA), suicidal ideation (SI) and non-suicidal self-injury (NSSI) in a pediatric ED during three different pandemic periods in Italy (from March 2020 to May 2022) and compared them to a pre-pandemic reference period (from January 2018 to February 2020). Monthly CP consultations for any reason increased significantly by 2.2 times from 70.9 in 2018 to 157 in 2022 (p < 0.001). During the pandemic, monthly CP consultations for any reason increased significantly from 75/month in the first lockdown to 153/month in the second lockdown, remaining stable in the following year. CP consultations for SA increased significantly from 5/month in the first lockdown to 16/month in the second. Consultations for SI increased gradually but significantly from the pre-pandemic period to the end of the pandemic. Juveniles evaluated for SA during the pandemic vs. pre-pandemic more frequently attempted suicide by self-poisoning and less frequently by precipitation, and they were more likely to be diagnosed with a major depressive disorder. CP consultations for any reason and for suicide attempts significantly increased in the decade before the pandemic and peaked in the second lockdown period in Italy.
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spelling pubmed-103811142023-07-29 Urgent Psychiatric Consultations for Suicidal Ideation and Behaviors in Italian Adolescents during Different COVID-19 Pandemic Phases Serra, Giulia Apicella, Massimo Iannoni, Maria Elena Trasolini, Monia Andracchio, Elisa Chieppa, Fabrizia Averna, Roberto Guidetti, Clotilde Maglio, Gino Reale, Antonino Vicari, Stefano J Pers Med Article Access to the emergency department (ED) for acute psychiatric problems, especially for suicide attempts (SA), has increased in the last decade. This increase has exceptionally accelerated after the COVID-19 pandemic. The aim of this project was to study the increase in acute psychiatric care demand of children and adolescents in the short and medium term after the pandemic, in relation to public health measures and in comparison with a pre pandemic reference period. We retrospectively studied 5445 child psychiatric (CP) consultations requested for any reason and for suicide attempt (SA), suicidal ideation (SI) and non-suicidal self-injury (NSSI) in a pediatric ED during three different pandemic periods in Italy (from March 2020 to May 2022) and compared them to a pre-pandemic reference period (from January 2018 to February 2020). Monthly CP consultations for any reason increased significantly by 2.2 times from 70.9 in 2018 to 157 in 2022 (p < 0.001). During the pandemic, monthly CP consultations for any reason increased significantly from 75/month in the first lockdown to 153/month in the second lockdown, remaining stable in the following year. CP consultations for SA increased significantly from 5/month in the first lockdown to 16/month in the second. Consultations for SI increased gradually but significantly from the pre-pandemic period to the end of the pandemic. Juveniles evaluated for SA during the pandemic vs. pre-pandemic more frequently attempted suicide by self-poisoning and less frequently by precipitation, and they were more likely to be diagnosed with a major depressive disorder. CP consultations for any reason and for suicide attempts significantly increased in the decade before the pandemic and peaked in the second lockdown period in Italy. MDPI 2023-07-09 /pmc/articles/PMC10381114/ /pubmed/37511725 http://dx.doi.org/10.3390/jpm13071112 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Serra, Giulia
Apicella, Massimo
Iannoni, Maria Elena
Trasolini, Monia
Andracchio, Elisa
Chieppa, Fabrizia
Averna, Roberto
Guidetti, Clotilde
Maglio, Gino
Reale, Antonino
Vicari, Stefano
Urgent Psychiatric Consultations for Suicidal Ideation and Behaviors in Italian Adolescents during Different COVID-19 Pandemic Phases
title Urgent Psychiatric Consultations for Suicidal Ideation and Behaviors in Italian Adolescents during Different COVID-19 Pandemic Phases
title_full Urgent Psychiatric Consultations for Suicidal Ideation and Behaviors in Italian Adolescents during Different COVID-19 Pandemic Phases
title_fullStr Urgent Psychiatric Consultations for Suicidal Ideation and Behaviors in Italian Adolescents during Different COVID-19 Pandemic Phases
title_full_unstemmed Urgent Psychiatric Consultations for Suicidal Ideation and Behaviors in Italian Adolescents during Different COVID-19 Pandemic Phases
title_short Urgent Psychiatric Consultations for Suicidal Ideation and Behaviors in Italian Adolescents during Different COVID-19 Pandemic Phases
title_sort urgent psychiatric consultations for suicidal ideation and behaviors in italian adolescents during different covid-19 pandemic phases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381114/
https://www.ncbi.nlm.nih.gov/pubmed/37511725
http://dx.doi.org/10.3390/jpm13071112
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