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The Impact of COVID-19 Pandemic on Psychiatric Emergency Department Visits - A Descriptive Study.
Open accessAbstract
The coronavirus disease 2019 pandemic (COVID-19) has an important direct and indirect impact on both physical and mental health. We aim to describe the impact of an emergency state period due to COVID-19 on psychiatric emergency department (ED) visits. We conducted a retrospective observational study analysing all emergency visits occurring at a metropolitan psychiatric ED between March 19th and May 2nd 2019 and 2020 (the beginning/end date of the emergency state which Portugal was under due to COVID-19). Data regarding age, sex, diagnoses, admission date, discharge destiny and status were collected. Diagnoses were classified using the International Classification of Diseases version 9, Clinical Modification (ICD-9-CM). There was a 52·2% decrease on the number of psychiatric emergency visits during the emergency state period (n 2020 = 780 vs n 2019 = 1633 episodes). The decrease on psychiatric ED visits was greater in the female sex and in the younger age groups. Episodes with a primary diagnosis of Mood disorders lead the decrease on psychiatric ED visits with 68·3% less episodes. Schizophrenia and other psychotic disorders was the diagnosis group with the smaller decline (9·8% decrease). COVID-19 emergency state period had an important impact on the number and characteristics of psychiatric ED visits, reinforcing the great indirect effects of COVID-19 on mental health.
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“Eight studies reported a decrease in self-harm/suicide attempts during the first months of the COVID-19 pandemic ( Capuzzi et al., 2020; Chen et al., 2020; Goncalves-Pinho et al., 2021; Hewson et al., 2020; McIntyre et al., 2020; Pignon et al., 2020; Rajput et al., 2020; Walker et al., 2020).”
From The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review (2021) · cites this paper as Goncalves-Pinho et al., 2021
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Metadata
- Authors
- Gonçalves-Pinho, M., Mota, P., Ribeiro, J., Macedo, S., & Freitas, A.
- Affiliations
- Centro Hospitalar do Tâmega e Sousa (PT)
- Universidade do Porto (PT)
- Venue
- Psychiatric Quarterly
- Published
- 2020-08-25
- Volume
- 92
- Issue
- 2
- Pages
- 621-631
- ISSN
- 0033-2720 (ISSN-L)
- 1573-6709
- PMC
- PMC7445073
- OpenAlex
- W3080740721
- Cited by
- 113
- References
- 23
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 12 · 2023: 20 · 2022: 38 · 2021: 30 · 2020: 2
- FWCI
- 8.99
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Quarterly (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centre hospitalier universitaire Sainte-Justine
- Fundação para a Ciência e a Tecnologia (01-0145, COMPETE, POCI-01-0145, POCI01-0145-FEDER-030766, POCI-01-0145-FEDER-, COMPETE_2020, POCI-01-)
- European Regional Development Fund (COMPETE, POCI-01, COMPETE2020, POCI-01-0145-FEDER-030766, POCI-01-0145- FEDER)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- COVID-19 pandemic, psychiatric emergency department visits, mental health, mood disorders, schizophrenia, psychosis, state of emergency, indirect effects of COVID-19, sex differences, age differences
- MeSH terms
- Academic Medical Centers, COVID-19, Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Emergency Services, Psychiatric, Female, Humans, Male, Middle Aged, Portugal, Retrospective Studies, Young Adult
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