Psychiatry Department, Erenköy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Sinan Ercan Cad. No: 23, 34736, Kadikoy, Istanbul, Turkey.
Psychology Department, Faculty of Humanities and Social Sciences, Istanbul Commerce University, Sütlüce, İmrahor Cd. No: 90, 34445, Beyoglu, Istanbul, Turkey.
Soc Psychiatry Psychiatr Epidemiol. 2021 Dec;56(12):2299-2310. doi: 10.1007/s00127-021-02171-0. Epub 2021 Sep 5.
We aimed to explore the impact of the preventive measures and partial lockdown to the psychiatric emergency department (PED) visits during COVID-19 pandemic in a mental health epicenter in Istanbul.
A total of 5839 patients admitted to PED during the lockdown period (LP) between March 30 and May 31, 2020, were enrolled in this retrospective cohort study. Data of these patients were compared to those of patients in the same period in 2019 between April 1 and June 2, 2019 (non-LP). We also investigated the monthly number of PED visits and hospitalizations between March 1 and December 31, 2020, and compared it to the same period in 2019.
The volume of PED visits and hospitalizations in LP decreased by 12% and 41.6%, respectively. The rates of patients presenting anxiety and depressive disorders and bipolar disorders were found to significantly increase in LP than non-LP (p < 0.001; p < 0.001; p < 0.01, respectively). Depressive disorders, prior history of mental illness, and aggressive behavior were found to predict frequent PED visits while decrease in age and male gender found to predict hospitalizations. Regarding suicide attempt, younger patients and those with new-onset mental disorders were found to be at high risk in LP. Patients diagnosed with COVID-19 in PED visits were mostly with psychotic and bipolar disorders.
Policy-makers should focus on studies on mental health services to reorganize and enhance such services, which are crucial to prevent and manage adverse mental health consequences of the pandemic and congestion in PEDs.
我们旨在探讨 COVID-19 大流行期间，在伊斯坦布尔的精神卫生中心，预防措施和部分封锁对精神科急诊部（PED）就诊的影响。
本回顾性队列研究共纳入了 2020 年 3 月 30 日至 5 月 31 日封锁期间（LP）期间收治于 PED 的 5839 名患者。将这些患者的数据与 2019 年同期（非 LP）4 月 1 日至 6 月 2 日期间收治于 PED 的患者数据进行比较。我们还调查了 2020 年 3 月 1 日至 12 月 31 日期间 PED 就诊和住院的每月人数，并与 2019 年同期进行了比较。
LP 期间 PED 就诊和住院人数分别减少了 12%和 41.6%。LP 期间就诊的焦虑症、抑郁症和双相情感障碍患者比例显著高于非 LP（p<0.001;p<0.001;p<0.01，分别）。抑郁障碍、既往精神病史和攻击性行为被发现可预测 PED 就诊次数增加，而年龄减小和男性性别被发现可预测住院。关于自杀企图，LP 期间发现年轻患者和新发精神障碍患者的风险较高。在 PED 就诊中被诊断为 COVID-19 的患者大多患有精神病和双相情感障碍。
政策制定者应关注精神卫生服务研究，以重组和加强此类服务，这对于预防和管理大流行和 PED 拥堵带来的不良心理健康后果至关重要。
