Psychiatric Emergencies in Los Angeles County During, and After, Initial Covid-19 Societal Restrictions
An Interrupted Time-Series Analysis
Bibliographic Data
| ID | 8909496 |
|---|---|
| Authors | T A Bruckner (0000-0002-6927-964X, University of California, Irvine, corresponding author), Shutong Huo (0000-0002-7893-8037, University of California, Irvine), Michael Le Huynh (University of California, Irvine), Michael Huynh, Senxi Du (0000-0002-7779-0413, University of California, Los Angeles), Andrew Young (0000-0002-2745-880X, University of California, Los Angeles), Annie Ro (0000-0001-7920-3545, University of California, Irvine) |
| Year | 2022 |
| Volume | 59 |
| Issue | 4 |
| Pages | 622-630 |
| Publication date | 2022-12-12 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Community Mental Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 0010-3853 • E-ISSN: 1573-2789 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10597-022-01043-4 |
| PMID | 36509936 |
| OpenAlex | W4311181593 |
| Language | EN |
| Citations received | 3 |
| References cited | 28 |
Emergency department (ED) visits for psychiatric care in the US reportedly declined during the COVID-19 pandemic. This work, however, does not control for strong temporal patterning in visits before the pandemic and does not examine a potential "rebound" in demand for psychiatric care following the relaxation of initial societal restrictions. Here, we examine COVID-19-related perturbations in psychiatric care during and after the 1st stage of societal restrictions in the largest safety-net hospital in Los Angeles. We retrieved psychiatric ED visit data (98,888 total over 156 weeks, Jan 2018 to Dec 2020) from Los Angeles County + USC Medical Center. We applied interrupted time series methods to identify and control for autocorrelation in psychiatric ED visits before examining their relation with the 1st stage of societal restrictions (i.e., March 13 to May 8, 2020), as well as the subsequent "rebound" period of relaxed restrictions (i.e., after May 8, 2020). Psychiatric ED visits fell by 78.13 per week (i.e., 12%) during the 1st stage of societal restrictions (SD = 23.99, p < 0.01). Reductions in ED visits for alcohol use, substance use, and (to a lesser extent) anxiety disorders accounted for the overall decline. After the 1st stage of societal restrictions, however, we observe no "rebound" above expected values in psychiatric ED visits overall (coef = - 16.89, SD = 20.58, p = 0.41) or by diagnostic subtype. This pattern of results does not support speculation that, at the population level, foregoing ED care during initial societal restrictions subsequently induced a psychiatric "pandemic" of urgent visits
Anxiety · Coronavirus disease 2019 (COVID-19 · Disease · Emergency department · Environmental health · Pandemic · Population · Psychiatry · Public health · Climate Change and Health Impacts · COVID-19 and healthcare impacts · COVID-19 and Mental Health · Demography · Medicine · Nursing
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| Unique citing works | 3 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2024 - 2025 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |