TY  - JOUR
PY  - 2021//
TI  - Pandemic-related emergency psychiatric presentations for self-harm of children and adolescents in 10 countries (PREP-kids): a retrospective international cohort study
JO  - European child and adolescent psychiatry
A1  - Ougrin, Dennis
A1  - Wong, Ben Hoi-Ching
A1  - Vaezinejad, Mehrak
A1  - Plener, Paul L.
A1  - Mehdi, Tauseef
A1  - Romaniuk, Liana
A1  - Barrett, Elizabeth
A1  - Hussain, Haseena
A1  - Lloyd, Alexandra
A1  - Tolmac, Jovanka
A1  - Rao, Manish
A1  - Chakrabarti, Sulagna
A1  - Carucci, Sara
A1  - Moghraby, Omer S.
A1  - Elvins, Rachel
A1  - Rozali, Farah
A1  - Skouta, Ereni
A1  - McNicholas, Fiona
A1  - Kuruppuaracchi, Natalie
A1  - Stevanovic, Dejan
A1  - Nagy, Peter
A1  - Davico, Chiara
A1  - Mirza, Hassan
A1  - Tufan, Evren
A1  - Youssef, Fatima
A1  - Meadowcroft, Ben
A1  - Landau, Sabine
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - To examine the differences in hospital emergency psychiatric presentations for self-harm of children and adolescents during the covid-19 lockdown in March and April 2020 compared with the same period in 2019. Retrospective cohort study. We used electronic patient records from 23 hospital emergency departments in ten countries grouped into 14 areas. We examined data on 2073 acute hospital presentations by 1795 unique children and adolescents through age 18. We examined the total number of emergency psychiatric hospital presentations and the proportion of children and adolescents presenting with severe self-harm as our two main outcome measures. In addition, we examined sociodemographic and clinical characteristics and clinical management variables for those presenting with self-harm. To compare the number of hospital presentations between 2020 and 2019 a negative binomial model was used. For other variables, individual participant data (IPD) meta-analyses were carried out. Emergency psychiatric hospital presentations decreased from 1239 in 2019 to 834 in 2020, incident rate ratio 0.67, 95% CI 0.62-0.73; p < 0.001. The proportion of children and adolescents presenting with self-harm increased from 50% in 2019 to 57% in 2020, odds ratio 1.33, 1.07-1.64; p = 0.009 but there was no difference in the proportion presenting with severe self-harm. Within the subpopulation presenting with self-harm the proportion of children and adolescents presenting with emotional disorders increased from 58 to 66%, odds ratio 1.58, 1.06-2.36; p = 0.025. The proportion of children and adolescents admitted to an observation ward also decreased from 13 to 9% in 2020, odds ratio 0.52, 0.28-0.96; p = 0.036. Service planners should consider that, during a lockdown, there are likely to be fewer emergency psychiatric presentations. Many children and adolescents with psychiatric emergencies might not receive any service. A focus on developing intensive community care services with outreach capabilities should be prioritised.<p />  <p>Language: en</p>
LA  - en
SN  - 1018-8827
UR  - http://dx.doi.org/10.1007/s00787-021-01741-6
ID  - ref1
ER  -