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10.1017/ipm.2020.116

http://scihub22266oqcxt.onion/10.1017/ipm.2020.116
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32993833!7711341!32993833
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suck abstract from ncbi


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pmid32993833      Ir+J+Psychol+Med 2021 ; 38 (2): 116-122
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  • COVID-19 and its effect on emergency presentations to a tertiary hospital with self-harm in Ireland #MMPMID32993833
  • McIntyre A; Tong K; McMahon E; Doherty AM
  • Ir J Psychol Med 2021[Jun]; 38 (2): 116-122 PMID32993833show ga
  • OBJECTIVES: This study aimed to assess the impact of COVID-19 on presentations to an acute hospital with self-harm. METHODS: All presentations to University Hospital Galway with self-harm were assessed during the peak period of the coronavirus crisis in Ireland, over the 3 months from 1 March to 31 May 2020. These data were compared with presentations in the same months in the 3 years preceding (2017-2019). Data were obtained from the anonymised service database. RESULTS: This study found that in 2020, the rate of presentation with self-harm dropped by 35% from March to April and rose by 104% from April to May, peaking from mid-May. When trends over a 4-year period were examined, there was a significantly higher lethality of attempt (p < 0.001), and significant differences in diagnosis (p = 0.031) in 2020 in comparison with the three previous years. The increased lethality of presentations remained significant after age and gender were controlled for (p = 0.036). There were also significant differences in the underlying psychiatric diagnoses (p = 0.018), notably with a significant increase in substance misuse disorders presenting during the 2020 study period. CONCLUSIONS: COVID-19 showed a reduction in self-harm presentations initially, followed by a sharp increase in May 2020. If a period of economic instability follows as predicted, it is likely that this will further impact the mental health of the population, along with rates of self-harm and suicidal behaviours. There is a need for research into the longer-term effect of COVID-19 and lockdown restrictions, especially with respect to self-harm.
  • |*COVID-19[MESH]
  • |*Self-Injurious Behavior/epidemiology[MESH]
  • |Communicable Disease Control[MESH]
  • |Humans[MESH]
  • |Ireland/epidemiology[MESH]
  • |SARS-CoV-2[MESH]


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