Philip M. Jones BSc, MBBS, MBiostat, FACEM, Amy Sweeny BSc, RN, MPH, Grace Branjerdporn PhD, BOccThy(Hons I), CHIA, CertIV Tesol, Gerben Keijzers MBBS, MSc, FACEM, PhD, Andrea P. Marshall RN, PhD, Ya-Ling Huang RN, PhD, Emma J. Hall BN, GradCertCritCareNurs, Jamie Ranse BNurs, GradCertClinEd, GradCertClinEpi, MCritCareNurs, PhD, Dinesh Palipana OAM, LLB, GradDipLP, MD, EMC, Yang D. Teng PhD, MD, Julia Crilly OAM, BN, MEmergN(Hons), PhD, the COVERED COVID study investigators
{"title":"COVID-19 对澳大利亚昆士兰州精神疾病急诊就诊率的影响：时间序列分析。","authors":"Philip M. Jones BSc, MBBS, MBiostat, FACEM, Amy Sweeny BSc, RN, MPH, Grace Branjerdporn PhD, BOccThy(Hons I), CHIA, CertIV Tesol, Gerben Keijzers MBBS, MSc, FACEM, PhD, Andrea P. Marshall RN, PhD, Ya-Ling Huang RN, PhD, Emma J. Hall BN, GradCertCritCareNurs, Jamie Ranse BNurs, GradCertClinEd, GradCertClinEpi, MCritCareNurs, PhD, Dinesh Palipana OAM, LLB, GradDipLP, MD, EMC, Yang D. Teng PhD, MD, Julia Crilly OAM, BN, MEmergN(Hons), PhD, the COVERED COVID study investigators","doi":"10.1111/appy.12553","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>The COVID-19 pandemic has been associated with detrimental effects on mental health and psychological well-being. Although multiple studies have shown decreases in mental health-related Emergency Department (ED) presentations early in the COVID-19 pandemic, the medium-term effects on mental health-related ED presentations have remained less clear. This study aimed to evaluate the effect of the pandemic on mental health ED presentations by comparing observed presentation numbers to predictions from pre-pandemic data.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This retrospective cohort study tallied weekly ED presentations associated with mental health disorders from a state-wide minimum dataset. Three time periods were identified: Pre-Pandemic (January 1, 2018–March 8, 2020), Statewide Lockdown (March 9, 2020–June 28, 2020), and Restrictions Easing (June 29, 2020–June 27, 2021). Time series analysis was used to generate weekly presentation forecasts using pre-pandemic data. Observed presentation numbers were compared to these forecasts.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Weekly presentation numbers were lower than predicted in 11 out of 16 weeks in the Statewide Lockdown period and 52 out of 52 weeks in the Restrictions Easing period. The largest decrease was seen for anxiety disorders (Statewide Lockdown: 76.8% of forecast; Restrictions Easing: 36.4% of forecast), while an increase was seen in presentations for eating disorders (Statewide Lockdown: 139.5% of forecast; Restrictions Easing: 194.4% of forecast).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Overall weekly mental health-related presentations across Queensland public EDs were lower than expected for the first 16 months of the COVID-19 pandemic. These findings underline the limitations of emergency department provision of mental health care and the importance of alternate care modalities in the pandemic context.</p>\n </section>\n </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"16 1","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/appy.12553","citationCount":"0","resultStr":"{\"title\":\"The impact of COVID-19 on emergency department presentations for mental health disorders in Queensland, Australia: A time series analysis\",\"authors\":\"Philip M. Jones BSc, MBBS, MBiostat, FACEM, Amy Sweeny BSc, RN, MPH, Grace Branjerdporn PhD, BOccThy(Hons I), CHIA, CertIV Tesol, Gerben Keijzers MBBS, MSc, FACEM, PhD, Andrea P. Marshall RN, PhD, Ya-Ling Huang RN, PhD, Emma J. Hall BN, GradCertCritCareNurs, Jamie Ranse BNurs, GradCertClinEd, GradCertClinEpi, MCritCareNurs, PhD, Dinesh Palipana OAM, LLB, GradDipLP, MD, EMC, Yang D. Teng PhD, MD, Julia Crilly OAM, BN, MEmergN(Hons), PhD, the COVERED COVID study investigators\",\"doi\":\"10.1111/appy.12553\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>The COVID-19 pandemic has been associated with detrimental effects on mental health and psychological well-being. Although multiple studies have shown decreases in mental health-related Emergency Department (ED) presentations early in the COVID-19 pandemic, the medium-term effects on mental health-related ED presentations have remained less clear. This study aimed to evaluate the effect of the pandemic on mental health ED presentations by comparing observed presentation numbers to predictions from pre-pandemic data.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This retrospective cohort study tallied weekly ED presentations associated with mental health disorders from a state-wide minimum dataset. Three time periods were identified: Pre-Pandemic (January 1, 2018–March 8, 2020), Statewide Lockdown (March 9, 2020–June 28, 2020), and Restrictions Easing (June 29, 2020–June 27, 2021). Time series analysis was used to generate weekly presentation forecasts using pre-pandemic data. Observed presentation numbers were compared to these forecasts.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Weekly presentation numbers were lower than predicted in 11 out of 16 weeks in the Statewide Lockdown period and 52 out of 52 weeks in the Restrictions Easing period. 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The impact of COVID-19 on emergency department presentations for mental health disorders in Queensland, Australia: A time series analysis
Background
The COVID-19 pandemic has been associated with detrimental effects on mental health and psychological well-being. Although multiple studies have shown decreases in mental health-related Emergency Department (ED) presentations early in the COVID-19 pandemic, the medium-term effects on mental health-related ED presentations have remained less clear. This study aimed to evaluate the effect of the pandemic on mental health ED presentations by comparing observed presentation numbers to predictions from pre-pandemic data.
Methods
This retrospective cohort study tallied weekly ED presentations associated with mental health disorders from a state-wide minimum dataset. Three time periods were identified: Pre-Pandemic (January 1, 2018–March 8, 2020), Statewide Lockdown (March 9, 2020–June 28, 2020), and Restrictions Easing (June 29, 2020–June 27, 2021). Time series analysis was used to generate weekly presentation forecasts using pre-pandemic data. Observed presentation numbers were compared to these forecasts.
Results
Weekly presentation numbers were lower than predicted in 11 out of 16 weeks in the Statewide Lockdown period and 52 out of 52 weeks in the Restrictions Easing period. The largest decrease was seen for anxiety disorders (Statewide Lockdown: 76.8% of forecast; Restrictions Easing: 36.4% of forecast), while an increase was seen in presentations for eating disorders (Statewide Lockdown: 139.5% of forecast; Restrictions Easing: 194.4% of forecast).
Conclusions
Overall weekly mental health-related presentations across Queensland public EDs were lower than expected for the first 16 months of the COVID-19 pandemic. These findings underline the limitations of emergency department provision of mental health care and the importance of alternate care modalities in the pandemic context.
期刊介绍：
Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.
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