Tromans Samuel, Chester Verity, Harrison Hannah, Pankhania Precina, Booth Hanna, Chakraborty Nandini
Speciality Registrar in the Psychiatry of Intellectual Disability at the Agnes Unit, Leicestershire Partnership NHS Trust; and an Honorary Academic Clinical Lecturer in the Department of Health Sciences, University of Leicester, UK.
Department of Psychiatry, St John's House, Norfolk, UK; and a PhD Student at Norwich Medical School, Norwich, UK.
BJPsych Open. 2020 Oct 12;6(6):e117. doi: 10.1192/bjo.2020.104.
The coronavirus disease 2019 (COVID-19) pandemic has had a profound impact on both the physical and mental well-being of the global population. Relatively few studies have measured the impact of lockdown on utilisation of secondary mental health services in England.
To describe secondary mental health service utilisation pre-lockdown and during lockdown within Leicestershire, UK, and the numbers of serious incidents during this time frame.
Data pertaining to mental health referral and hospital admissions to adult mental health, child and adolescent mental health, intellectual disability and mental health services for older people were collated retrospectively from electronic records for both 8 weeks pre-lockdown and the first 8 weeks of lockdown in England. Serious incidents during this time frame were also analysed.
Significantly (P < 0.05) reduced referrals to a diverse range of mental health services were observed during lockdown, including child and adolescent, adult, older people and intellectual disability services. Although admissions remained relatively stable before and during lockdown for several services, admissions to both acute adult and mental health services for older people were significantly (P < 0.05) reduced during lockdown. Numbers of serious incidents in the pre-lockdown and lockdown periods were similar, with 23 incidents pre-lockdown, compared with 20 incidents in lockdown.
To the best of our knowledge, this is the first UK-based study reporting patterns of use of mental health services immediately prior to and during COVID-19 lockdown. Overall numbers of referrals and admissions reduced following commencement of COVID-19 lockdown. Potential reasons for these observations are discussed.
2019年冠状病毒病（COVID - 19）大流行对全球人口的身心健康都产生了深远影响。相对较少的研究测量了封锁对英国二级心理健康服务利用情况的影响。
描述英国莱斯特郡在封锁前和封锁期间二级心理健康服务的利用情况，以及在此期间的严重事件数量。
回顾性整理了英格兰封锁前8周和封锁开始后的前8周电子记录中与心理健康转诊以及成人心理健康、儿童和青少年心理健康、智力残疾和老年人心理健康服务的住院情况相关的数据。还分析了这一时间段内的严重事件。
在封锁期间观察到转介到各类心理健康服务机构的人数显著减少（P < 0.05），包括儿童和青少年、成人、老年人以及智力残疾服务。尽管在封锁前后几个服务机构的住院人数相对稳定，但在封锁期间，成人急性心理健康服务和老年人心理健康服务的住院人数显著减少（P < 0.05）。封锁前和封锁期间严重事件的数量相似，封锁前有23起事件，封锁期间有20起事件。
据我们所知，这是第一项基于英国的研究，报告了在COVID - 19封锁之前及期间心理健康服务的使用模式。COVID - 19封锁开始后，转诊和住院的总体人数减少。讨论了这些观察结果的潜在原因。
