COVID-19 restrictions and visitations to an Israeli psychiatric emergency department: A four-lockdowns retrospective study
•A significant decrease in the volume of voluntary ED visitations is observed during the 1st lockdown.•Following the conclusion of the 1st lockdown, the volume of voluntary ED visitations has roughly returned to its pre-pandemic level.•The volume of involuntary ED visitations has dramatically increa...
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| Veröffentlicht in: | Psychiatry research 2023-01, Vol.319, p.115004-115004, Article 115004 |
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| container_title | Psychiatry research |
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| creator | Yaniv-Rosenfeld, Amit Rosenfeld, Ariel Hirsch Klein, Efrat |
| description | •A significant decrease in the volume of voluntary ED visitations is observed during the 1st lockdown.•Following the conclusion of the 1st lockdown, the volume of voluntary ED visitations has roughly returned to its pre-pandemic level.•The volume of involuntary ED visitations has dramatically increased over time, with the most striking levels observed during the second and third lockdowns.•Elapsed time since the first occurrence of COVID-19 in Israel and the level of governmental restrictions are significantly associated with the increase in the volume of ED visits and admissions, the admission rate and the rate of involuntary visits.
We examine the volume and characteristics of psychiatric ED visitations through a perspective of four COVID-19 lockdowns. All adult visitations to the ED of Shalvata Mental Healthcare center (Israel) during 2020–2021 were retrieved and statistically analysed and data from 2017 to 2019 was considered as control. Voluntary and involuntary ED visitations were considered, separately and combined. We find that the significant decrease in the volume of voluntary ED visitations during the 1st lockdown was quickly overturned, roughly returning to the pre-pandemic state following its conclusion. In parallel, the volume of involuntary ED visitations has dramatically increased, with the most striking levels observed during the second and third lockdowns. Elapsed time since the first occurrence of COVID-19 in Israel and the level of governmental restrictions is significantly associated with the increase in the volume of ED visits and admissions, the admission rate and the rate of involuntary visits. The prolonged consequences associated with the pandemic and the measures taken to control it suggest that it is unreasonable to expect a return to normal ED utilization in the near future. As such, alternatives to strict lockdowns should be favored when possible and urgent strengthening of psychiatric care is warranted. |
| doi_str_mv | 10.1016/j.psychres.2022.115004 |
| format | Article |
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We examine the volume and characteristics of psychiatric ED visitations through a perspective of four COVID-19 lockdowns. All adult visitations to the ED of Shalvata Mental Healthcare center (Israel) during 2020–2021 were retrieved and statistically analysed and data from 2017 to 2019 was considered as control. Voluntary and involuntary ED visitations were considered, separately and combined. We find that the significant decrease in the volume of voluntary ED visitations during the 1st lockdown was quickly overturned, roughly returning to the pre-pandemic state following its conclusion. In parallel, the volume of involuntary ED visitations has dramatically increased, with the most striking levels observed during the second and third lockdowns. Elapsed time since the first occurrence of COVID-19 in Israel and the level of governmental restrictions is significantly associated with the increase in the volume of ED visits and admissions, the admission rate and the rate of involuntary visits. The prolonged consequences associated with the pandemic and the measures taken to control it suggest that it is unreasonable to expect a return to normal ED utilization in the near future. As such, alternatives to strict lockdowns should be favored when possible and urgent strengthening of psychiatric care is warranted.</description><identifier>ISSN: 0165-1781</identifier><identifier>EISSN: 1872-7123</identifier><identifier>DOI: 10.1016/j.psychres.2022.115004</identifier><identifier>PMID: 36525902</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adult ; Communicable Disease Control ; COVID-19 ; Emergency Service, Hospital ; Governmental restrictions ; Humans ; Involuntary hospitalization ; Israel - epidemiology ; Psychiatric emergency department ; Retrospective Studies</subject><ispartof>Psychiatry research, 2023-01, Vol.319, p.115004-115004, Article 115004</ispartof><rights>2022</rights><rights>Copyright © 2022. Published by Elsevier B.V.</rights><rights>2022 Elsevier B.V. All rights reserved. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-3aaa8f0d876ea56cfe0a374ca4a5d6bc512a82138a142dff572594d3af54fec13</citedby><cites>FETCH-LOGICAL-c471t-3aaa8f0d876ea56cfe0a374ca4a5d6bc512a82138a142dff572594d3af54fec13</cites><orcidid>0000-0002-3230-3060</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165178122005959$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36525902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yaniv-Rosenfeld, Amit</creatorcontrib><creatorcontrib>Rosenfeld, Ariel</creatorcontrib><creatorcontrib>Hirsch Klein, Efrat</creatorcontrib><title>COVID-19 restrictions and visitations to an Israeli psychiatric emergency department: A four-lockdowns retrospective study</title><title>Psychiatry research</title><addtitle>Psychiatry Res</addtitle><description>•A significant decrease in the volume of voluntary ED visitations is observed during the 1st lockdown.•Following the conclusion of the 1st lockdown, the volume of voluntary ED visitations has roughly returned to its pre-pandemic level.•The volume of involuntary ED visitations has dramatically increased over time, with the most striking levels observed during the second and third lockdowns.•Elapsed time since the first occurrence of COVID-19 in Israel and the level of governmental restrictions are significantly associated with the increase in the volume of ED visits and admissions, the admission rate and the rate of involuntary visits.
We examine the volume and characteristics of psychiatric ED visitations through a perspective of four COVID-19 lockdowns. All adult visitations to the ED of Shalvata Mental Healthcare center (Israel) during 2020–2021 were retrieved and statistically analysed and data from 2017 to 2019 was considered as control. Voluntary and involuntary ED visitations were considered, separately and combined. We find that the significant decrease in the volume of voluntary ED visitations during the 1st lockdown was quickly overturned, roughly returning to the pre-pandemic state following its conclusion. In parallel, the volume of involuntary ED visitations has dramatically increased, with the most striking levels observed during the second and third lockdowns. Elapsed time since the first occurrence of COVID-19 in Israel and the level of governmental restrictions is significantly associated with the increase in the volume of ED visits and admissions, the admission rate and the rate of involuntary visits. The prolonged consequences associated with the pandemic and the measures taken to control it suggest that it is unreasonable to expect a return to normal ED utilization in the near future. As such, alternatives to strict lockdowns should be favored when possible and urgent strengthening of psychiatric care is warranted.</description><subject>Adult</subject><subject>Communicable Disease Control</subject><subject>COVID-19</subject><subject>Emergency Service, Hospital</subject><subject>Governmental restrictions</subject><subject>Humans</subject><subject>Involuntary hospitalization</subject><subject>Israel - epidemiology</subject><subject>Psychiatric emergency department</subject><subject>Retrospective Studies</subject><issn>0165-1781</issn><issn>1872-7123</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhS0EokvhL1Q-csnWduI44YCoFgorVeoFuFpTe9x6SeJgJ1stvx4vaSs4cbJsv_lm5j1Czjhbc8br8916TAdzFzGtBRNizblkrHpGVrxRolBclM_JKgtlwVXDT8irlHaMMcHb9iU5KWspZMvEivzaXH_ffix4SzNqit5MPgyJwmDp3ic_wXKfQn6i2xQBO0__tPZwlFPsMd7iYA7U4ghx6nGY3tEL6sIciy6YHzbcZ0DEKYY0YubvkaZptofX5IWDLuGbh_OUfLv89HXzpbi6_rzdXFwVplJ8KkoAaByzjaoRZG0cMihVZaACaesbI7mARvCyAV4J65xUebXKluBk5dDw8pS8X7jjfNOjNXnACJ0eo-8hHnQAr__9Gfydvg173apSSS4z4O0DIIafc7ZJ9z4Z7DoYMMxJCyWlVLXgKkvrRWrytimie2rDmT4Gp3f6MTh9DE4vweXCs7-HfCp7TCoLPiwCzFbtPUadjM--o_Uxu6pt8P_r8Rvj-LG3</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Yaniv-Rosenfeld, Amit</creator><creator>Rosenfeld, Ariel</creator><creator>Hirsch Klein, Efrat</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3230-3060</orcidid></search><sort><creationdate>20230101</creationdate><title>COVID-19 restrictions and visitations to an Israeli psychiatric emergency department: A four-lockdowns retrospective study</title><author>Yaniv-Rosenfeld, Amit ; Rosenfeld, Ariel ; Hirsch Klein, Efrat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-3aaa8f0d876ea56cfe0a374ca4a5d6bc512a82138a142dff572594d3af54fec13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Communicable Disease Control</topic><topic>COVID-19</topic><topic>Emergency Service, Hospital</topic><topic>Governmental restrictions</topic><topic>Humans</topic><topic>Involuntary hospitalization</topic><topic>Israel - epidemiology</topic><topic>Psychiatric emergency department</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yaniv-Rosenfeld, Amit</creatorcontrib><creatorcontrib>Rosenfeld, Ariel</creatorcontrib><creatorcontrib>Hirsch Klein, Efrat</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psychiatry research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yaniv-Rosenfeld, Amit</au><au>Rosenfeld, Ariel</au><au>Hirsch Klein, Efrat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>COVID-19 restrictions and visitations to an Israeli psychiatric emergency department: A four-lockdowns retrospective study</atitle><jtitle>Psychiatry research</jtitle><addtitle>Psychiatry Res</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>319</volume><spage>115004</spage><epage>115004</epage><pages>115004-115004</pages><artnum>115004</artnum><issn>0165-1781</issn><eissn>1872-7123</eissn><abstract>•A significant decrease in the volume of voluntary ED visitations is observed during the 1st lockdown.•Following the conclusion of the 1st lockdown, the volume of voluntary ED visitations has roughly returned to its pre-pandemic level.•The volume of involuntary ED visitations has dramatically increased over time, with the most striking levels observed during the second and third lockdowns.•Elapsed time since the first occurrence of COVID-19 in Israel and the level of governmental restrictions are significantly associated with the increase in the volume of ED visits and admissions, the admission rate and the rate of involuntary visits.
We examine the volume and characteristics of psychiatric ED visitations through a perspective of four COVID-19 lockdowns. All adult visitations to the ED of Shalvata Mental Healthcare center (Israel) during 2020–2021 were retrieved and statistically analysed and data from 2017 to 2019 was considered as control. Voluntary and involuntary ED visitations were considered, separately and combined. We find that the significant decrease in the volume of voluntary ED visitations during the 1st lockdown was quickly overturned, roughly returning to the pre-pandemic state following its conclusion. In parallel, the volume of involuntary ED visitations has dramatically increased, with the most striking levels observed during the second and third lockdowns. Elapsed time since the first occurrence of COVID-19 in Israel and the level of governmental restrictions is significantly associated with the increase in the volume of ED visits and admissions, the admission rate and the rate of involuntary visits. The prolonged consequences associated with the pandemic and the measures taken to control it suggest that it is unreasonable to expect a return to normal ED utilization in the near future. As such, alternatives to strict lockdowns should be favored when possible and urgent strengthening of psychiatric care is warranted.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>36525902</pmid><doi>10.1016/j.psychres.2022.115004</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-3230-3060</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Communicable Disease Control COVID-19 Emergency Service, Hospital Governmental restrictions Humans Involuntary hospitalization Israel - epidemiology Psychiatric emergency department Retrospective Studies |
| title | COVID-19 restrictions and visitations to an Israeli psychiatric emergency department: A four-lockdowns retrospective study |
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