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. 2021 Jun;38(2):108-115.
doi: 10.1017/ipm.2020.115. Epub 2020 Sep 30.

Impact of initial COVID-19 restrictions on psychiatry presentations to the emergency department of a large academic teaching hospital

Joseph McAndrew  1   2 , Julia O'Leary  1   2 , David Cotter  1   2 , Mary Cannon  1   2 , Siobhan MacHale  1   2 , Kieran C Murphy  1   2 , Helen Barry  1   2
Affiliations

Impact of initial COVID-19 restrictions on psychiatry presentations to the emergency department of a large academic teaching hospital

Joseph McAndrew et al. Ir J Psychol Med. 2021 Jun.

Abstract

Objectives: To determine if the initial COVID-19 societal restrictions, introduced in Ireland in March 2020, impacted on the number and nature of psychiatry presentations to the emergency department (ED) of a large academic teaching hospital.

Methods: We examined anonymised clinical data of psychiatry presentations to the ED during the initial 8-week period of COVID-19 restrictions. Data from corresponding 8-week periods in 2018 and 2019 were also extracted for comparison.

Results: Psychiatry presentations to ED reduced by 21% during the COVID-19 restrictions, from 24/week to 19/week when compared with corresponding periods in 2018/2019 (Poisson's Rate Test estimate of difference -5.2/week, 95% CI 1.3-9.1, p = 0.012). Numbers attending for out-of-hours assessment remained unchanged (81 v. 80), but numbers seeking assessment during normal hours decreased (71 v. 114). We observed increased presentations from the <18 age group, but decreased presentations from the 18 to 29 age group (Pearson's Chi-Square 20.363, df = 6, p = 0.002). We recorded an increase in anxiety disorders during the initial COVID-19 restrictions (31 v. 23), and a reduction in alcohol disorders (28 v. 52). The proportion of presentations with suicidal ideation (SI) or self-harm as factors remained unchanged.

Conclusions: Rates of emergency presentation with mental illness reduced during the initial COVID-19 restrictions. This may represent an unmet burden of mental health needs. Younger people may be experiencing greater distress and mental illness during the current crisis. More people sought help for anxiety disorders during the COVID-19 restrictions compared with corresponding data from 2018 and 2019.

Keywords: COVID-19; Coronavirus; emergency department; mental health; psychiatry.

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Conflict of interest statement

None.

Figures

Fig. 1.
Fig. 1.
Weekly ED psychiatry presentations during the initial 8 weeks of COVID-19 restrictions versus the corresponding periods from 2018/2019.
Fig. 2.
Fig. 2.
Age distribution of psychiatry presentations to ED, during the initial 8 weeks of COVID-19 restrictions versus 2018/2019.
Fig. 3.
Fig. 3.
Distribution of psychiatry presentations to the ED by ICD-10 diagnostic category, during the initial 8 weeks of COVID-19 restrictions versus corresponding periods from 2018/2019.
See this image and copyright information in PMC

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