Repositorio
Institucional

Wong, Ben Hoi-Ching

Cross, Samantha

Zavaleta-Ramirez, Patricia

Bauda, Ines

Hoffman, Pamela

Ibeziako, Patricia

Nussbaum, Laura

Berger, Gregor E.

Hassanian-Moghaddam, Hossein

Kapornai, Krisztina

Mehdi, Tauseef

Tolmac, Jovanka

Barrett, Elizabeth

Romaniuk, Liana

Davico, Chiara

Moghraby, Omer S.

Ostrauskaite, Giedra

Chakrabarti, Sulagna

Carucci, Sara

Sofi, Gyula

Hussain, Haseena

Lloyd, Alexandra S. K.

Mcnicholas, Fiona

Meadowcroft, Ben

Rao, Manish

Csabi, Gyorgyi

Gatica-Bahamonde, Gabriel

Ogutlu, Hakan

Skouta, Eirini

Elvins, Rachel

Boege, Isabel

Dahanayake, Dulangi M. A.

Anderluh, Marija

Chandradasa, Miyuru

Girela-Serrano, Braulio M.

Uccella, Sara

Stevanovic, Dejan

Lamberti, Marco

Piercey, Amy

Nagy, Peter

Mehta, Varun S.

Rohanachandra, Yasodha

Li, Jie

Tufan, Ali Evren

Mirza, Hassan

Rozali, Farah

Baig, Benjamin J.

Noor, Isa M.

Fujita, Saori

Gholami, Narges

Hangul, Zehra

Vasileva, Anna

Salucci, Katie

Bilac, Oznur

Yektas, Cigdem

Cansiz, Mehmet Akif

Aksu, Gulen Guler

Babatunde, Suleiman

Youssef, Fatima

Al-Huseini, Salim

Kilicaslan, Fethiye

Kutuk, Meryem Ozlem

Pilecka, Izabela

Bakolis, Ioannis

Ougrin, Dennis

Self-Harm in Children and Adolescents Who Presented at Emergency Units During the COVID-19 Pandemic: An International Retrospective Cohort Study

ELSEVIER SCIENCE INC

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY

en

Objective: To compare psychiatric emergencies and self-harm at emergency departments (EDs) 1 year into the pandemic, to early pandemic and pre pandemic, and to examine the changes in the characteristics of self-harm presentations.Method: This retrospective cohort study expanded on the Pandemic-Related Emergency Psychiatric Presentations (PREP-kids) study. Routine record data in March to April of 2019, 2020, and 2021 from 62 EDs in 25 countries were included. ED presentations made by children and adolescents for any mental health reasons were analyzed.Results: Altogether, 8,174 psychiatric presentations were recorded (63.5% female, mean [SD] age, 14.3 [2.6] years), 3,742 of which were self-harm presentations. Rate of psychiatric ED presentations in March to April 2021 was twice as high as in March to April 2020 (incidence rate ratio [IRR], 1.93, 95% CI, 1.60-2.33), and 50% higher than in March to April 2019 (IRR, 1.51, 95% CI, 1.25-1.81). Rate of self-harm presentations doubled between March to April 2020 and March to April 2021 (IRR, 1.98, 95% CI, 1.68-2.34), and was overall 1.7 times higher than in March to April 2019 (IRR, 1.70, 95% CI, 1.44-2.00). Comparing self-harm characteristics in March to April 2021 with March to April 2019, self-harm contributed to a higher proportion of all psychiatric presentations (odds ratio [OR], 1.30, 95% CI, 1.05-1.62), whereas female representation in self-harm presentations doubled (OR, 1.98, 95% CI, 1.45-2.72) and follow-up appointments were offered 4 times as often (OR, 4.46, 95% CI, 2.32-8.58).Conclusion: Increased pediatric ED visits for both self-harm and psychiatric reasons were observed, suggesting potential deterioration in child mental health. Self-harm in girls possibly increased and needs to be prioritized. Clinical services should continue using follow-up appointments to support discharge from EDs.Diversity & Inclusion Statement: One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.

2023

artículo original

10.1016/j.jaac.2022.11.016

PDF

self-injurious behavior

emergency psychiatric services

COVID-19 pandemic

youth mental health

epidemiology

Psicología

Pediatría

Psiquiatría

conducta autolesiva

servicios psiquiátricos de emergencia

Pandemia de COVID-19

salud mental juvenil

epidemiología

998.0

1009

artículo original

versión publicada

CC BY 4.0

CC BY 4.0

acceso abierto

acceso abierto

WOS:001084726700001

0890-8567

verde# hibrido

Psicología

Pediatría

Psiquiatría