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Trends in suicidal ideation in an emergency department during COVID-19

OBJECTIVE: This study aims to detail changes in presentations at a United States Emergency Department for suicidality before and after the outbreak of COVID-19. METHODS: A retrospective chart review was conducted of all adult patients who presented to an ED with suicidality and underwent psychiatric...

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Autores principales: Grossman, Mila N., Fry, Carrie E., Sorg, Emily, MacLean, Rachel L., Nisavic, Mladen, McDowell, Michal J., Masaki, Charles, Bird, Suzanne, Smith, Felicia, Beach, Scott R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8442259/
https://www.ncbi.nlm.nih.gov/pubmed/34583018
http://dx.doi.org/10.1016/j.jpsychores.2021.110619
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author Grossman, Mila N.
Fry, Carrie E.
Sorg, Emily
MacLean, Rachel L.
Nisavic, Mladen
McDowell, Michal J.
Masaki, Charles
Bird, Suzanne
Smith, Felicia
Beach, Scott R.
author_facet Grossman, Mila N.
Fry, Carrie E.
Sorg, Emily
MacLean, Rachel L.
Nisavic, Mladen
McDowell, Michal J.
Masaki, Charles
Bird, Suzanne
Smith, Felicia
Beach, Scott R.
author_sort Grossman, Mila N.
collection PubMed
description OBJECTIVE: This study aims to detail changes in presentations at a United States Emergency Department for suicidality before and after the outbreak of COVID-19. METHODS: A retrospective chart review was conducted of all adult patients who presented to an ED with suicidality and underwent psychiatric consultation during the study period. The cohorts consisted of patients who presented between December 2018 – May 2019 and December 2019 – May 2020. Information was collected on demographics, characteristics of suicidality, reasons for suicidality and disposition. The first wave from March – May 2020 was examined, using a difference-in-differences design to control for factors other than COVID-19 that may have influenced the outcomes' trend. RESULTS: Immediately following the pandemic outbreak there was a statistically significant increase in the proportion of undomiciled patients represented in visits for suicidality (40.7% vs. 57.4%; p-value <0.001). In addition, the proportion of patient visits attributed to social (18.0% vs. 29.2%; p-value 0.003) and structural (14.2% vs. 26.4%; p value <0.001) reasons for suicidality increased. Conversely, the proportion of visits due to psychiatric symptoms (70.5% vs 50.0%; p-value <0.001) decreased. Furthermore, patient visits were more likely to result in a medical admission (2.1% vs. 8.3%; p-value 0.002) and less likely to result in a psychiatric admission (68.4% vs 48.6%; p-value <0.001) during the initial phase of the pandemic. CONCLUSIONS: COVID-19 was associated with increased ED presentations for suicidality among undomiciled patients, as well as greater likelihood of social and structural reasons driving suicidality among all visits.
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spelling pubmed-84422592021-09-15 Trends in suicidal ideation in an emergency department during COVID-19 Grossman, Mila N. Fry, Carrie E. Sorg, Emily MacLean, Rachel L. Nisavic, Mladen McDowell, Michal J. Masaki, Charles Bird, Suzanne Smith, Felicia Beach, Scott R. J Psychosom Res Article OBJECTIVE: This study aims to detail changes in presentations at a United States Emergency Department for suicidality before and after the outbreak of COVID-19. METHODS: A retrospective chart review was conducted of all adult patients who presented to an ED with suicidality and underwent psychiatric consultation during the study period. The cohorts consisted of patients who presented between December 2018 – May 2019 and December 2019 – May 2020. Information was collected on demographics, characteristics of suicidality, reasons for suicidality and disposition. The first wave from March – May 2020 was examined, using a difference-in-differences design to control for factors other than COVID-19 that may have influenced the outcomes' trend. RESULTS: Immediately following the pandemic outbreak there was a statistically significant increase in the proportion of undomiciled patients represented in visits for suicidality (40.7% vs. 57.4%; p-value <0.001). In addition, the proportion of patient visits attributed to social (18.0% vs. 29.2%; p-value 0.003) and structural (14.2% vs. 26.4%; p value <0.001) reasons for suicidality increased. Conversely, the proportion of visits due to psychiatric symptoms (70.5% vs 50.0%; p-value <0.001) decreased. Furthermore, patient visits were more likely to result in a medical admission (2.1% vs. 8.3%; p-value 0.002) and less likely to result in a psychiatric admission (68.4% vs 48.6%; p-value <0.001) during the initial phase of the pandemic. CONCLUSIONS: COVID-19 was associated with increased ED presentations for suicidality among undomiciled patients, as well as greater likelihood of social and structural reasons driving suicidality among all visits. Elsevier Inc. 2021-11 2021-09-15 /pmc/articles/PMC8442259/ /pubmed/34583018 http://dx.doi.org/10.1016/j.jpsychores.2021.110619 Text en © 2021 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Grossman, Mila N.
Fry, Carrie E.
Sorg, Emily
MacLean, Rachel L.
Nisavic, Mladen
McDowell, Michal J.
Masaki, Charles
Bird, Suzanne
Smith, Felicia
Beach, Scott R.
Trends in suicidal ideation in an emergency department during COVID-19
title Trends in suicidal ideation in an emergency department during COVID-19
title_full Trends in suicidal ideation in an emergency department during COVID-19
title_fullStr Trends in suicidal ideation in an emergency department during COVID-19
title_full_unstemmed Trends in suicidal ideation in an emergency department during COVID-19
title_short Trends in suicidal ideation in an emergency department during COVID-19
title_sort trends in suicidal ideation in an emergency department during covid-19
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8442259/
https://www.ncbi.nlm.nih.gov/pubmed/34583018
http://dx.doi.org/10.1016/j.jpsychores.2021.110619
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