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Emergency psychiatry services in pandemia: Is it different than before?

Published online by Cambridge University Press:  13 August 2021

İ.G. Yılmaz Karaman*
Affiliation:
Psychiatry Department, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey
L.D. Tarlacık
Affiliation:
Psychiatry Department, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey
*
*Corresponding author.

Abstract

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Introduction

After World Health Organization declared that COVID-19 disease became a pandemic; like most, people in Turkey were affected by the emotionally challenging atmosphere. Previous outbreaks negatively effected mental health, increased suicide attempts and completed suicides.

Objectives

Our study aimed to investigate psychiatry consultations from emergency service in a university hospital, to determine differencies in pandemia.

Methods

We conducted a monocenter retrospective study by examining the patients who applied to emergency servise and consulted to psychiatry department in three periods: between 11 March- 11 July, in 2018, 2019, and 2020. Patient’s sociodemographic and clinical variables were assessed.

Results

There were no difference in distributions of applicants’ following variables between periods; age, sex, marital status, experiencing a first attack or an exacerbation, or outcome treatment. Among applicants with suicide attempts, there were no difference between periods in terms of the presence of recurrent suicide attempt (χ² = 0.297 p = 0.862). While emergency admissions with behavioral disorders increased, admissions with depressive symptoms decreased. Admissions with suicide attempts were statistically significantly higher in 2020 (Table 1). Recommendation of psychiatric inpatient treatment did not change between periods, while refusal of hospitalization recommendation decreased (Table 2).

Conclusions

In our sample, emergency psychiatry admissions with behaviour disorders and suicide attempts increased in pandemic period.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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