Demand Analysis of a Psychiatric Emergency Room and an Adolescent Acute Inpatient Unit in the Context of the Covid-19 Pandemic in Madrid, Spain
Bibliographic Data
| ID | 15516500 |
|---|---|
| Authors | Mónica Hernando (0000-0003-2139-6908, Hospital Universitario Puerta de Hierro Majadahonda), Mónica Díaz de Neira, Hilario Blasco-Fontecilla (Hospital Universitario Puerta de Hierro Majadahonda), Lourdes García Murillo (0000-0001-5004-3795, Hospital Universitario Puerta de Hierro Majadahonda), Ana Pérez-Balaguer (0000-0002-2894-4156, Hospital Universitario Puerta de Hierro Majadahonda), Leticia Mallol (Hospital Universitario Puerta de Hierro Majadahonda), Azul Forti (Hospital Universitario Puerta de Hierro Majadahonda), Pablo Del Sol, Inmaculada Palanca (Hospital Universitario Puerta de Hierro Majadahonda, corresponding author) |
| Year | 2021 |
| Volume | 11 |
| Pages | 557508-557508 |
| Publication date | 2021-01-27 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2020.557508 |
| PMID | 33584357 |
| OpenAlex | W3123319951 |
| Language | EN |
| Citations received | 4 |
| References cited | 36 |
Introduction: COVID-19 represents a serious threat to mental health worldwide. The aim of this study is to identify changes in adolescent psychiatry treatment demand in a tertiary hospital in Madrid during the first month (March 11 to April 11) after the pandemic declaration by the World Health Organization (WHO). We hypothesized that fear of contagion within COVID-19 may deter people from asking for psychiatric care. Method: The current study is retrospective, observational, and transversal. We reviewed the clinical records of 89 adolescents who went to the Emergency Room (ER) or were hospitalized at the Acute Inpatient Unit (AIU) at the Puerta de Hierro University Hospital-Majadahonda (PHUH-M) between March 11 and April 11. Socio-demographic, clinical, and demand variables were included in the study. Chi-square or Fisher exact tests were performed to compare categorical variables. We used the U Mann-Whitney test to compare quantitative variables. The level of statistical significance was set at p Results: The number of adolescents demanding psychiatric care at the ER dropped from 64 adolescents in 2019 to 25 in 2020. Similarly, psychiatric demand collapsed from 31 to 18 patients when comparing 2019 and 2020. Furthermore, the average hospital stay in 2020 trended toward a decrease when compared to 2019 (8.94 ± 4.87 vs. 14.32 ±10.23, p = 0.08). Self-injurious thoughts and behaviors were the most predominant reasons for consultation at both ER and AIU. Conclusion: The demand for adolescent psychiatric care decreased in the first month after the declaration of the pandemic. Our findings may be explained by (1) the fear of contagion, (2) the strict confinement measures, and (3) the initial shock as an adaptive reaction described in other disasters. Further studies are needed
Context (archaeology · Coronavirus disease 2019 (COVID-19 · Declaration · Disease · Mental health · Observational study · Pandemic · Psychiatry · COVID-19 and Mental Health · Digital Mental Health Interventions · Medicine · Mental Health Treatment and Access
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| Unique citing works | 4 |
|---|---|
| Citations per year | 1 |
| Citation span | 2022 - 2025 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |