Profile of patients attending psychiatric emergency care during the coronavirus 2019 (COVID 19) pandemic: a comparative cross-sectional study between lockdown and post-lockdown periods in Lombardy, Italy
| Autor: | Carmen Di Brita, Fabrizia Colmegna, Roberto Nava, Alice Caldiroli, Lia Chiara Colzani, Massimo Clerici, Massimiliano Buoli, Matteo Sibilla, Enrico Capuzzi, Tiziano Prodi |
|---|---|
| Přispěvatelé: | Capuzzi, E, Caldiroli, A, Di Brita, C, Colmegna, F, Nava, R, Colzani, L, Sibilla, M, Prodi, T, Buoli, M, Clerici, M |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Cross-sectional study lockdown 03 medical and health sciences 0302 clinical medicine Cocaine Pandemic medicine Humans Substance intoxication Psychiatry Pandemics Emergency Services Psychiatric biology business.industry SARS-CoV-2 substance use disorder mental health service COVID-19 medicine.disease biology.organism_classification anxiety Mental health 030227 psychiatry Substance abuse Psychiatry and Mental health Cross-Sectional Studies Italy Communicable Disease Control Anxiety Cannabis medicine.symptom business 030217 neurology & neurosurgery |
| Popis: | OBJECTIVE: To assess the long-term impact of early COVID-19 lockdown phase on emergency psychiatric consultations in two psychiatric emergency departments located in Italy. METHODS: We conducted a cross-sectional study comparing the number and characteristics of emergency psychiatric consultations during post-lockdown with respect to the lockdown period. Sociodemographic data, clinical characteristics, referred symptoms, diagnosis, information on multiple psychiatric consultations and hospitalisation were collected. RESULTS: A rise of almost 60% in emergency psychiatric consultations during the post-lockdown compared to the lockdown period was observed. Emergency psychiatric consultations in the post-lockdown period were associated with lower rates of cannabis (aOR = 0.42, p = 0.011) and cocaine use (aOR = 0.39, p = 0.011). Despite a lower occurrence of two or more psychiatric consultations was observed during post-lockdown phase (aOR = 0.44, p = 0.008), subjects who had anxiety disorders (aOR = 3.91, p = 0.000) and substance intoxication or withdrawal (aOR = 6.89, p = 0.000) were more likely to present to emergency psychiatric consultations during post-lockdown period compared to the lockdown one. CONCLUSIONS: Substance intoxication or withdrawal and anxiety disorders increased after the COVID-19 lockdown. The findings of this study suggest to address more economic and professional sources to the mental health areas potentially more affected by the different phases of a pandemic.KEYPOINTSCOVID-19 pandemic and lockdown measures increased mental health unmet needs.According to our findings, a rise in emergency psychiatric consultations during the post-lockdown compared to the lockdown period was observed.Patients with substance intoxication or withdrawal syndrome and anxiety disorders were significantly more likely to present to emergency psychiatric consultations during post-lockdown.Lockdown was associated with higher rates of both cannabis and cocaine use disorders as well as of multiple psychiatric consultations.Alternative strategies to improve mental health such as e-health technologies should be promoted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|