Baishi Huang, Ye Liu, Zhiqiang Feng, Jamie R Pearce, Ruoyu Wang, Yina Zhang, Jie Chen
Residential exposure to natural outdoor environments and general health among older adults in Shanghai, China
International journal for equity in health
examine differences hospital emergency psychiatric presentations selfharm children adolescents covid19 lockdown march april 2020 compared period 2019 retrospective cohort study used electronic patient records 23 hospital emergency departments ten countries grouped 14 areas examined data 2073 acute hospital presentations 1795 unique children adolescents age 18 examined total number emergency psychiatric hospital presentations proportion children adolescents presenting severe selfharm two main outcome measures addition examined sociodemographic clinical characteristics clinical management variables presenting selfharm compare number hospital presentations 2020 2019 negative binomial model used variables individual participant data ipd metaanalyses carried emergency psychiatric hospital presentations decreased 1239 2019 834 2020 incident rate ratio 067 95 ci 062073 p 0001 proportion children adolescents presenting selfharm increased 50 2019 57 2020 odds ratio 133 107164 p 0009 difference proportion presenting severe selfharm within subpopulation presenting selfharm proportion children adolescents presenting emotional disorders increased 58 66 odds ratio 158 106236 p 0025 proportion children adolescents admitted observation ward also decreased 13 9 2020 odds ratio 052 028096 p 0036 service planners consider lockdown likely fewer emergency psychiatric presentations many children adolescents psychiatric emergencies might receive service focus developing intensive community care services outreach capabilities prioritised