Psychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID‑19 lockdown

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dc.contributor.authorYalçın, Murat
dc.contributor.authorBaş, Alper
dc.contributor.authorBilici, Rabia
dc.contributor.authorÖzdemir, Yusuf Özay
dc.contributor.authorBeştepe, Engin Emrem
dc.contributor.authorKurnaz, Samet
dc.contributor.authorGüneş, Mustafa
dc.contributor.authorKurt, Velat
dc.contributor.authorKoyu, Elif
dc.date.accessioned2021-12-03T10:51:28Z
dc.date.available2021-12-03T10:51:28Z
dc.date.issued2021en_US
dc.departmentFakülteler, İnsan ve Toplum Bilimleri Fakültesi, Psikoloji Bölümüen_US
dc.description.abstractBackground We aimed to explore the impact of the preventive measures and partial lockdown to the psychiatric emergency department (PED) visits during COVID-19 pandemic in a mental health epicenter in Istanbul. Methods A total of 5839 patients admitted to PED during the lockdown period (LP) between March 30 and May 31, 2020, were enrolled in this retrospective cohort study. Data of these patients were compared to those of patients in the same period in 2019 between April 1 and June 2, 2019 (non-LP). We also investigated the monthly number of PED visits and hospitalizations between March 1 and December 31, 2020, and compared it to the same period in 2019. Results The volume of PED visits and hospitalizations in LP decreased by 12% and 41.6%, respectively. The rates of patients presenting anxiety and depressive disorders and bipolar disorders were found to signifcantly increase in LP than non-LP (p<0.001; p<0.001; p<0.01, respectively). Depressive disorders, prior history of mental illness, and aggressive behavior were found to predict frequent PED visits while decrease in age and male gender found to predict hospitalizations. Regarding suicide attempt, younger patients and those with new-onset mental disorders were found to be at high risk in LP. Patients diagnosed with COVID-19 in PED visits were mostly with psychotic and bipolar disorders. Conclusion Policy-makers should focus on studies on mental health services to reorganize and enhance such services, which are crucial to prevent and manage adverse mental health consequences of the pandemic and congestion in PEDs.en_US
dc.identifier.doi10.1007/s00127-021-02171-0en_US
dc.identifier.endpage2310en_US
dc.identifier.pmid34482427en_US
dc.identifier.scopus2-s2.0-85114372179en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage2299en_US
dc.identifier.urihttps://hdl.handle.net/11467/5100
dc.identifier.urihttps://doi.org/10.1007/s00127-021-02171-0
dc.identifier.volume56en_US
dc.identifier.wosWOS:000692712000002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofSocial Psychiatry and Psychiatric Epidemiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19en_US
dc.subjectPsychiatric emergency departmenten_US
dc.subjectLockdownen_US
dc.subjectSuicideen_US
dc.subjectMental health servicesen_US
dc.titlePsychiatric emergency visit trends and characteristics in a mental health epicenter in Istanbul during COVID‑19 lockdownen_US
dc.typeArticleen_US

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