The impact of COVID-19 on emergency department presentations for mental health disorders in Queensland, Australia: A time series analysis
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Sweeny, Amy
Branjerdporn, Grace
Keijzers, Gerben
Marshall, Andrea P
Huang, Ya-Ling
Hall, Emma J
Ranse, Jamie
Palipana, Dinesh
Teng, Yang D
Crilly, Julia
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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.
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Asia-Pacific Psychiatry
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16
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1
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© 2024 The Authors. Asia-Pacific Psychiatry published by John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
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Clinical sciences
Public health
Clinical and health psychology
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Jones, PM; Sweeny, A; Branjerdporn, G; Keijzers, G; Marshall, AP; Huang, Y-L; Hall, EJ; Ranse, J; Palipana, D; Teng, YD; Crilly, J, The impact of COVID-19 on emergency department presentations for mental health disorders in Queensland, Australia: A time series analysis, Asia-Pacific Psychiatry, 2024, 16 (1), pp. e12553