TY  - JOUR
PY  - 2023//
TI  - Urgent psychiatric consultations for suicide attempt and suicidal ideation before and after the COVID-19 pandemic in an Italian pediatric emergency setting
JO  - Frontiers in psychiatry
A1  - Apicella, Massimo
A1  - Serra, Giulia
A1  - Trasolini, Monia
A1  - Andracchio, Elisa
A1  - Chieppa, Fabrizia
A1  - Averna, Roberto
A1  - Iannoni, Maria Elena
A1  - Infranzi, Antonio
A1  - Moro, Marianna
A1  - Guidetti, Clotilde
A1  - Maglio, Gino
A1  - Raucci, Umberto
A1  - Reale, Antonino
A1  - Vicari, Stefano
SP  - e1135218
EP  - e1135218
VL  - 14
IS  - 
N2  - INTRODUCTION: Suicidal attempts (SAs) in youth have been increasing during the last decades. <br><br>METHODS: We studied consultations, SA, and suicidal ideation (SI) in a pediatric emergency department (ED). <br><br>RESULTS: From 1 January 2011 to 31 May 2022, 606,159 patients accessed the ED, 8,397 of who had a child psychiatry consultation (CPC). CPCs increased significantly by 11 times in the last decade (155 in 2011 vs. 1,824 in 2021, p < 0.001); CPCs for SA increased significantly by 33 times, from 6 in 2011 to 200 in 2021 (3.9% of total CPC vs. 11%, p < 0.001). While total CPCs increased constantly during the entire period (annual percent change (APC) of 21.7 from 2011 to 2021 in a 0 joinpoint model), CPCs for SA increased significantly from 2011 to 2016, were approximately stable from 2016 to 2020, and then had a peak in 2021 after the COVID-19 pandemic (APC from 2011 to 2016 of 64.1, APC of 1.2 from 2016 to 2020, and APC of 230 after 2020 in a 2-joinpoint model). <br><br>DISCUSSION: Total CPCs in ED as well as evaluation for SA and SI increased significantly during the last decade. CPCs for SA had an additional increase after the COVID-19 pandemic. This picture warrants timely and efficient improvements in emergency settings and mental health resources.<p />  <p>Language: en</p>
LA  - en
SN  - 1664-0640
UR  - http://dx.doi.org/10.3389/fpsyt.2023.1135218
ID  - ref1
ER  -