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Increase in Referrals of Children and Adolescents to the Psychiatric Emergency Room Is Evident Only in the Second Year of the Covid-19 Pandemic—Evaluating 9156 Visits from 2010 through 2021 in a Single Psychiatric Emergency Room

Bibliographic Data

ID15514128
AuthorsChen Dror (0000-0001-9020-0150, Tel Aviv University, corresponding author), Nimrod Hertz‐Palmor (0000-0001-6837-9553, Tel Aviv University, corresponding author), Yael Yadan-Barzilai (Shalvata Mental Health Center), Talia Saker (Tel Aviv University), Maya Kritchmann-Lupo (Tel Aviv University), Yuval Bloch (0000-0002-1235-1540, Tel Aviv University)
Year2022
Volume19
Issue15
Pages8924-8924
Publication date2022-07-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19158924
PMID35897293
OpenAlexW4286587294
LanguageEN
Citations received4
References cited29

Introduction: The COVID-19 pandemic affected the wellbeing of children and adolescents. The psychiatric emergency room (ER) is the hub of psychiatric emergencies and reflects clinically significant mental problems. Previous studies compared 2019 and 2020 and observed a decline in ER referrals. The current study focused on the continuous trend of referrals from 2010 to the end of 2021. Method: In our observational retrospective study, we procured data from 9156 child and adolescent referrals to our psychiatric ER. The comparison was made based on similar months of each year. Results: There was a significant positive trend in monthly referrals between 2010 and 2021, representing a similar increase in referrals per month in comparison to that month in the preceding year (unstandardized β = 4.21, 95% CI = 3.44 to 4.98, p < 0.0001). Between March 2020 and February 2021 (monthly visits = 72.5 + 16.6 [median = 79.5], annual referrals = 870), we observed no additive effect beyond this general trend after controlling for population growth. Conversely, between March and December 2021 (monthly referrals = 106.1 + 31.8 [median = 105.5], overall referrals = 1061) we observed a significant additive effect beyond the projected incline, as predicted by previous years (β = 21.61, 95% CI = 12.12 to 31.06, p < 0.0001). Conclusions: The first year of the COVID-19 pandemic was no different from the continuous decade long rise of referrals to the children and adolescents’ psychiatric ER. Conversely, the second year showed an additional incline beyond the general trend. The complexity in this rising need demands the awareness of clinicians and policy makers alike

Coronavirus disease 2019 (COVID-19 · Disease · Environmental health · Observational study · Pandemic · Population · Psychiatry · Retrospective cohort study · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · COVID-19 and Mental Health · Demography · Emergency and Acute Care Studies · Family and Patient Care in Intensive Care Units · Medicine · Internal Medicine · Pediatrics

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Unique citing works4
Citations per year1
Citation span2022 - 2023 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4
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