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Social Psychiatry and Psychiatric Epidemiology

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05.09.2021 | COVID-19 | Original Paper Zur Zeit gratis

Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown

verfasst von: Murat Yalçın, Alper Baş, Rabia Bilici, Yusuf Özay Özdemir, Engin Emrem Beştepe, Samet Kurnaz, Mustafa Güneş, Velat Kurt, Elif Koyu

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 12/2021

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Abstract

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.

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Titel: Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown
verfasst von: Murat Yalçın
Alper Baş
Rabia Bilici
Yusuf Özay Özdemir
Engin Emrem Beştepe
Samet Kurnaz
Mustafa Güneş
Velat Kurt
Elif Koyu
Publikationsdatum: 05.09.2021
Verlag: Springer Berlin Heidelberg
Schlagwort: COVID-19
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 12/2021
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-021-02171-0

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