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One year of psychiatric presentations to a hospital emergency department during COVID-19

Published online by Cambridge University Press:  14 March 2022

Yvonne Hartnett ,
Khadija Alshurafa ,
Joseph McAndrew ,
Darren Daly ,
Mohamed Alsaffar ,
David Cotter ,
Mary Cannon ,
Siobhan MacHale ,
Kieran C. Murphy  and
Helen Barry
Yvonne Hartnett*
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Khadija Alshurafa
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Joseph McAndrew
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Darren Daly
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Mohamed Alsaffar
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
David Cotter
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Mary Cannon
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Siobhan MacHale
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Kieran C. Murphy
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Helen Barry
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland Department of Psychiatry, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
*
Address for correspondence: Yvonne Hartnett, Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland. (Email: hartnety@tcd.ie)
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Abstract

Objectives:

To examine the impact of the first full year of the COVID-19 pandemic and its associated restrictions on the volume and nature of psychiatric presentations to an emergency department (ED) in a large academic hospital.

Methods:

Anonymised clinical data on psychiatric presentations to the ED were collected for the 52-week period from the start of the COVID-19 pandemic and compared with corresponding 1 year periods in 2019 and 2018.

Results:

There was a significant increase in psychiatric presentations overall to the ED during the first year of the COVID-19 pandemic compared to previous years, in contrast to a reduction in total presentations for all other specialties. There was a marked increase in psychiatric presentations of those below 18 years, and in the 30–39 years and 40–49 years age groups, but a decrease in the 18–29 years group. There was a significant increase in anxiety disorder presentations but a decrease in alcohol related presentations. There was no significant change observed in the rates of presentations for self-harm or suicidal ideation.

Conclusions:

Psychiatric presentations to the ED have increased during the first year of the COVID-19 pandemic in contrast to a decrease in presentations for other medical specialties, with this increase being driven by out-of-hours presentations. The fourfold increase in presentations of young people below the age of 18 years to the ED with mental health difficulties is an important finding and suggests a disproportionate burden of psychological strain placed on this group during the pandemic.

Keywords

CoronavirusCOVID-19emergency departmentmental healthpsychiatry
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 40 , Issue 3 , September 2023 , pp. 411 - 417
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The College of Psychiatrists of Ireland

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Footnotes

†

Contributed equally to this paper.

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