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Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown
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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418687/ https://www.ncbi.nlm.nih.gov/pubmed/34482427 http://dx.doi.org/10.1007/s00127-021-02171-0 |
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author | Yalçın, Murat Baş, Alper Bilici, Rabia Özdemir, Yusuf Özay Beştepe, Engin Emrem Kurnaz, Samet Güneş, Mustafa Kurt, Velat Koyu, Elif |
author_facet | Yalçın, Murat Baş, Alper Bilici, Rabia Özdemir, Yusuf Özay Beştepe, Engin Emrem Kurnaz, Samet Güneş, Mustafa Kurt, Velat Koyu, Elif |
author_sort | Yalçın, Murat |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8418687 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-84186872021-09-07 Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown Yalçın, Murat Baş, Alper Bilici, Rabia Özdemir, Yusuf Özay Beştepe, Engin Emrem Kurnaz, Samet Güneş, Mustafa Kurt, Velat Koyu, Elif Soc Psychiatry Psychiatr Epidemiol Original Paper 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. Springer Berlin Heidelberg 2021-09-05 2021 /pmc/articles/PMC8418687/ /pubmed/34482427 http://dx.doi.org/10.1007/s00127-021-02171-0 Text en © Springer-Verlag GmbH Germany, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Paper Yalçın, Murat Baş, Alper Bilici, Rabia Özdemir, Yusuf Özay Beştepe, Engin Emrem Kurnaz, Samet Güneş, Mustafa Kurt, Velat Koyu, Elif Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown |
title | Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown |
title_full | Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown |
title_fullStr | Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown |
title_full_unstemmed | Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown |
title_short | Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown |
title_sort | psychiatric emergency visit trends and characteristics in a mental health epicenter in istanbul during covid-19 lockdown |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418687/ https://www.ncbi.nlm.nih.gov/pubmed/34482427 http://dx.doi.org/10.1007/s00127-021-02171-0 |
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