Repositorio UFRO · Omeka S

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

Primer Autor	Wong, Ben Hoi-Ching
Co-autores	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
Título	Self-Harm in Children and Adolescents Who Presented at Emergency Units During the COVID-19 Pandemic: An International Retrospective Cohort Study
Editorial	ELSEVIER SCIENCE INC
Revista	JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
Lenguaje	en
Resumen	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.
Fecha Publicación	2023
Tipo de Recurso	artículo original
doi	10.1016/j.jaac.2022.11.016
Formato Recurso	PDF
Palabras Claves	self-injurious behavior emergency psychiatric services COVID-19 pandemic youth mental health epidemiology
Ubicación del archivo	http://dx.doi.org/10.1016/j.jaac.2022.11.016
Categoría OCDE	Psicología Pediatría Psiquiatría
Materias	conducta autolesiva servicios psiquiátricos de emergencia Pandemia de COVID-19 salud mental juvenil epidemiología
Página de inicio (Recomendado-único)	998.0
Página final (Recomendado-único)	1009
Identificador del recurso (Mandatado-único)	artículo original
Versión del recurso (Recomendado-único)	versión publicada
License	CC BY 4.0
Condición de la licencia (Recomendado-repetible)	CC BY 4.0
Derechos de acceso	acceso abierto
Access Rights	acceso abierto
Id de Web of Science	WOS:001084726700001
ISSN	0890-8567
Tipo de ruta	verde# hibrido
Categoría WOS	Psicología Pediatría Psiquiatría