Pandemic-related emergency psychiatric presentations for self-harm of children and adolescents in 10 countries (PREP-kids): A retrospective international cohort study
Yükleniyor...
Dosyalar
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
To examine the diferences in hospital emergency psychiatric presentations for self-harm of children and adolescents during
the covid-19 lockdown in March and April 2020 compared with the same period in 2019. Retrospective cohort study. We
used electronic patient records from 23 hospital emergency departments in ten countries grouped into 14 areas. We examined
data on 2073 acute hospital presentations by 1795 unique children and adolescents through age 18. We examined the total
number of emergency psychiatric hospital presentations and the proportion of children and adolescents presenting with severe
self-harm as our two main outcome measures. In addition, we examined sociodemographic and clinical characteristics and
clinical management variables for those presenting with self-harm. To compare the number of hospital presentations between
2020 and 2019 a negative binomial model was used. For other variables, individual participant data (IPD) meta-analyses were
carried out. Emergency psychiatric hospital presentations decreased from 1239 in 2019 to 834 in 2020, incident rate ratio
0.67, 95% CI 0.62–0.73; p<0.001. The proportion of children and adolescents presenting with self-harm increased from 50%
in 2019 to 57% in 2020, odds ratio 1.33, 1.07–1.64; p=0.009 but there was no diference in the proportion presenting with
severe self-harm. Within the subpopulation presenting with self-harm the proportion of children and adolescents presenting
with emotional disorders increased from 58 to 66%, odds ratio 1.58, 1.06–2.36; p=0.025. The proportion of children and
adolescents admitted to an observation ward also decreased from 13 to 9% in 2020, odds ratio 0.52, 0.28–0.96; p=0.036.
Service planners should consider that, during a lockdown, there are likely to be fewer emergency psychiatric presentations.
Many children and adolescents with psychiatric emergencies might not receive any service. A focus on developing intensive
community care services with outreach capabilities should be prioritised.
Açıklama
Anahtar Kelimeler
Self-harm, COVID-19, Pandemic, Emergency Presentation, Children, Adolescents
Kaynak
European Child & Adolescent Psychiatry
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
31
Sayı
7
Künye
Ougrin, D., Wong, B. H. C., Vaezinejad, M., Plener, P. L., Mehdi, T., Romaniuk, L., ... & Landau, S. (2021). Pandemic-related emergency psychiatric presentations for self-harm of children and adolescents in 10 countries (PREP-kids): a retrospective international cohort study. European child & adolescent psychiatry, 1-13.
