Lockdown stringency and paediatric self-harm presentations during COVID-19 pandemic: Retrospective cohort study

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dc.authorscopusid57222316453
dc.authorscopusid57212940084
dc.authorscopusid15769812900
dc.authorscopusid55208092300
dc.authorscopusid23568712200
dc.authorscopusid55222199000
dc.authorscopusid56604741000
dc.contributor.authorWong, Ben Hoi-Ching
dc.contributor.authorVaezinejad, Mehrak
dc.contributor.authorPlener, Paul L.
dc.contributor.authorMehdi, Tauseef
dc.contributor.authorRomaniuk, Liana
dc.contributor.authorBarrett, Elizabeth
dc.contributor.authorHussain, Haseena
dc.date.accessioned2024-09-25T19:45:02Z
dc.date.available2024-09-25T19:45:02Z
dc.date.issued2022
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractBackground Lockdown during the pandemic has had significant impacts on public mental health. Previous studies suggest an increase in self-harm and suicide in children and adolescents. There has been little research on the roles of stringent lockdown. Aims To investigate the mediating and predictive roles of lockdown policy stringency measures in self-harm and emergency psychiatric presentations. Method This was a retrospective cohort study. We analysed data of 2073 psychiatric emergency presentations of children and adolescents from 23 hospital catchment areas in ten countries, in March to April 2019 and 2020. Results Lockdown measure stringency mediated the reduction in psychiatric emergency presentations (incidence rate ratio of the natural indirect effect [IRRNIE] = 0.41, 95% CI [0.35, 0.48]) and self-harm presentations (IRRNIE = 0.49, 95% CI [0.39, 0.60]) in 2020 compared with 2019. Self-harm presentations among male and looked after children were likely to increase in parallel with lockdown stringency. Self-harm presentations precipitated by social isolation increased with stringency, whereas school pressure and rows with a friend became less likely precipitants. Children from more deprived neighbourhoods were less likely to present to emergency departments when lockdown became more stringent, Conclusions Lockdown may produce differential effects among children and adolescents who self-harm. Development in community or remote mental health services is crucial to offset potential barriers to access to emergency psychiatric care, especially for the most deprived youths. Governments should aim to reduce unnecessary fear of help-seeking and keep lockdown as short as possible. Underlying mediation mechanisms of stringent measures and potential psychosocial inequalities warrant further research. Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists.en_US
dc.description.sponsorshipNational Institute for Health Research, NIHRen_US
dc.identifier.doi10.1192/bjo.2022.41
dc.identifier.issn2056-4724
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85127872755en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1192/bjo.2022.41
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12806
dc.identifier.volume8en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherCambridge University Pressen_US
dc.relation.ispartofBJPsych Openen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectadolescenten_US
dc.subjectchildrenen_US
dc.subjectCOVID-19en_US
dc.subjectlockdownen_US
dc.subjectlockdown stringencyen_US
dc.subjectpsychiatric emergencyen_US
dc.subjectretrospective studyen_US
dc.subjectSelf-harmen_US
dc.titleLockdown stringency and paediatric self-harm presentations during COVID-19 pandemic: Retrospective cohort studyen_US
dc.typeArticleen_US

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