ArticleJournal of psychosomatic research2021
Trends in suicidal ideation in an emergency department during COVID-19.
Article in Journal of psychosomatic research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Suicide and COVID-19: a rapid scoping review.Annals of general psychiatry · 2023Article
- Suicidality in psychiatric emergency department situations during the first and the second wave of COVID-19 pandemic.European archives of psychiatry and clinical neuroscience · 2023Article
- Implication of COVID-19 Pandemic on Adolescent Mental Health: An Analysis of the Psychiatric Counseling from the Emergency Room of an Italian University Hospital in the Years 2019-2021.Journal of clinical medicine · 2022Article
- Primary care experiences of providing mental healthcare for children in the USA during the COVID-19 pandemic: a qualitative study.BMJ paediatrics open · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveThis study aims to detail changes in presentations at a United States Emergency Department for suicidality before and after the outbreak of COVID-19.
methodsA retrospective chart review was conducted of all adult patients who presented to an ED with suicidality and underwent psychiatric consultation during the study period. The cohorts consisted of patients who presented between December 2018 - May 2019 and December 2019 - May 2020. Information was collected on demographics, characteristics of suicidality, reasons for suicidality and disposition. The first wave from March - May 2020 was examined, using a difference-in-differences design to control for factors other than COVID-19 that may have influenced the outcomes' trend.
resultsImmediately following the pandemic outbreak there was a statistically significant increase in the proportion of undomiciled patients represented in visits for suicidality (40.7% vs. 57.4%; p-value <0.001). In addition, the proportion of patient visits attributed to social (18.0% vs. 29.2%; p-value 0.003) and structural (14.2% vs. 26.4%; p value <0.001) reasons for suicidality increased. Conversely, the proportion of visits due to psychiatric symptoms (70.5% vs 50.0%; p-value <0.001) decreased. Furthermore, patient visits were more likely to result in a medical admission (2.1% vs. 8.3%; p-value 0.002) and less likely to result in a psychiatric admission (68.4% vs 48.6%; p-value <0.001) during the initial phase of the pandemic.
conclusionsCOVID-19 was associated with increased ED presentations for suicidality among undomiciled patients, as well as greater likelihood of social and structural reasons driving suicidality among all visits.
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