Evidence map›Paper›PMID 34482427›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID-19 lockdown.

Murat Yalçın, Alper Baş, Rabia Bilici, Yusuf Özay Özdemir, Engin Emrem Beştepe, Samet Kurnaz, Mustafa Güneş, Velat Kurt, Elif Koyu

Open access · bronzeAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Utilization of mental health services during the first year of the COVID-19 pandemic - a systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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  4. Effect of the COVID-19 Pandemic on Psychiatric Service Use Among Psychiatric Outpatients.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2025
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  19. Pediatric Mental Health Emergency Visits During the COVID-19 Pandemic.Scandinavian journal of child and adolescent psychiatry and psychology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Murat YalçınPsychiatry Department, Erenköy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Sinan Ercan Cad. No: 23, 34736, Kadikoy, Istanbul, Turkey. muratyalcin@gmail.com.ORCID http://orcid.org/0000-0002-1129-8960
Alper BaşPsychology Department, Faculty of Humanities and Social Sciences, Istanbul Commerce University, Sütlüce, İmrahor Cd. No: 90, 34445, Beyoglu, Istanbul, Turkey.
Rabia BiliciPsychiatry Department, Erenköy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Sinan Ercan Cad. No: 23, 34736, Kadikoy, Istanbul, Turkey.
Yusuf Özay ÖzdemirPsychiatry Department, Erenköy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Sinan Ercan Cad. No: 23, 34736, Kadikoy, Istanbul, Turkey.
Engin Emrem BeştepePsychiatry Department, Erenköy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Sinan Ercan Cad. No: 23, 34736, Kadikoy, Istanbul, Turkey.
Samet KurnazPsychiatry Department, Erenköy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Sinan Ercan Cad. No: 23, 34736, Kadikoy, Istanbul, Turkey.
Mustafa GüneşPsychiatry Department, Erzurum Region Training and Research Hospital, Atatürk Mahallesi Çat Yolu Caddesi No: 36, 25240, Yakutiye, Erzurum, Turkey.
Velat KurtPsychiatry Department, Erenköy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Sinan Ercan Cad. No: 23, 34736, Kadikoy, Istanbul, Turkey.
Elif KoyuPsychiatry Department, Erenköy Mental and Nervous Diseases Training and Research Hospital, University of Health Sciences, Sinan Ercan Cad. No: 23, 34736, Kadikoy, Istanbul, Turkey.
Sağlık Bilimleri Üniversitesi · TRErzurum Regional Training and Research Hospital · TRIstanbul Commerce University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe 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.

methodsA 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.

resultsThe 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.

conclusionPolicy-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.

Indexed as

COVID-19Mental HealthCommunicable Disease ControlEmergency Service, HospitalHumansMalePandemicsRetrospective StudiesSARS-CoV-2COVID-19LockdownMental health servicesPsychiatric emergency departmentSuicide

Identifiers

PMID34482427
PMCPMC8418687
OpenAlexW3198121232

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.