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One year of psychiatric presentations to a hospital emergency department during COVID-19

Published online by Cambridge University Press:  14 March 2022

Yvonne Hartnett ,
Khadija Alshurafa ,
Joseph McAndrew ,
Darren Daly ,
Mohamed Alsaffar ,
David Cotter ,
Mary Cannon ,
Siobhan MacHale ,
Kieran C. Murphy  and
Helen Barry
Yvonne Hartnett*
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Khadija Alshurafa
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Joseph McAndrew
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Darren Daly
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Mohamed Alsaffar
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
David Cotter
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Mary Cannon
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Siobhan MacHale
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Kieran C. Murphy
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Helen Barry
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
*
Address for correspondence: Yvonne Hartnett, Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland. (Email: [email protected])
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Abstract

Objectives:

To examine the impact of the first full year of the COVID-19 pandemic and its associated restrictions on the volume and nature of psychiatric presentations to an emergency department (ED) in a large academic hospital.

Methods:

Anonymised clinical data on psychiatric presentations to the ED were collected for the 52-week period from the start of the COVID-19 pandemic and compared with corresponding 1 year periods in 2019 and 2018.

Results:

There was a significant increase in psychiatric presentations overall to the ED during the first year of the COVID-19 pandemic compared to previous years, in contrast to a reduction in total presentations for all other specialties. There was a marked increase in psychiatric presentations of those below 18 years, and in the 30–39 years and 40–49 years age groups, but a decrease in the 18–29 years group. There was a significant increase in anxiety disorder presentations but a decrease in alcohol related presentations. There was no significant change observed in the rates of presentations for self-harm or suicidal ideation.

Conclusions:

Psychiatric presentations to the ED have increased during the first year of the COVID-19 pandemic in contrast to a decrease in presentations for other medical specialties, with this increase being driven by out-of-hours presentations. The fourfold increase in presentations of young people below the age of 18 years to the ED with mental health difficulties is an important finding and suggests a disproportionate burden of psychological strain placed on this group during the pandemic.

Keywords

CoronavirusCOVID-19emergency departmentmental healthpsychiatry
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 40 , Issue 3 , September 2023 , pp. 411 - 417
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The College of Psychiatrists of Ireland

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Footnotes

†

Contributed equally to this paper.

References

Alcohol Action Ireland (2021). Alcohol consumption data for 2020 very disappointing. https://alcoholireland.ie/alcohol-consumption-data-2020-disappointing/ 13 March 2021.Google Scholar
Ambrosetti, J, Macheret, L, Folliet, A, Wullschleger, A, Amerio, A, Aguglia, A, Serafini, G, Prada, P, Kaiser, S, Bondolfi, G, Sarasin, F, Costanza, A (2021). Impact of the COVID-19 pandemic on psychiatric admissions to a large Swiss emergency department: an observational study. International Journal of Environmental Research and Public Health 18, 1174.CrossRefGoogle ScholarPubMed
Barrett, E, Richardson, S (2021). Eating disorders during the COVID-19 pandemic. Irish Medical Journal 114, 233.Google ScholarPubMed
Beghi, M, Brandolini, R, Casolaro, I, Beghi, E, Cornaggia, CM, Fraticelli, C, De Paoli, G, Ravani, C, Castelpietra, G, Ferrari, S (2021). Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna. Italy International Journal of Psychiatry in Clinical Practice 25, 135–139.CrossRefGoogle ScholarPubMed
Bojdani, E, Rajagopalan, A, Chen, A, Gearin, P, Olcott, W, Shankar, V, Cloutier, A, Solomon, H, Naqvi, NZ, Batty, N, Festin, FED, Tahera, D, Chang, G, DeLisi, LE (2020). COVID-19 pandemic: impact on psychiatric care in the United States. Psychiatry Research 289, 113069.CrossRefGoogle ScholarPubMed
Burn, W, Mudholkar, S (2020). Impact of COVID-19 on mental health: update from the United Kingdom. Indian Journal of Psychiatry 62, S365–S372.CrossRefGoogle ScholarPubMed
Capuzzi, E, Di Brita, C, Caldiroli, A, Colmegna, F, Nava, R, Buoli, M, Clerici, M (2020). Psychiatric emergency care during Coronavirus 2019 (COVID 19) pandemic lockdown: results from a Department of Mental Health and Addiction of northern Italy. Psychiatry Research 293, 113463–113463.CrossRefGoogle ScholarPubMed
Carpiniello, B, Tusconi, M, Zanalda, E, Di Sciascio, G, Di Giannantonio, M (2020). Psychiatry during the COVID-19 pandemic: a survey on mental health departments in Italy. BMC Psychiatry 20, 593.CrossRefGoogle ScholarPubMed
Chen, S, Jones, PB, Underwood, BR, Moore, A, Bullmore, ET, Banerjee, S, Osimo, EF, Deakin, JB, Hatfield, CF, Thompson, FJ, Artingstall, JD, Slann, MP, Lewis, JR, Cardinal, RN (2020). The early impact of COVID-19 on mental health and community physical health services and their patientsʼ mortality in Cambridgeshire and Peterborough, UK. Journal of Psychiatric Research 131, 244–254.CrossRefGoogle ScholarPubMed
Cheung, YT, Chau, PH, Yip, PS (2008). A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong. International Journal of Geriatric Psychiatry 23, 1231–1238.CrossRefGoogle ScholarPubMed
De Figueiredo, CS, Sandre, PC, Portugal, LCL, Mázala-De-Oliveira, T, Da Silva Chagas, L, Raony, Í, Ferreira, ES, Giestal-De-Araujo, E, Dos Santos, AA, Bomfim, PO (2021). COVID-19 pandemic impact on children and adolescentsʼ mental health: biological, environmental, and social factors. Progress in Neuropsychopharmacology & Biological Psychiatry 106, 110171.CrossRefGoogle ScholarPubMed
Díaz de Neira, M, Blasco-Fontecilla, H, García Murillo, L, Pérez-Balaguer, A, Mallol, L, Forti, A, Del Sol, P, Palanca, I (2021). Demand analysis of a psychiatric emergency room and an adolescent acute inpatient unit in the context of the COVID-19 pandemic in Madrid. Spain Frontiers in Psychiatry 11, 557508.CrossRefGoogle Scholar
Dragovic, M, Pascu, V, Hall, T, Ingram, J, Waters, F (2020). Emergency department mental health presentations before and during the COVID-19 outbreak in Western Australia. Australasian Psychiatry 28, 627–631.CrossRefGoogle ScholarPubMed
Faust, JS, Shah, SB, Du, C, Li, SX, Lin, Z, Krumholz, HM (2021). Suicide deaths during the COVID-19 stay-at-home advisory in Massachusetts. JAMA Network Open 4, e2034273.CrossRefGoogle ScholarPubMed
Ferrando, SJ, Klepacz, L, Lynch, S, Shahar, S, Dornbush, R, Smiley, A, Miller, I, Tavakkoli, M, Regan, J, Bartell, A (2021). Psychiatric emergencies during the height of the COVID-19 pandemic in the suburban New York City area. Journal of Psychiatric Research 136, 552–559.CrossRefGoogle ScholarPubMed
Ferrucci, R, Averna, A, Marino, D, Reitano, MR, Ruggiero, F, Mameli, F, Dini, M, Poletti, B, Barbieri, S, Priori, A, Pravettoni, G (2020). Psychological impact during the first outbreak of COVID-19 in Italy. Frontiers in Psychiatry 11, 559266–559266.CrossRefGoogle ScholarPubMed
Flaudias, V, Iceta, S, Zerhouni, O, Rodgers, RF, Billieux, J, Llorca, PM, Boudesseul, J, De Chazeron, I, Romo, L, Maurage, P, Samalin, L, Bègue, L, Naassila, M, Brousse, G, Guillaume, S (2020). COVID-19 pandemic lockdown and problematic eating behaviors in a student population. Journal of Behavioral Addictions 9, 826–835.CrossRefGoogle Scholar
Flaudias, V, Zerhouni, O, Pereira, B, Cherpitel, CJ, Boudesseul, J, De Chazeron, I, Romo, L, Guillaume, S, Samalin, L, Cabe, J, Bègu, L, Gerbaud, L, Rolland, B, Llorca, PM, Naassila, M, Brousse, G (2021). The early impact of the COVID-19 lockdown on stress and addictive behaviors in an alcohol-consuming student population in France. Frontiers in Psychiatry 12, 628631.CrossRefGoogle Scholar
Fu, W, Wang, C, Zou, L, Guo, Y, Lu, Z, Yan, S, Mao, J (2020). Psychological health, sleep quality, and coping styles to stress facing the COVID-19 in Wuhan. China Translational Psychiatry 10, 225.CrossRefGoogle ScholarPubMed
Goldenberg, MN, Parwani, V (2021). Psychiatric emergency department volume during COVID-19 pandemic. The American Journal of Emergency Medicine 41, 233–234.CrossRefGoogle ScholarPubMed
Gómez-Ramiro M.Fico, G, Anmella, G, Vázquez, M, Sagué-Vilavella, M, Hidalgo-Mazzei, D, Pacchiarotti, I, Garriga, M, Murru, A, Parellada, E, Vieta, E (2021). Changing trends in psychiatric emergency service admissions during the COVID-19 outbreak: report from a worldwide epicentre. Journal of Affective Disorders 282, 26–32.CrossRefGoogle Scholar
Gonçalves-Pinho, M, Mota, P, Ribeiro, J, Macedo, S, Freitas, A (2021). The impact of COVID-19 pandemic on psychiatric emergency department visits - A descriptive study. The Psychiatric Quarterly 92, 621–631.CrossRefGoogle ScholarPubMed
González-Sanguino, C, Ausín, B, Castellanos, MA, Saiz, J, Muñoz, M (2021). Mental health consequences of the COVID-19 outbreak in Spain. A longitudinal study of the alarm situation and return to the new normality. Progress in Neuropsychopharmacology & Biological Psychiatry 107, 110219.CrossRefGoogle Scholar
Government of Ireland (2020). Resilience and recovery 2020-2021: plan for living with COVID-19. https://www.gov.ie/en/publication/e5175-resilience-and-recovery-2020-2021-plan-for-living-with-COVID-19/ 13 March 2021.Google Scholar
Government of Ireland (2021). Ireland’s COVID-19 Data Hub. https://COVID-19.geohive.ie/ 13 March 2021.Google Scholar
Hawton, K, Casey, D, Bale, E, Brand, F, Ness, J, Waters, K, Kelly, S, Geulayov, G (2021). Self-harm during the early period of the COVID-19 pandemic in England: comparative trend analysis of hospital presentations. Journal of Affective Disorders 282, 991–995.CrossRefGoogle ScholarPubMed
Henry, N, Parthiban, S, Farroha, A (2021). The effect of COVID-19 lockdown on the incidence of deliberate self-harm injuries presenting to the emergency room. International Journal of Psychiatry in Medicine 56, 266–277.CrossRefGoogle ScholarPubMed
Heppner, Z, Shreffler, J, Polites, A, Ross, A, Thomas, JJ, Huecker, M (2021). COVID-19 and emergency department volume: the patients return but have different characteristics. American Journal Emergency Medicine 45, 385–388.CrossRefGoogle Scholar
Hernández-Calle, D, Martínez-Alés, G, Mediavilla, R, Aguirre, P, Rodríguez-Vega, B, Bravo-Ortiz, MF (2020). Trends in psychiatric emergency department visits due to suicidal ideation and suicide attempts during the COVID-19 pandemic in Madrid, Spain. Journal of Clinical Psychiatry 81, 20l13419.Google ScholarPubMed
Hill, RM, Rufino, K, Kurian, S, Saxena, J, Saxena, K, Williams, L (2021). Suicide ideation and attempts in a pediatric emergency department before and during COVID-19. Pediatrics 147, 598.CrossRefGoogle Scholar
Holland, KM, Jone, C, Vivolo-Kantor, AM, Idaikkadar, N, Zwald, M, Hoots, B, et al. (2021). Trends in US Emergency Department visits for mental health, overdose, and violence outcomes before and during the COVID-19 pandemic. JAMA Psychiatry 78, 372–379.CrossRefGoogle ScholarPubMed
Hoyer, C, Ebert, A, Szabo, K, Platten, M, Meyer-Lindenberg, A, Kranaster, L (2020). Decreased utilization of mental health emergency service during the COVID-19 pandemic. European Archives of Psychiatry and Clinical Neuroscience 271, 377–379.CrossRefGoogle ScholarPubMed
Jhanwar, S, Krishnan, V, Rohilla, J (2020). Consultation-Liaison psychiatry during COVID-19 lockdown: a retrospective chart review. Cureus 12, e11048.Google ScholarPubMed
Kahil, K, Cheaito, MA, El Hayek, R, Nofal, M, El Halabi, S, Kudva, KG, Pereira-Sanchez, V, El Hayek, S (2021). Suicide during COVID-19 and other major international respiratory outbreaks: a systematic review. Asian Journal of Psychiatry 56, 102509.CrossRefGoogle ScholarPubMed
Karakasi, MV, Zaoutsou, A, Theofilidis, A, Ierodiakonou-Benou, I, Nasika, Z, Nimatoudis, I (2020). Impact of the SARS-CoV-2 pandemic on psychiatric emergencies in northern Greece: preliminary study on a sample of the Greek population. Psychiatry Clinical Neuroscience 74, 613–615.CrossRefGoogle Scholar
Leaune, E, Samuel, M, Oh, H, Poulet, E, Brunelin, J (2020). Suicidal behaviors and ideation during emerging viral disease outbreaks before the COVID-19 pandemic: a systematic rapid review. Preventive Medicine 141, 106264.CrossRefGoogle ScholarPubMed
Lee, J (2020). Mental health effects of school closures during COVID-19. Lancet Child & Adolescent Health 4, 421.CrossRefGoogle ScholarPubMed
Leff, RA, Setzer, E, Cicero, MX, Auerbach, M (2021). Changes in pediatric emergency department visits for mental health during the COVID-19 pandemic: a cross-sectional study. Clinical Child Psychology & Psychiatry 26, 33–38.CrossRefGoogle ScholarPubMed
Lei, L, Huang, X, Zhang, S, Yang, J, Yang, L, Xu, M (2020). Comparison of prevalence and associated factors of anxiety and depression among people affected by versus people unaffected by quarantine during the COVID-19 epidemic in Southwestern China. Medical Science Monitor 26, e924609.CrossRefGoogle ScholarPubMed
Leske, S, Kõlves, K, Crompton, D, Arensman, E, De Leo, D (2021). Real-time suicide mortality data from police reports in Queensland, Australia, during the COVID-19 pandemic: an interrupted time-series analysis. The Lancet Psychiatry 8, 58–63.CrossRefGoogle ScholarPubMed
Li, J, Yang, Z, Qiu, H, Wang, Y, Jian, L, Ji, J, Li, K (2020). Anxiety and depression among general population in China at the peak of the COVID-19 epidemic. World Psychiatry 19, 249–250.CrossRefGoogle Scholar
Loades, ME, Chatburn, E, Higson-Sweeney, N, Reynolds, S, Shafran, R, Brigden, A, Linney, C, Mcmanus, MN, Borwick, C, Crawley, E (2020). Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. Journal of American Academic Child & Adolescent Psychiatry 59, 1218–1239.e3.CrossRefGoogle ScholarPubMed
Luo, M, Guo, L, Yu, M, Jiang, W, Wang, H (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Research 291, 113190.CrossRefGoogle ScholarPubMed
Maciaszek, J, Ciulkowicz, M, Misiak, B, Szczesniak, D, Luc, D, Wieczorek, T, Fila-Witecka, K, Gawlowski, P, Rymaszewska, J (2020). Mental health of medical and non-medical professionals during the peak of the COVID-19 pandemic: a cross-sectional Nationwide Study. Journal of Clinical Medicine 9, 2527.CrossRefGoogle ScholarPubMed
McAndrew, J, OʼLeary, J, Cotter, D, Cannon, M, Machale, S, Murphy, KC, Barry, H (2021). Impact of initial COVID-19 restrictions on psychiatry presentations to the emergency department of a large academic teaching hospital. Irish Journal of Psychological Medicine 38, 108–115.CrossRefGoogle Scholar
McIntyre, A, Tong, K, McMahon, E, Doherty, AM (2020). COVID-19 and its effect on emergency presentations to a tertiary hospital with self-harm in Ireland. Irish Journal of Psychological Medicine 38, 116–122.CrossRefGoogle ScholarPubMed
McNicholas, F, Kelleher, I, Hedderman, E, Lynch, F, Healy, E, Thornton, T, Barry, E, Kelly, L, McDonald, J, Holmes, K, Kavanagh, G, Migone, M (2021). Referral patterns for specialist child and adolescent mental health services in the Republic of Ireland during the COVID-19 pandemic compared with 2019 and 2018. BJPsych Open 7, 1–7.CrossRefGoogle ScholarPubMed
Mental Health Commission (2020). Inspector of Mental Health Services - Annual Inspection Report 2020. https://www.mhcirl.ie/File/Ashlin-Centre-IR-2020.pdf 13 March 2021.Google Scholar
Mitchell, L, Fuehrlein, B (2021). Patient volume and dispositions in a VA psychiatric emergency room during COVID-19. Community Mental Health Journal 57, 1237–1239.CrossRefGoogle Scholar
Monteleone, AM, Marciello, F, Cascino, G, Abbate-Daga, G, Anselmetti, S, Baiano, M, et al. (2021). The impact of COVID-19 lockdown and of the following "re-opening" period on specific and general psychopathology in people with eating disorders: the emergent role of internalizing symptoms. Journal of Affective Disorders 285, 77–83.CrossRefGoogle ScholarPubMed
Nearchou, F, Flinn, C, Niland, R, Subramaniam, SS, Hennessy, E (2020). Exploring the impact of COVID-19 on mental health outcomes in children and adolescents: a systematic review. International Journal of Environmental Research and Public Health 17, 8479.CrossRefGoogle ScholarPubMed
Nemani, K, Li, C, Olfson, M, Blessing, EM, Razavian, N, Chen, J, Petkova, E, Goff, DC (2021). Association of psychiatric disorders with mortality among patients with COVID-19. JAMA Psychiatry 78, 380–386.CrossRefGoogle ScholarPubMed
Novotný, JS, Gonzalez-Rivas, JP, Kunzová, Š., Skladaná, M, Pospíšilová, A, Polcrová, A, Medina-Inojosa, JR, Lopez-Jimenez, F, Geda, YE, Stokin, GB (2020). Risk factors underlying COVID-19 lockdown-induced mental distress. Frontiers in Psychiatry 11, 603014.CrossRefGoogle ScholarPubMed
OʼConnor, K, Wrigley, M, Jennings, R, Hill, M, Niazi, A (2020). Mental health impacts of COVID-19 in Ireland and the need for a secondary care mental health service response. Irish Journal of Psychological Medicine 38, 99–107.CrossRefGoogle ScholarPubMed
Ougrin, D (2020). Debate: emergency mental health presentations of young people during the COVID-19 lockdown. Child and Adolescent Mental Health 25, 171–172.CrossRefGoogle Scholar
Özdin, S, Bayrak Özdin, Ş (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: the importance of gender. International Journal of Social Psychiatry 66, 504–511.CrossRefGoogle Scholar
Pham-Scottez, A, Silva, J, Barruel, D, Masson, VD, Yon, L, Trebalag, AK, Gourevitch, R (2020). Patient flow in the largest French psychiatric emergency centre in the context of the COVID-19 pandemic. Psychiatry Research 291, 113205.CrossRefGoogle ScholarPubMed
Pignon, B, Gourevitch, R, Tebeka, S, Dubertret, C, Cardot, H, Dauriac-Le Masson, V, Trebalag, AK, Barruel, D, Yon, L, Hemery, F, Loric, M, Rabu, C, Pelissolo, A, Leboyer, M, Schürhoff, F, Pham-Scottez, A (2020). Dramatic reduction of psychiatric emergency consultations during lockdown linked to COVID-19 in Paris and suburbs. Psychiatry and Clinical Neurosciences 74, 557–559.CrossRefGoogle Scholar
Qiu, J, Shen, B, Zhao, Wang, Xie, BZ, Xu, Y (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General Psychiatry 33, e100213.CrossRefGoogle ScholarPubMed
Rahman, M, Ahmed, R, Moitra, M, Damschroder, L, Brownson, R, Chorpita, B, Idele, P, Gohar, F, Huang, KY, Saxena, S, Lai, J, Peterson, SS, Harper, G, McKay, M, Amugune, B, Esho, T, Ronen, K, Othieno, C, Kumar, M (2021). Mental distress and human rights violations during COVID-19: a rapid review of the evidence informing rights, mental health needs, and public policy around vulnerable populations. Frontiers in Psychiatry 11, 603875.CrossRefGoogle ScholarPubMed
Ran, L, Wang, W, Ai, M, Kong, Y, Chen, J, Kuang, L (2020). Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: a study of the general population in China at the peak of its epidemic. Social Science & Medicine 262, 113261.CrossRefGoogle Scholar
Revenue Commis (2021). Revenue quarterly excise receipts and volumes. https://www.revenue.ie/en/corporate/documents/statistics/excise/quarterly-alcohol-breakdown.pdf 13 March 2021.Google Scholar
Rossi, R, Socci, V, Talevi, D, Mensi, S, Niolu, C, Pacitti, F, Di Marco, A, Rossi, A, Siracusano, A, Di Lorenzo, G (2020). COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in Psychiatry 11, 790.CrossRefGoogle ScholarPubMed
Seifert, J, Meissner, C, Birkenstock, A, Bleich, S, Toto, S, Ihlefeld, C, Zindler, T (2021). Peripandemic psychiatric emergencies: impact of the COVID-19 pandemic on patients according to diagnostic subgroup. European Archives of Psychiatry and Clinical Neuroscience 271, 259–270.CrossRefGoogle ScholarPubMed
Sharma, R, Sharma, SC, Sharma, P, Pradhan, SN, Chalise, P, Regmee, J, Sharma, S (2020). Effect of lockdown on mental health during the COVID-19 pandemic among individuals attending services at a tertiary care center. Indian Journal of Psychiatry 62, S431–S437.CrossRefGoogle ScholarPubMed
Sheridan, DC, Cloutier, R, Johnson, K, Marshall, R (2021). Where have all the emergency paediatric mental health patients gone during COVID-19? Acta Paediatrica 110, 598–599.CrossRefGoogle ScholarPubMed
Shi, L, Lu, ZA, Que, JY, Huang, XL, Liu, L, Ran, MS, Gong, YM, Yuan, K, Yan, W, Sun, YK, Shi, J, Bao, YP, Lu, L (2020). Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic. JAMA Network Open 3, e2014053.CrossRefGoogle Scholar
Singh, S, Roy, D, Sinha, K, Parveen, S, Sharma, G, Joshi, G (2020). Impact of COVID-19 and lockdown on mental health of children and adolescents: a narrative review with recommendations. Psychiatry Research 293, 113429.CrossRefGoogle ScholarPubMed
Smalley, CM, Malone, DA Jr, Meldon, SW, Borden, BL, Simon, EL, Muir, MR, Fertel, BS (2021). The impact of COVID-19 on suicidal ideation and alcohol presentations to emergency departments in a large healthcare system. American Journal of Emergency Medicine 41, 237–238.CrossRefGoogle Scholar
Solé, B, Verdolini, N, Amoretti, S, Montejo, L, Rosa, AR, Hogg, B, Garcia-Rizo, C, Mezquida, G, Bernardo, M, Martinez-Aran, A, Vieta, E, Torrent, C (2021). Effects of the COVID-19 pandemic and lockdown in Spain: comparison between community controls and patients with a psychiatric disorder. Preliminary results from the BRIS-MHC STUDY. Journal of Affective Disorders 281, 13–23.CrossRefGoogle ScholarPubMed
Stein, HC, Giordano, B, Del Giudice, R, Basi, C, Gambini, O, DʼAgostino, A (2020). Pre/post comparison study of emergency mental health visits during the COVID-19 lockdown in Lombardy, Itlay. Psychiatry Clinical Neuroscience 74, 605–607.CrossRefGoogle Scholar
Szmulewicz, AG, Benson, NM, Hsu, J, Hernán, MA, Öngür, D (2021). Effects of COVID-19 pandemic on mental health outcomes in a cohort of early psychosis patients. Early Intervention in Psychiatry 15, 1799–1802.CrossRefGoogle Scholar
Talevi, D, Socci, V, Carai, M, Carnaghi, G, Faleri, S, Trebbi, E, Di Bernardo, A, Capelli, F, Pacitti, F (2020). Mental health outcomes of the COVID-19 pandemic. Rivista di Psichiatria 55, 137–144.Google ScholarPubMed
Tian, F, Li, H, Tian, S, Yang, J, Shao, J, Tian, C (2020). Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the level I emergency response to COVID-19. Psychiatry Research 288, 112992.CrossRefGoogle Scholar
Tsang, HWH, Scudds, RJ, Chan, EYL (2004). Psychosocial impact of SARS. Emerging Infectious Diseases 10, 1326–1327.Google ScholarPubMed
Venugopal, VC, Mohan, A, Chennabasappa, LK (2020). Status of mental health and its associated factors among the general populace of India during COVID-19 pandemic. Asia-Pacific Psychiatry 6, e12412.Google Scholar
Wasserman, IM (1992). The impact of epidemic, war, prohibition and media on suicide: United States, 1910-1920. Suicide & Life Threatening Behavior 22, 240–254.Google ScholarPubMed
Young Minds (2020). Impact of COVID-19 on children’s and young people’s mental health: results of survey with parents and carers. https://www.youngminds.org.uk/media/0htnffp2/youngminds-survey-with-parents-and-carers.pdf 13 December 2021.Google Scholar