2020 年秋季远程学校教学与洛杉矶县青少年的精神科急诊。
Remote school instruction in Fall 2020 and psychiatric emergencies among adolescents in Los Angeles County.
机构信息
Department of Health, Society, and Behavior, Joe C. Wen School of Population & Public Health, University of California, Irvine, 856 Health Sciences Quad, Irvine, CA, 92697-3957, USA.
David Geffen School of Medicine, University of California, Los Angeles, USA.
出版信息
BMC Psychiatry. 2024 Nov 27;24(1):854. doi: 10.1186/s12888-024-06225-w.
OBJECTIVE
Schools play an essential role in providing mental health care for adolescents. School closures during COVID-19, as well as re-opening to remote-only instruction in Fall 2020, may indirectly affect the utilization of emergency psychiatric care. We examine COVID-19-related changes in emergency psychiatric care among youth during the school closure and after school reopening (with remote instruction).
METHODS
We use Box-Jenkins interrupted time series methods to analyze psychiatric emergency department (ED) visits among patients 10-19 years at LAC + USC Medical Center (LAC + USC) between January 5th, 2018, and December 31st, 2020. We control for the 1st societal shutdown in LA County (i.e., the nine weeks from March 13 to May 14, 2020) when analyzing the potential "return to remote school" shock.
RESULTS
Youth psychiatric ED visits fell by 15.3 per week during the Spring 2020 school closure (p < .05). The "return to remote school" coefficient (i.e., August 14th to September 10, 2020), by contrast, is positive but does not reach statistical detection above expected values (p = .11). However, the proportion of psychiatric ED visits rises 38% among youth during the "return to remote school" period (p = 0.006).
CONCLUSION
The initiation of Fall 2020 remote instruction corresponded with a greater proportion of youth ED visits that are classified as psychiatric.
目的
学校在为青少年提供心理健康服务方面发挥着重要作用。新冠疫情期间学校关闭，以及 2020 年秋季转为远程教学，可能会间接影响到紧急精神科护理的利用。我们调查了学校关闭期间和重新开放（远程教学）后，青少年接受紧急精神科护理的情况变化。
方法
我们使用 Box-Jenkins 干预时间序列方法，分析了 2018 年 1 月 5 日至 2020 年 12 月 31 日期间，洛杉矶加大医疗中心（LAC+USC）10-19 岁患者的精神科急诊就诊情况。在分析潜在的“远程返校”冲击时，我们控制了洛杉矶县的首次社会停摆（即 2020 年 3 月 13 日至 5 月 14 日的九周）。
结果
春季学校关闭期间，青少年精神科急诊就诊量每周减少 15.3 例（p<0.05）。相比之下，“远程返校”系数（即 2020 年 8 月 14 日至 9 月 10 日）为正值，但未达到预期值以上的统计学检测水平（p=0.11）。然而，在“远程返校”期间，青少年精神科急诊就诊量上升了 38%（p=0.006）。
结论
2020 年秋季远程教学的开始与更多被归类为精神科的青少年急诊就诊比例增加有关。
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