Pediatric psychiatric emergency rooms during COVID-19: a multi-center study.

Autor: Erez G; Shalvata Mental Health Center and Tel Aviv University, Hod Hasharon, Israel., Yakubovich S; Shalvata Mental Health Center, Hod Hasharon, Israel., Sadeh H; Soroka Medical Center and Ben-Gurion University of the Negev, Be'er Sheva, Israel., Shoval G; Geha Mental Health Center and Tel Aviv University, Petah Tikva, Israel., Schoen G; Geha Mental Health Center and Tel Aviv University, Petah Tikva, Israel., Meiri G; Soroka Medical Center and Ben-Gurion University of the Negev, Be'er Sheva, Israel., Hertz-Palmor N; Sheba Medical Center and Tel Aviv University, Ramat Gan, Israel., Bretler T; Ziv Medical Center (Safed) and Bar-Ilan University, Safed, Israel., Barzilai Y; Shalvata Mental Health Center, Hod Hasharon, Israel., Mosheva M; Sheba Medical Center and Tel Aviv University, Ramat Gan, Israel., Gothelf D; Sheba Medical Center and Tel Aviv University, Ramat Gan, Israel., Bloch Y; Shalvata Mental Health Center and Tel Aviv University, Hod Hasharon, Israel. Yuvalbloch10@gmail.com.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2022 Dec 27; Vol. 22 (1), pp. 828. Date of Electronic Publication: 2022 Dec 27.
DOI: 10.1186/s12888-022-04371-7
Abstrakt: Background: The COVID-19 (SARS-CoV-2) pandemic has been a major stressor for the mental health and well-being of children and adolescents. Surveys and reports from hotlines indicate a significant rise in mental health problems. As the psychiatric emergency room (ER) is a first-line free-of-charge facility for psychiatric emergencies, we expected to see a significant increase in visits, specifically of new patients suffering from anxiety, depression, or stress-related disorders.
Methods: Data from two psychiatric hospital ERs and one general hospital were included. All visits of children and adolescents from the computerized files between March and December of 2019 were analyzed anonymously and compared to the same months in 2020, using multilevel linear modeling.
Results: There was a significant decline in the total number of visits (p = .017), specifically among those diagnosed as suffering from stress-related, anxiety, and mood disorder groups (p = .017), and an incline in the proportion of visits of severe mental disorders (p = .029).
Discussion: The limited use of child and adolescent psychiatric emergency facilities during the pandemic highlights the importance of tele-psychiatry as part of emergency services. It also suggests the importance of the timeline of the emergence of clinically relevant new psychiatric diagnoses related to the pandemic. Future studies are needed to establish the long-term effects of the pandemic and the expeditious use of tele-psychiatry.
(© 2022. The Author(s).)
Databáze: MEDLINE
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