Evolution of psychiatry- and addiction-related visits in an emergency department before and during the first COVID-19 lockdown: a retrospective study.

IF 1.9 Q4 PSYCHIATRY

NEUROPSYCHIATRIE Pub Date : 2026-09-16 DOI:10.1007/s40211-026-00593-3

François A M Jean, David S Koivogui, Chloé Saint Dizier, Zeineb Azouz, Antoine Lamer, Clément Wagon, Christina Peres, Clara Dupire, Sébastien Dambry

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引用次数: 0

Abstract

Purpose: The first weeks of the COVID-19 pandemic were a period of stress, uncertainty, and major disruptions due to the lockdown. We aimed to study the variation in psychiatry-related and addiction-related visits to the emergency department during the first COVID-19 lockdown compared with pre-lockdown periods.

Methods: We examined psychiatry-related and addiction-related visits to the emergency department of Calais Hospital before and during the lockdown in France. We analyzed the differences between the periods by (1) comparing means and medians, (2) performing modeling using a generalized linear mixed model (GLMM) and an autoregressive integrated moving average model with exogenous variables (ARIMAX), and (3) identifying breakpoints in the time series.

Results: For psychiatry-related visits, the mean was higher before the lockdown (4.05) compared to during the lockdown (2.36, p < 0.001). A negative slope of -0.55 (p < 0.001) was found with the GLMM, confirming the decrease. The ARIMAX yielded similar results (slope: -1.74, p < 0.001). There was a breakpoint in the time series 11 days before the lockdown. For addiction-related visits, the mean was lower before the lockdown (0.8) compared to during the lockdown (1.46, p = 0.044). The GLMM found a positive slope of 0.62 (p = 0.005), confirming the increase and the ARIMAX showed similar results (slope: 0.74, p < 0.001).

Conclusion: During the first weeks of the COVID-19 pandemic, psychiatry-related visits to the emergency department decreased, while addiction-related visits increased. The decrease in psychiatric visits began before the first COVID-19 lockdown.

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在第一次COVID-19封锁之前和期间，急诊科精神病学和成瘾相关就诊的演变：一项回顾性研究

目的：2019冠状病毒病大流行的头几周是一个充满压力、不确定性和封锁造成重大干扰的时期。我们的目的是研究在第一次COVID-19封锁期间与封锁前相比，与精神科相关和成瘾相关的急诊就诊情况的变化。方法：我们调查了在法国封锁之前和期间到加莱医院急诊科就诊的精神科相关和成瘾相关的病例。我们通过(1)比较均值和中值，(2)使用广义线性混合模型（GLMM）和带外生变量的自回归综合移动平均模型（ARIMAX）进行建模，以及(3)识别时间序列中的断点来分析不同时期之间的差异。结果：对于与精神科相关的就诊，封锁前的平均值（4.05）高于封锁期间的平均值（2.36,p ）。结论：在COVID-19大流行的头几周，与精神科相关的急诊就诊减少，而与成瘾相关的就诊增加。在第一次COVID-19封锁之前，精神科就诊人数就开始减少。

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

NEUROPSYCHIATRIE PSYCHIATRY-

CiteScore

3.80

自引率

20.00%

发文量

期刊介绍： Die Zeitschrift ist das offizielle Organ der „Österreichischen Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik (ÖGPP)'', und wissenschaftliches Organ der Österreichischen Alzheimer Gesellschaft, der Österreichischen Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, der Österreichischen Schizophreniegesellschaft, und der pro mente austria - Österreichischer Dachverband der Vereine und Gesellschaften für psychische und soziale Gesundheit.Sie veröffentlicht Übersichten zu relevanten Themen des Fachs, Originalarbeiten, Kasuistiken sowie Briefe an die Herausgeber. Zudem wird auch Buchbesprechungen sowie Neuigkeiten aus den Bereichen Personalia, Standes- und Berufspolitik sowie Kongressankündigungen Raum gewidmet.Thematisch ist das Fach Psychiatrie und die Methoden der Psychotherapie in allen ihren Facetten vertreten. Die Zeitschrift richtet sich somit an alle Berufsgruppen, die sich mit Ursachen, Erscheinungsformen und Behandlungsmöglichkeiten von psychischen Störungen beschäftigen. -----------------------------------------------------------------------------------------------------· The professional and educational journal of the Austrian Society of Psychiatry, Psychotherapy and Psychosomatics (Österreichische Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik; ÖGPP) and the Austrian Society of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (Österreichische Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie; ÖGKJP)· Overviews of all relevant topics pertaining to the discipline· Intended for all occupational groups committed to the causes and manifestations of, as well as therapy options for psychic disorders· All manuscripts principally pass through a double-blind peer review process involving at least two independent expertsThe official journal of the Austrian Societies of Psychiatry, Psychotherapy and Psychosomatics (ÖGPP) and Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (ÖGKJP)The journal publishes overviews of relevant issues in the field, original work, case reports and letters to the editors. In addition, space is devoted to book reviews, news from the areas of personnel matters and professional policies, and conference announcements.Thematically, the discipline of psychiatry and the methods of psychotherapy are represented in all their facets. The journal is thus aimed at all professional groups committed to the causes and manifestations of, as well as therapy options for psychic disorders