@article{ref1,
title="Psychiatric admissions, referrals and suicidal behavior before and during the COVID-19 pandemic in Denmark: a time-trend study",
journal="Acta psychiatrica Scandinavica",
year="2021",
author="Rømer, Troels Boldt and Haubo Bojesen Christensen, Rune and Blomberg, Stig Nikolaj and Folke, Fredrik and Christensen, Helle Collatz and Benros, Michael E.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To assess the patterns in psychiatric admissions, referrals and suicidal behavior before and during the COVID-19 pandemic. <br><br>METHODS: This study utilized health records from hospitals and Emergency Medical Services (EMS) covering 46 % of the Danish population (n=2,693,924). In an time-trend study, we compared the number of psychiatric in-patients, referrals to mental health services and suicidal behavior in years prior to the COVID-19 pandemic to levels during the first lockdown (March 11 - May 17, 2020), inter-lockdown period (May 18 - December 15, 2020) and second lockdown (December 16, 2020 - February 28, 2021). <br><br>RESULTS: During the pandemic, the rate of psychiatric in-patients declined compared to pre-pandemic levels (RR = 0.95, 95 % CI = 0.94 - 0.96, p < 0.01), with the largest decrease of 19 % observed three weeks into the first lockdown. Referrals to mental health services were not significantly different (RR = 1.01, 95 % CI = 0.92 - 1.10, p = 0.91) during the pandemic; neither was suicidal behavior among hospital contacts (RR = 1.04, 95 % CI = 0.94 - 1.14, p = 0.48) nor EMS contacts (RR = 1.08, 95 % CI = 1.00 - 1.18, p = 0.06). Similar trends were observed across nearly all age groups, sexes and types of mental disorders examined. In the age group <18, an increase in the rate of psychiatric inpatients (RR = 1.11, 95 % CI = 1.07 - 1.15, p < 0.01) was observed during the pandemic; however, this did not exceed the pre-pandemic, upwards trend in psychiatric hospitalizations in the age group <18 (p = 0.78). <br><br>CONCLUSION: The COVID-19 pandemic has been associated with a decrease in psychiatric hospitalizations, while no significant change was observed in referrals to mental health services and suicidal behavior. Psychiatric hospitalizations amongst children and adolescents increased during the pandemic; however, this appears to be a continuation of a pre-pandemic trend.<p /> <p>Language: en</p>",
language="en",
issn="0001-690X",
doi="10.1111/acps.13369",
url="http://dx.doi.org/10.1111/acps.13369"
}