Impact of the 2020 lockdown on prehospital psychiatric emergencies in a large city

© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature..

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic represented a serious challenge for healthcare systems worldwide. Special psychiatric patients represent a vulnerable group and are particularly affected by lockdown interventions. Knowledge on the possible effects for this group of patients in an emergency physician setting is low.

OBJECTIVE: The aim of this paper is to investigate the impact of the first lockdown during the COVID-19 pandemic in 2020 on emergency ambulance services for psychiatric patients in a large German city.

MATERIAL AND METHODS: A retrospective analysis was conducted on all prehospital psychiatric emergencies in a large German city during the first pandemic-related lockdown from 22 March 2020 to 4 May 2020, with the same period in 2019 serving as a reference.

RESULTS: During the first lockdown there was a significant increase in the number of emergency missions with respect to psychiatric cases. A substantial rise in substance-associated deployments was observed. Moreover, there was an increase in the proportion of psychiatric patients who did not meet emergency criteria. Suicidal tendencies and agitation status played a minor role during the lockdown.

CONCLUSION: The lockdown had a notable impact on the frequency and profile of emergency physician calls in the metropolitan area studied. The substantial increase in substance-associated callouts can be interpreted as both a deterioration in access to the healthcare system and an expression of the increased stress faced by the general population and vulnerable groups in particular.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:73

Enthalten in:

Die Anaesthesiologie - 73(2024), 1 vom: 15. Jan., Seite 26-32

Sprache:

Deutsch

Weiterer Titel:

Auswirkungen des Lockdowns 2020 auf präklinische psychiatrische Notarzteinsätze in einer Großstadt

Beteiligte Personen:

Kirchner, Heribert [VerfasserIn]
Bohn, Andreas [VerfasserIn]
Hulsmans, Nik [VerfasserIn]
Brzoska, Patrick [VerfasserIn]
Pajonk, Frank-Gerald B [VerfasserIn]

Links:

Volltext

Themen:

Covid-19-Pandemic
English Abstract
Epidemiology
Impact
Journal Article
Paramedics
Psychiatry

Anmerkungen:

Date Completed 17.01.2024

Date Revised 21.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00101-023-01370-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367052601