SynthesisEuropean child & adolescent psychiatry2022
Pandemic-related emergency psychiatric presentations for self-harm of children and adolescents in 10 countries (PREP-kids): a retrospective international cohort study.
Synthesis in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 3 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 3 syntheses or guidelines pooled it, 117 citations in OpenAlex.
- Access and use of general and mental health services before and during the COVID-19 pandemic: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- The impact of COVID-19 lockdown on child and adolescent mental health: systematic review.European child & adolescent psychiatry · 2023Pooled it
- Comparison of paediatric emergency department visits for attempted suicide, self-harm, and suicidal ideation before and during the COVID-19 pandemic: a systematic review and meta-analysis.The lancet. Psychiatry · 2023Pooled it
- Effectiveness of intensive community care services for adolescents with acute psychiatric emergencies: findings from a feasibility multi-centre, parallel-group, single-blinded RCT.Health technology assessment (Winchester, England) · 2026Trial
- Impact of the COVID-19 Pandemic on Pediatric Neuropsychiatric Disorders: A Retrospective Study at a Single Center for Child Neurology and Psychiatry.Children (Basel, Switzerland) · 2026Article
- Emergency presentations following youth suicide attempts during the COVID-19 pandemic: temporal trends and associations with containment measures.European child & adolescent psychiatry · 2026Article
- Self-reported changes in adolescent mental health, deliberate self-harm, substance use, and help-seeking behavior before and after the COVID-19 pandemic - A Finnish time-trend study.Child and adolescent mental health · 2026Article
- Self-Harm Presentations to a Pediatric Trauma Centre During the First Year of the COVID-19 Pandemic.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025Article
- Child and adolescent psychiatry consultations during the COVID-19 pandemic.Scientific reports · 2025Observational
- Use of childhood adversity and mental health admission patterns to predict suicide in young people.BJPsych open · 2025Article
- Clinical characteristics and prevalence of adolescent self-harm before, during and after the COVID-19 pandemic: retrospective cross-sectional database study.BJPsych open · 2025Article
- Impact of COVID-19 on referrals to paediatric liaison psychiatry at Children's Health Ireland at Crumlin as the pandemic moved to endemic status.BJPsych open · 2024Article
- Frequency, Risk Factors, and Methods of Deliberate Self-Harm Observed in Medical Students and Doctors in Pakistan.Cureus · 2024Article
- Self-harm and suicidal behaviors in children: perspectives of mental health clinicians.Journal of pediatric psychology · 2024Article
- COVID-19 Pandemic School Disruptions and Acute Mental Health in Children and Adolescents.JAMA network open · 2024Observational
- Secular Trends in Depressive Symptoms in Adolescents in Yunnan, Southwest China From Before COVID-19 to During the COVID-19 Pandemic: Longitudinal, Observational Study.JMIR public health and surveillance · 2024Observational
- Article
- Pattern of adult psychiatric emergencies at a tertiary care center before and after the onset of the COVID-19 pandemic.Indian journal of psychiatry · 2024Article
- Psychiatric Hospitalization for Psychopathological Disorders and Self-Injurious Behaviors in Italian Children and Adolescents during COVID-19.Children (Basel, Switzerland) · 2023Article
- Emergency department visits and hospital admissions for suicidal ideation, self-poisoning and self-harm among adolescents in Canada during the COVID-19 pandemic.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
5 more citing papers are in PubMed but not listed here.
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27 authors at 17 institutions in 9 countries.
Funding
Abstract
To examine the differences in hospital emergency psychiatric presentations for self-harm of children and adolescents during the covid-19 lockdown in March and April 2020 compared with the same period in 2019. Retrospective cohort study. We used electronic patient records from 23 hospital emergency departments in ten countries grouped into 14 areas. We examined data on 2073 acute hospital presentations by 1795 unique children and adolescents through age 18. We examined the total number of emergency psychiatric hospital presentations and the proportion of children and adolescents presenting with severe self-harm as our two main outcome measures. In addition, we examined sociodemographic and clinical characteristics and clinical management variables for those presenting with self-harm. To compare the number of hospital presentations between 2020 and 2019 a negative binomial model was used. For other variables, individual participant data (IPD) meta-analyses were carried out. Emergency psychiatric hospital presentations decreased from 1239 in 2019 to 834 in 2020, incident rate ratio 0.67, 95% CI 0.62-0.73; p < 0.001. The proportion of children and adolescents presenting with self-harm increased from 50% in 2019 to 57% in 2020, odds ratio 1.33, 1.07-1.64; p = 0.009 but there was no difference in the proportion presenting with severe self-harm. Within the subpopulation presenting with self-harm the proportion of children and adolescents presenting with emotional disorders increased from 58 to 66%, odds ratio 1.58, 1.06-2.36; p = 0.025. The proportion of children and adolescents admitted to an observation ward also decreased from 13 to 9% in 2020, odds ratio 0.52, 0.28-0.96; p = 0.036. Service planners should consider that, during a lockdown, there are likely to be fewer emergency psychiatric presentations. Many children and adolescents with psychiatric emergencies might not receive any service. A focus on developing intensive community care services with outreach capabilities should be prioritised.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.