A comparison of psychiatric inpatient admissions in youth before and during the COVID-19 pandemic.

IF 2.9 Q2 PSYCHIATRY
Joanne L Park, Chris A Clark, Mercedes Bagshawe, Jennifer Kuntz, Andrea Perri, Avril Deegan, Brian Marriott, Abdul Rahman, Susan Graham, Carly A McMorris
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Abstract

Background: The current understanding of the effect of COVID-19 on child and youth admissions to psychiatric inpatient units over time is limited, with conflicting findings and many studies focusing on the initial wave of the pandemic.

Objectives: This study identified changes in psychiatric inpatient admissions, and reasons for admission, including suicidality and self-harm, before and during the COVID-19 pandemic.

Method: This time series study analyzed 3,723 admissions of youth (ages 0-18.88 years) admitted to four major psychiatry inpatient units in a large Canadian city between January 1st, 2016 and December 31st, 2021. Pre-pandemic (before March 11, 2020) and during-pandemic (after March 11, 2020) trends of admissions were explored using a Bayesian structural time series model (BSTS).

Results: The model revealed that overall admissions during the pandemic period exceeded what would have been predicted in the absence of a pandemic, a relative increase of 29%. Additionally, a rise in the total number of admissions due to self-harm and suicidality (29% increase), externalizing/behavioral issues (69% increase), and internalizing/emotional issues (28% increase) provided strong evidence of increased admissions compared to what might have been expected from pre-pandemic numbers.

Conclusions: There was strong evidence of increases in psychiatric inpatient admissions during the COVID-19 pandemic compared to expected trends based on pre-pandemic data. To ensure accessible and continuous mental health supports and services for youth and their families during future pandemics, these findings highlight the need for rapid expanse of inpatient mental health services, similar to what occurred in many intensive care units across Canada.

COVID-19 大流行之前和期间青少年精神病住院情况的比较。
背景:目前,人们对 COVID-19 对儿童和青少年入住精神病院的影响了解有限,研究结果相互矛盾,而且许多研究都集中在大流行的最初阶段:本研究确定了 COVID-19 大流行之前和期间精神科住院病人入院情况的变化以及入院原因,包括自杀和自残:这项时间序列研究分析了 2016 年 1 月 1 日至 2021 年 12 月 31 日期间加拿大某大城市四个主要精神病住院部收治的 3723 名青少年(0-18.88 岁)。使用贝叶斯结构时间序列模型(BSTS)探讨了大流行前(2020 年 3 月 11 日之前)和大流行期间(2020 年 3 月 11 日之后)的入院趋势:结果:模型显示,大流行期间的总体入院人数超出了在没有大流行的情况下的预测,相对增加了 29%。此外,因自残和自杀(增加 29%)、外化/行为问题(增加 69%)和内化/情感问题(增加 28%)而入院的总人数增加,有力地证明了入院人数比大流行前的预期人数有所增加:结论:有确凿证据表明,在 COVID-19 大流行期间,精神科住院病人入院人数与根据大流行前数据预计的趋势相比有所增加。为了确保在未来的大流行期间为青少年及其家庭提供可获得的、持续的心理健康支持和服务,这些研究结果强调了迅速扩大住院心理健康服务的必要性,这与加拿大许多重症监护病房的情况类似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.90
自引率
4.30%
发文量
35
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