Hernández-Calle Daniel, Andreo-Jover Jorge, Curto-Ramos Javier, García Martínez Daniel, Valor Luis Vicente, Juárez Guillermo, Alcamí Margarita, Ortiz Arancha, Iglesias Noelia, Bravo-Ortiz María Fe, Vega Beatriz Rodríguez, Martínez-Alés Gonzalo
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Madrid, Spain.
Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain.
Scand J Child Adolesc Psychiatr Psychol. 2022 Jun 12;10(1):53-57. doi: 10.2478/sjcapp-2022-0005. eCollection 2022 Jan.
Paediatric and adult psychiatric emergency department (ED) visits decreased during the initial COVID-19 outbreak. Long-term consequences of the COVID-19 pandemic will include increases in mental healthcare needs, especially among vulnerable groups such as children and adolescents.
This study examined changes in the number of overall and diagnosis-specific mental health ED visits among patients aged <18 years following the onset of the COVID-19 pandemic in Madrid, Spain.
Using clinical records from all psychiatric ED visits at a major teaching hospital between October 2018 and April 2021, we conducted interrupted time-series analyses and compared trends before and after the day of the first ED COVID-19 case (1st March 2020).
A total of 663 patients were included. In March 2020, there was a marked initial decrease of -12.8 (95% CI -21.9, - 7.9) less monthly mental health ED visits. After April 2020, there was a subsequent increasing trend of 3.4 (95% CI 2.6, 4.2) additional monthly mental health ED visits.
After the onset of the COVID-19 pandemic, there was an increase in paediatric psychiatric ED visits, especially due to suicide-related reasons. These data reinforce the crucial role of the ED in the management of acute mental health problems among youth and highlight the need for renovated efforts to enhance access to care outside of and during acute crises during the pandemic and its aftermath.
在新冠疫情初期，儿科和成人精神科急诊就诊量有所下降。新冠疫情的长期影响将包括心理健康需求的增加，尤其是在儿童和青少年等弱势群体中。
本研究调查了西班牙马德里新冠疫情爆发后18岁以下患者整体及特定诊断的精神科急诊就诊次数的变化。
利用一家主要教学医院2018年10月至2021年4月期间所有精神科急诊就诊的临床记录，我们进行了中断时间序列分析，并比较了首例新冠急诊病例当天（2020年3月1日）前后的趋势。
共纳入663例患者。2020年3月，每月精神科急诊就诊次数最初显著减少了-12.8次（95%置信区间-21.9，-7.9）。2020年4月之后，每月精神科急诊就诊次数随后呈上升趋势，额外增加了3.4次（95%置信区间2.6，4.2）。
新冠疫情爆发后，儿科精神科急诊就诊量有所增加，尤其是因自杀相关原因就诊的人数。这些数据强化了急诊在青少年急性心理健康问题管理中的关键作用，并突出了在疫情期间及其后加强努力以改善急性危机期间及危机之外的就医机会的必要性。
