Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/34242
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dc.contributor.authorNewberry-Dupé, Jackson-
dc.contributor.authorChu, Wanyu-
dc.contributor.authorCraig, Simon-
dc.contributor.authorBorschmann, Rohan-
dc.contributor.authorO'Reilly, Gerard-
dc.contributor.authorYates, Paul A-
dc.contributor.authorMelvin, Glenn-
dc.contributor.authorKing, Kylie-
dc.contributor.authorHiscock, Harriet-
dc.date2023-
dc.date.accessioned2023-11-15T05:28:13Z-
dc.date.available2023-11-15T05:28:13Z-
dc.date.issued2023-11-08-
dc.identifier.citationThe Psychiatric Quarterly 2023-11-08en_US
dc.identifier.issn1573-6709-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/34242-
dc.description.abstractThe COVID-19 pandemic and associated public health measures altered patterns of help-seeking for mental health, with increases in emergency department utilisation reported. We examined the association between COVID-19 restrictions and adult emergency department (ED) mental health presentations in Victoria, Australia, through secondary analysis of data from 39 public EDs across the state. Participants were all patients (18+ years) presenting between 1 January 2018 and 31 October 2020 with mental health or intentional self-harm. The main outcome was number of presentations for each mental health condition, by patient age, socioeconomic status (SES), location, and ED triage category. We used a Poisson regression model to compare predicted monthly ED presentations based on trends from 2018, 2019 and 2020 (up to 31 March), with observed presentations during the initial months of the COVID-19 pandemic (1 April to 31 October 2020). There was an average of 4,967 adult mental health presentations per month pre-COVID-19 (1 January-31 March 2020) and 5,054 per month during the COVID-19 period (1 April-31 October 2020). Compared to predicted incidence, eating disorder presentations increased 24.0% in the COVID-19 period, primarily among higher SES females aged 18-24 years. Developmental/behavioural disorder presentations decreased by 19.7% for all age groups. Pandemic restrictions were associated with overall increases in monthly adult ED presentations for mental health, with some disorders increasing and others decreasing. Accessibility of acute mental health services needs to be addressed to meet changing demand and ensure services are responsive to changes in presentations resulting from future public health challenges.en_US
dc.language.isoeng-
dc.subjectAdulten_US
dc.subjectAustraliaen_US
dc.subjectCOVID-19en_US
dc.subjectEmergency departmenten_US
dc.subjectLockdownen_US
dc.subjectMental healthen_US
dc.subjectVictoriaen_US
dc.titleAdult Mental Health Presentations to Emergency Departments in Victoria, Australia between January 2018 and October 2020: Changes Associated with COVID-19 Pandemic Public Health Restrictions.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleThe Psychiatric Quarterlyen_US
dc.identifier.affiliationCentre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.;Centre for Adolescent Health, Murdoch Children's Research Institute, Royal Children's Hospital, 50 Flemington Rd, Parkville, Melbourne, VIC, 3052, Australia.en_US
dc.identifier.affiliationCentre for Health Services, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.en_US
dc.identifier.affiliationPaediatric Emergency Department, Monash Medical Centre, Emergency Service, Monash Health, Clayton, VIC, Australia.;Department of Paediatrics, School of Clinical Sciences, Monash University, Clayton, VIC, Australia.;Emergency Research Group, Murdoch Children's Research Institute, Parkville, VIC, Australia.en_US
dc.identifier.affiliationCentre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.;Centre for Adolescent Health, Murdoch Children's Research Institute, Royal Children's Hospital, 50 Flemington Rd, Parkville, Melbourne, VIC, 3052, Australia.;Melbourne School of Psychological Sciences, University of Melbourne, Parkville, VIC, Australia.;Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX, UK.en_US
dc.identifier.affiliationEmergency and Trauma Centre, The Alfred, Melbourne, Australia.;National Trauma Research Institute, The Alfred, Melbourne, Australia.;School of Public Health and Preventive Medicine, Alfred Campus, Monash University, Melbourne, Australia.en_US
dc.identifier.affiliationGeriatric Medicineen_US
dc.identifier.affiliationSchool of Psychology, Deakin University, Melbourne, VIC, Australia.en_US
dc.identifier.affiliationTurner Institute for Brain and Mental Health, Monash University, Victoria, Australia.en_US
dc.identifier.affiliationCentre for Health Services, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.;Centre for Community Child Health, Royal Children's Hospital, Melbourne, VIC, Australia.;Department of Paediatrics, University of Melbourne, Melbourne, Australia.en_US
dc.identifier.affiliationFaculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.en_US
dc.identifier.doi10.1007/s11126-023-10057-4en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-7933-2133en_US
dc.identifier.pubmedid37938493-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.grantfulltextnone-
crisitem.author.deptAged Care-
crisitem.author.deptGeriatric Medicine-
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