Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study
Background: The coronavirus disease 2019 (COVID-19) pandemic resulted in widespread psychosocial disruption, which may impact suicidal thoughts and behaviours. This study characterizes adult suicide-related emergency department (ED) encounters and patient characteristics during the COVID-19 pandemic...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | The Lancet Regional Health. Americas |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X21000740 |
| _version_ | 1818344220021227520 |
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| author | Kathryn K. Ridout Mubarika Alavi Samuel J. Ridout Maria T. Koshy Sameer Awsare Brooke Harris David R. Vinson Constance M. Weisner Stacy Sterling Esti Iturralde |
| author_facet | Kathryn K. Ridout Mubarika Alavi Samuel J. Ridout Maria T. Koshy Sameer Awsare Brooke Harris David R. Vinson Constance M. Weisner Stacy Sterling Esti Iturralde |
| author_sort | Kathryn K. Ridout |
| collection | DOAJ |
| description | Background: The coronavirus disease 2019 (COVID-19) pandemic resulted in widespread psychosocial disruption, which may impact suicidal thoughts and behaviours. This study characterizes adult suicide-related emergency department (ED) encounters and patient characteristics during the COVID-19 pandemic in 2020 compared to the year prior.Methods: Retrospective cross-sectional study in a large, integrated, community-based health system of adults (≥18-years-old) with suicide-related ED encounters (defined by the Centres for Disease Control-recommended International Statistical Classification of Diseases [ICD-10-CM] codes) during the COVID-19 pandemic compared to the same period in 2019. Population-level incidence rate ratios (IRRs) compared suicide-related ED encounters in 2020 to 2019. Patient characteristics for the first suicide-related ED visit for each period were used to calculate percent relative change comparing 2020 to 2019.Findings: Of 10,651 suicide-related ED encounters in 2020 and 11,476 in 2019, 49.6% and 51.6% were for females and the mean age was 38±17 and 38±16 years-old, respectively. Suicide-related ED encounters significantly declined in each month of 2020 (IRR 0.71-0.91, p<.05), but were equivalent to 2019 levels June-August. Adults in 2020 were more likely to have co-occurring substance use disorders (+15•7%; 95% CI 7•0-24•4%) or have no mental health or suicide diagnosis associated with an outpatient visit in the last year (+21•1%, 95% CI: 12•5-29•6) compared to 2019.Interpretation: Adults with suicidal thoughts and behaviours during the COVID-19 pandemic in 2020 had distinct social and psychiatric characteristics compared to patients in the prior year. These findings can help inform health system responses to mental health needs. |
| first_indexed | 2024-12-13T16:43:00Z |
| format | Article |
| id | doaj.art-42d5e785535b40f7aa1d3928af1f2a96 |
| institution | Directory Open Access Journal |
| issn | 2667-193X |
| language | English |
| last_indexed | 2024-12-13T16:43:00Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj.art-42d5e785535b40f7aa1d3928af1f2a962022-12-21T23:38:14ZengElsevierThe Lancet Regional Health. Americas2667-193X2021-12-014100078Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional studyKathryn K. Ridout0Mubarika Alavi1Samuel J. Ridout2Maria T. Koshy3Sameer Awsare4Brooke Harris5David R. Vinson6Constance M. Weisner7Stacy Sterling8Esti Iturralde9The Permanente Medical Group, Kaiser Permanente Northern California, Oakland, CA, USA; Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA; Address Correspondence to: Kathryn K. Ridout, M.D., Ph.D. 401 Bicentennial Way Santa Rosa, CA 95403Division of Research, Kaiser Permanente Northern California, Oakland, CA, USAThe Permanente Medical Group, Kaiser Permanente Northern California, Oakland, CA, USAThe Permanente Medical Group, Kaiser Permanente Northern California, Oakland, CA, USAThe Permanente Medical Group, Kaiser Permanente Northern California, Oakland, CA, USAKaiser Foundation Hospitals, Kaiser Permanente Northern California, Oakland, CA, USAThe Permanente Medical Group, Kaiser Permanente Northern California, Oakland, CA, USA; Division of Research, Kaiser Permanente Northern California, Oakland, CA, USADivision of Research, Kaiser Permanente Northern California, Oakland, CA, USADivision of Research, Kaiser Permanente Northern California, Oakland, CA, USADivision of Research, Kaiser Permanente Northern California, Oakland, CA, USABackground: The coronavirus disease 2019 (COVID-19) pandemic resulted in widespread psychosocial disruption, which may impact suicidal thoughts and behaviours. This study characterizes adult suicide-related emergency department (ED) encounters and patient characteristics during the COVID-19 pandemic in 2020 compared to the year prior.Methods: Retrospective cross-sectional study in a large, integrated, community-based health system of adults (≥18-years-old) with suicide-related ED encounters (defined by the Centres for Disease Control-recommended International Statistical Classification of Diseases [ICD-10-CM] codes) during the COVID-19 pandemic compared to the same period in 2019. Population-level incidence rate ratios (IRRs) compared suicide-related ED encounters in 2020 to 2019. Patient characteristics for the first suicide-related ED visit for each period were used to calculate percent relative change comparing 2020 to 2019.Findings: Of 10,651 suicide-related ED encounters in 2020 and 11,476 in 2019, 49.6% and 51.6% were for females and the mean age was 38±17 and 38±16 years-old, respectively. Suicide-related ED encounters significantly declined in each month of 2020 (IRR 0.71-0.91, p<.05), but were equivalent to 2019 levels June-August. Adults in 2020 were more likely to have co-occurring substance use disorders (+15•7%; 95% CI 7•0-24•4%) or have no mental health or suicide diagnosis associated with an outpatient visit in the last year (+21•1%, 95% CI: 12•5-29•6) compared to 2019.Interpretation: Adults with suicidal thoughts and behaviours during the COVID-19 pandemic in 2020 had distinct social and psychiatric characteristics compared to patients in the prior year. These findings can help inform health system responses to mental health needs.http://www.sciencedirect.com/science/article/pii/S2667193X21000740coronavirus disease 2019suicidesuicidal thoughts and behavioursmental healthemergency department |
| spellingShingle | Kathryn K. Ridout Mubarika Alavi Samuel J. Ridout Maria T. Koshy Sameer Awsare Brooke Harris David R. Vinson Constance M. Weisner Stacy Sterling Esti Iturralde Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study The Lancet Regional Health. Americas coronavirus disease 2019 suicide suicidal thoughts and behaviours mental health emergency department |
| title | Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study |
| title_full | Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study |
| title_fullStr | Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study |
| title_full_unstemmed | Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study |
| title_short | Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study |
| title_sort | adult suicide related emergency department encounters during the covid 19 pandemic a cross sectional study |
| topic | coronavirus disease 2019 suicide suicidal thoughts and behaviours mental health emergency department |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X21000740 |
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