Psychiatric emergency care during Coronavirus 2019 (COVID 19) pandemic lockdown: results from a Department of Mental Health and Addiction of northern Italy.
Open accessAbstract
Background The current COVID-19 pandemic and the consequent containment measures are leading to increasing mental health issues both in psychiatric patients and general population.Objective We aimed to compare the number and characteristics of emergency psychiatric consultations during the phase 1 of lockdown with respect to the same period in 2019 in a Department of Mental Health and Addiction (DMHA) located in Lombardy region.Methods We conducted a cross-sectional study including subjects consecutively admitted to two psychiatric emergency rooms of DMHA in Monza, Lombardy, Italy. Sociodemographic data, clinical characteristics, referred symptoms, diagnosis and information on patients' illness course following the emergency consultations were collected. No subjects were excluded for the purposes of the study.Results Between February 21st and May 3rd 2020, there was a marked reduction in the number of psychiatric emergency consultations, if compared to the same period of 2019. Subjects who were living in psychiatric residential treatment facilities, had cannabis addiction and a diagnosis of obsessive-compulsive disorder were significantly more likely to present to emergency psychiatric consultations during lockdown.Conclusions COVID-19 epidemic may have a negative impact on more vulnerable individuals. Strategies to enhance relapse prevention and the use of alternative approaches as e-health technologies should be promoted.
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Capuzzi et al. (2020) reported a rise in self-harm / suicide attempts as a proportion of total emergency department presentations in Italy, but this rise in proportion was in the context of falls in absolute numbers of cases, set against reductions in total emergency department attendances.
“Capuzzi et al. (2020) reported a rise in self-harm / suicide attempts as a proportion of total emergency department presentations in Italy, but this rise in the proportion of cases was in the context of falls in the absolute numbers of cases, set against reductions in total emergency department attendances.”
From The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review (2021) · cites this paper as Capuzzi et al. (2020)
Eight studies reported a decrease in self-harm/suicide attempts during the first months of the COVID-19 pandemic.
“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 Capuzzi et al., 2020
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Cites
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2008) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2007.11.008 · Cited by 17,893 · see citing works
The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30460-8 · Cited by 16,378 · see citing works
WHO Declares COVID-19 a Pandemic.
Cucinotta, D., & Vanelli, M. (2020) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v91i1.9397 · Cited by 7,644 · see citing works
Mental health and the COVID-19 pandemic
Pfefferbaum, B., & North, C. S. (2020) · New England Journal of Medicine · doi:10.1056/nejmp2008017 · Cited by 4,378 · see citing works
Mental health problems and social media exposure during COVID-19 outbreak
Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Wang, Y., Fu, H., & Dai, J. (2020) · PLoS ONE · doi:10.1371/journal.pone.0231924 · Cited by 2,830 · see citing works
The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication
Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010) · Molecular Psychiatry · doi:10.1038/mp.2008.94 · Cited by 2,771 · see citing works
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007) · Preventive Medicine · doi:10.1016/j.ypmed.2007.08.012 · Cited by 2,698 · see citing works
The consequences of the COVID-19 pandemic on mental health and implications for clinical practice
Fiorillo, A., & Gorwood, P. (2020) · European Psychiatry · doi:10.1192/j.eurpsy.2020.35 · Cited by 1,190 · see citing works
Tian, F., Li, H., Tian, S., Yang, J., Shao, J., & Tian, C. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112992 · Cited by 468 · see citing works
Dubey, M. J., Ghosh, R., Chatterjee, S., Biswas, P., Chatterjee, S., & Dubey, S. (2020) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2020.06.008 · Cited by 362 · see citing works
Rolland, B., Haesebaert, F., Zante, E., Benyamina, A., Haesebaert, J., & Franck, N. (2020) · JMIR Public Health and Surveillance · doi:10.2196/19630 · Cited by 287 · see citing works
Prestía, D., Pozza, A., Martina, O., Escelsior, A., Dèttore, D., & Amore, M. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113213 · Cited by 281 · see citing works
Covid-19: A&E visits in England fall by 25% in week after lockdown
Thornton, J. (2020) · BMJ · doi:10.1136/bmj.m1401 · Cited by 268 · see citing works
Mental Health Services in Lombardy during COVID-19 outbreak
Percudani, M., Corradin, M., Moreno, M., Indelicato, A., & Vita, A. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112980 · Cited by 238 · see citing works
Mental Health in the Coronavirus Disease 2019 Emergency—The Italian Response
de Girolamo, G., Cerveri, G., Clerici, M., Monzani, E., Spinogatti, F., Starace, F., Tura, G., & Vita, A. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.1276 · Cited by 207 · see citing works
Self-citationAbba‐Aji, A., Li, D., Hrabok, M., Shalaby, R., Gusnowski, A., Vuong, W., Surood, S., Nkire, N., Li, X., Greenshaw, A. J., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17196986 · Cited by 200 · see citing works
Preparing for an Influenza Pandemic: Mental Health Considerations
Perrin, P. C., McCabe, O. L., Everly, G. S., & Links, J. M. (2009) · Prehospital and Disaster Medicine · doi:10.1017/s1049023x00006853 · Cited by 177 · see citing works
Keep Socially (but Not Physically) Connected and Carry on: Preventing Suicide in the Age of COVID-19
Courtet, P., Olié, E., Debien, C., & Vaiva, G. (2020) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.20com13370 · Cited by 163 · see citing works
Early intervention for obsessive compulsive disorder: An expert consensus statement
Fineberg, N. A., Dell'Osso, B., Albert, U., Maina, G., Geller, D., Carmi, L., Sireau, N., Walitza, S., Grassi, G., Pallanti, S., et al. (2019) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2019.02.002 · Cited by 158 · see citing works
Forte, G., Favieri, F., Tambelli, R., & Casagrande, M. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9061802 · Cited by 155 · see citing works
Pignon, B., Gourevitch, R., Tebeka, S., Dubertret, C., Cardot, H., Dauriac‐Le Masson, V., Trebalag, A., Barruel, D., Yon, L., Hemery, F., et al. (2020) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.13104 · Cited by 134 · see citing works
Clerici, M., Durbano, F., Spinogatti, F., Vita, A., de Girolamo, G., & Micciolo, R. (2020) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2020.29 · Cited by 130 · see citing works
Self-citationMurphy, D. L., Timpano, K. R., Wheaton, M. G., Greenberg, B. D., & Miguel, E. C. (2010) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2010.12.2/dmurphy · Cited by 117 · see citing works
Dell’Osso, B. M., Buoli, M., Hollander, E., & Altamura, A. C. (2009) · The World Journal of Biological Psychiatry · doi:10.3109/15622970903418544 · Cited by 96 · see citing works
Self-citationCOVID-19 Diary From a Psychiatry Department in Italy
Fagiolini, A. M., Cuomo, A., & Frank, E. F. (2020) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.20com13357 · Cited by 93 · see citing works
Mental Health–related Emergency Department Visits Associated With Cannabis in Colorado
Hall, K. E., Monte, A. A., Chang, T., Fox, J. A., Brevik, C., Vigil, D. I., Dyke, M. V. V., & James, K. A. (2018) · Academic Emergency Medicine · doi:10.1111/acem.13393 · Cited by 81 · see citing works
Coronavirus disease: challenges for psychiatry
Kelly, B. D. (2020) · The British Journal of Psychiatry · doi:10.1192/bjp.2020.86 · Cited by 80 · see citing works
Acute exacerbation of OCD symptoms precipitated by media reports of COVID-19
French, I., & Lyne, J. (2020) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2020.61 · Cited by 65 · see citing works
The Endocannabinoid System: A New Treatment Target for Obsessive Compulsive Disorder?
Kayser, R. R., Snorrason, Í., Haney, M., Lee, F. S., & Simpson, H. B. (2019) · Cannabis and Cannabinoid Research · doi:10.1089/can.2018.0049 · Cited by 35 · see citing works
Symptoms of obsessive-compulsive disorder predict cannabis misuse
Spradlin, A., Mauzay, D., & Cuttler, C. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.03.023 · Cited by 33 · see citing works
Abba‐Aji, A., Li, D., Hrabok, M., et al. (2020) · doi:10.2196/preprints.19648 · Cited by 18 · see citing works
Mental health in the aftermath of COVID-19: A new normal
Naqvi, H. (2020) · Journal of the Pakistan Medical Association · doi:10.5455/jpma.30 · Cited by 13 · see citing works
Rolland, B., Haesebaert, F., Zante, É., et al. (2020) · doi:10.2196/preprints.19630 · Cited by 10 · see citing works
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Research works printed but not linked: 1
- Prestia D. Andrea P. Martina O. Escelsior A. Dèttore D. Maria A. The impact of the COVID-19 pandemic on patients with OCD: Effects of contamination symptoms and remission state before the quarantine in a preliminary naturalistic study Psychiatry Research 291 2020 113 213 10.1016/j.psychres.2020.113213 PMC7280119 32535508 · DOI
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The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: a living systematic review
John, A., Okolie, C., Eyles, E., Webb, R. T., Schmidt, L., McGuinness, L. A., Olorisade, B. K., Arensman, E., Hawton, K., Kapur, N., et al. (2020) · F1000Research · doi:10.12688/f1000research.25522.1 · Cited by 178 · see citing works
John, A., Eyles, E., Webb, R. T., Okolie, C., Schmidt, L., Arensman, E., Hawton, K., O'Connor, R. C., Kapur, N., Moran, P., et al. (2021) · F1000Research · doi:10.12688/f1000research.25522.2 · Cited by 189 · see citing works
Murphy, L., Markey, K., O' Donnell, C., Moloney, M., & Doody, O. (2021) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2021.05.002 · Cited by 166 · see citing works
Ambrosetti, J., Macheret, L., Folliet, A., Wullschleger, A., Amerio, A., Aguglia, A., Serafini, G., Prada, P., Kaiser, S., Bondolfi, G., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18031174 · Cited by 113 · see citing works
Yalçın, M., Baş, A., Bilici, R., Özdemir, Y. Ö., Beştepe, E. E., Kurnaz, S., Güneş, M., Kurt, V., & Koyu, E. (2021) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-021-02171-0 · Cited by 36 · see citing works
Goldschmidt, T., Kippe, Y., Finck, A., Adam, M., Hamadoun, H., Winkler, J. G., Bermpohl, F., Schouler-Ocak, M., & Gutwinski, S. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04537-x · Cited by 27 · see citing works
Arend, A.-K., Blechert, J., Pannicke, B., & Reichenberger, J. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2020.623205 · Cited by 24 · see citing works
Goldschmidt, T., Kippe, Y. D., Gutwinski, S., Deutscher, K., Schouler-Ocak, M., & Kroehn-Liedtke, F. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05903-z · Cited by 3 · see citing works
- Authors
- Capuzzi, E., Di Brita, C., Caldiroli, A., Colmegna, F., Nava, R., Buoli, M., & Clerici, M.
- Affiliations
- University of Milano-Bicocca (IT)
- University of Milan (IT)
- Corresponding author
- Capuzzi, Enrico
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 293
- Pages
- 113463
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC7499069
- OpenAlex
- W3087737236
- Cited by
- 132
- References
- 33
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 15 · 2023: 21 · 2022: 30 · 2021: 53 · 2020: 1
- FWCI
- 10.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- 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, lockdown, psychiatric emergency care, mental health service utilization, psychiatric residential treatment, cannabis use disorder, obsessive-compulsive disorder, relapse prevention, eHealth technologies, Lombardy
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adult, Cross-Sectional Studies, Emergency Service, Hospital, Emergency Services, Psychiatric, Female, Humans, Italy, Male, Mental Health, Middle Aged, Obsessive-Compulsive Disorder, Pneumonia, Viral, Behavior, Addictive, Coronavirus Infections, Pandemics
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