Psychiatric Emergency Care During Coronavirus 2019 (COVID 19) Pandemic Lockdown: Results from a Department of Mental Health and Addiction of Northern Italy

Overview

Journal Psychiatry Res

Specialty Psychiatry

Date 2020 Sep 25

PMID 32977050

Citations 59

Authors

Enrico Capuzzi

Carmen Di Brita

Alice Caldiroli

Fabrizia Colmegna

Roberto Nava

Massimiliano Buoli

Massimo Clerici

Affiliations

Soon will be listed here.

Abstract

Background: The current COVID-19 pandemic and the consequent containment measures are leading to increasing mental health issues both in psychiatric patients and general population.

Objective: We aimed to compare the number and characteristics of emergency psychiatric consultations during the phase 1 of lockdown with respect to the same period in 2019 in a Department of Mental Health and Addiction (DMHA) located in Lombardy region.

Methods: We conducted a cross-sectional study including subjects consecutively admitted to two psychiatric emergency rooms of DMHA in Monza, Lombardy, Italy. Sociodemographic data, clinical characteristics, referred symptoms, diagnosis and information on patients' illness course following the emergency consultations were collected. No subjects were excluded for the purposes of the study.

Results: Between February 21st and May 3rd 2020, there was a marked reduction in the number of psychiatric emergency consultations, if compared to the same period of 2019. Subjects who were living in psychiatric residential treatment facilities, had cannabis addiction and a diagnosis of obsessive-compulsive disorder were significantly more likely to present to emergency psychiatric consultations during lockdown.

Conclusions: COVID-19 epidemic may have a negative impact on more vulnerable individuals. Strategies to enhance relapse prevention and the use of alternative approaches as e-health technologies should be promoted.

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References

Fineberg N, DellOsso B, Albert U, Maina G, Geller D, Carmi L . Early intervention for obsessive compulsive disorder: An expert consensus statement. Eur Neuropsychopharmacol. 2019; 29(4):549-565. DOI: 10.1016/j.euroneuro.2019.02.002. View

Courtet P, Olie E, Debien C, Vaiva G . Keep Socially (but Not Physically) Connected and Carry on: Preventing Suicide in the Age of COVID-19. J Clin Psychiatry. 2020; 81(3). DOI: 10.4088/JCP.20com13370. View

Kelly B . Coronavirus disease: challenges for psychiatry. Br J Psychiatry. 2020; 217(1):352-353. PMC: 7205546. DOI: 10.1192/bjp.2020.86. View

von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008; 61(4):344-9. DOI: 10.1016/j.jclinepi.2007.11.008. View

Cucinotta D, Vanelli M . WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020; 91(1):157-160. PMC: 7569573. DOI: 10.23750/abm.v91i1.9397. View

Tian F, Li H, Tian S, Yang J, Shao J, Tian C . Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the level I emergency response to COVID-19. Psychiatry Res. 2020; 288:112992. PMC: 7151383. DOI: 10.1016/j.psychres.2020.112992. View

French I, Lyne J . Acute exacerbation of OCD symptoms precipitated by media reports of COVID-19. Ir J Psychol Med. 2020; 37(4):291-294. PMC: 7306547. DOI: 10.1017/ipm.2020.61. View

Dubey M, Ghosh R, Chatterjee S, Biswas P, Chatterjee S, Dubey S . COVID-19 and addiction. Diabetes Metab Syndr. 2020; 14(5):817-823. PMC: 7282772. DOI: 10.1016/j.dsx.2020.06.008. View

DellOsso B, Buoli M, Hollander E, Altamura A . Duration of untreated illness as a predictor of treatment response and remission in obsessive-compulsive disorder. World J Biol Psychiatry. 2009; 11(1):59-65. DOI: 10.3109/15622970903418544. View

10.

Thornton J . Covid-19: A&E visits in England fall by 25% in week after lockdown. BMJ. 2020; 369:m1401. DOI: 10.1136/bmj.m1401. View

11.

Fiorillo A, Gorwood P . The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur Psychiatry. 2020; 63(1):e32. PMC: 7156565. DOI: 10.1192/j.eurpsy.2020.35. View

12.

Fagiolini A, Cuomo A, Frank E . COVID-19 Diary From a Psychiatry Department in Italy. J Clin Psychiatry. 2020; 81(3). DOI: 10.4088/JCP.20com13357. View

13.

de Girolamo G, Cerveri G, Clerici M, Monzani E, Spinogatti F, Starace F . Mental Health in the Coronavirus Disease 2019 Emergency-The Italian Response. JAMA Psychiatry. 2020; 77(9):974-976. DOI: 10.1001/jamapsychiatry.2020.1276. View

14.

Pignon B, Gourevitch R, Tebeka S, Dubertret C, Cardot H, Dauriac-Le Masson V . Dramatic reduction of psychiatric emergency consultations during lockdown linked to COVID-19 in Paris and suburbs. Psychiatry Clin Neurosci. 2020; 74(10):557-559. PMC: 7361336. DOI: 10.1111/pcn.13104. View

15.

Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S . Mental health problems and social media exposure during COVID-19 outbreak. PLoS One. 2020; 15(4):e0231924. PMC: 7162477. DOI: 10.1371/journal.pone.0231924. View

16.

Naqvi H . Mental health in the aftermath of COVID-19: A new normal. J Pak Med Assoc. 2020; 70(Suppl 3)(5):S141-S144. DOI: 10.5455/JPMA.30. View

17.

Perrin P, McCabe O, Everly Jr G, Links J . Preparing for an influenza pandemic: mental health considerations. Prehosp Disaster Med. 2009; 24(3):223-30. DOI: 10.1017/s1049023x00006853. View

18.

Abba-Aji A, Li D, Hrabok M, Shalaby R, Gusnowski A, Vuong W . COVID-19 Pandemic and Mental Health: Prevalence and Correlates of New-Onset Obsessive-Compulsive Symptoms in a Canadian Province. Int J Environ Res Public Health. 2020; 17(19). PMC: 7579625. DOI: 10.3390/ijerph17196986. View

19.

Kayser R, Snorrason I, Haney M, Lee F, Simpson H . The Endocannabinoid System: A New Treatment Target for Obsessive Compulsive Disorder?. Cannabis Cannabinoid Res. 2020; 4(2):77-87. PMC: 7347041. DOI: 10.1089/can.2018.0049. View

20.

Murphy D, Timpano K, Wheaton M, Greenberg B, Miguel E . Obsessive-compulsive disorder and its related disorders: a reappraisal of obsessive-compulsive spectrum concepts. Dialogues Clin Neurosci. 2010; 12(2):131-48. PMC: 3181955. View