Emergency Care for Suicidal Behavior Before and During the COVID-19 Pandemic in Two Hospitals in Bogotá: a Longitudinal Analysis
Introduction: The impact of the COVID-19 pandemic and confinement measures on the pattern of admissions for suicidal behavior in emergency departments is unknown. Methods: A retrospective longitudinal cohort study was conducted, collecting monthly data from January 2015 to June 2022 from the mental...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2025-01-01
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| Series: | Iatreia |
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| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/353691 |
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| author | Gutiérrez-Dajud, Sasha Stefany Pastran-Cortés, Ana María Mendivelso, Fredy Rodríguez-Bedoya, Ingrid Milena Moreno-Gómez, Jairo Enrique Muñoz-Tamayo, Rodrigo |
| author_facet | Gutiérrez-Dajud, Sasha Stefany Pastran-Cortés, Ana María Mendivelso, Fredy Rodríguez-Bedoya, Ingrid Milena Moreno-Gómez, Jairo Enrique Muñoz-Tamayo, Rodrigo |
| author_sort | Gutiérrez-Dajud, Sasha Stefany |
| collection | DOAJ |
| description | Introduction: The impact of the COVID-19 pandemic and confinement measures on the pattern of admissions for suicidal behavior in emergency departments is unknown.
Methods: A retrospective longitudinal cohort study was conducted, collecting monthly data from January 2015 to June 2022 from the mental health program of two reference institutions in Bogota. All patients were assessed by psychiatrists and psychologists in the emergency department and their demographic, clinical and specific attributes of suicidal behavior were characterized. An interrupted time series analysis was performed to evaluate the trend and impact on the pattern of care before and during the pandemic.
Results: A total of 884 individuals were admitted for suicidal behavior during the study period (67% women, 66% young adults, 55% students, and 1.6% LGBTQ+ population). There was an increase in the number of cases attended (mean of 5 additional cases per month) compared to the prepandemic period (p < 0.000). Suicidal ideation was the most documented typology during the pandemic (p <0.001), and the prevalence of suicidal behavior among children and adolescents (≤18 years) increased from 29% to 33%.
Conclusions: Theresults suggest that the pandemic catalyzed the number of admissions for suicidal behavior in the general population after the implementation of containment measures or contagion prevention restrictions. The need to integrate emergency departments in the prevention, detection, management, and follow-up of suicidal behavior, especially in the current mental health epidemic, is underscored. |
| format | Article |
| id | doaj-art-b2aa945ba20d409d8b20de8d519807cd |
| institution | Kabale University |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| publishDate | 2025-01-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj-art-b2aa945ba20d409d8b20de8d519807cd2025-01-17T14:20:59ZspaUniversidad de AntioquiaIatreia0121-07932011-79652025-01-01381677910.17533/udea.iatreia.267Emergency Care for Suicidal Behavior Before and During the COVID-19 Pandemic in Two Hospitals in Bogotá: a Longitudinal AnalysisGutiérrez-Dajud, Sasha Stefany0https://orcid.org/0000-0002-8128-808XPastran-Cortés, Ana María1https://orcid.org/0000-0002-9366-8493Mendivelso, Fredy 2https://orcid.org/0000-0002-2194-0910Rodríguez-Bedoya, Ingrid Milena 3https://orcid.org/0000-0001-5539-4041Moreno-Gómez, Jairo Enrique4https://orcid.org/0000-0002-1927-7881Muñoz-Tamayo, Rodrigo5https://orcid.org/0000-0002-7736-0667Clínica Pediátrica Colsanitas, Bogotá D. C., ColombiaClínica Reina Sofía, Bogotá D. C., ColombiaClínica Reina Sofía, Bogotá D. C., ColombiaFundación Universitaria Sanitas, Bogotá D. C., ColombiaClínica Pediátrica Colsanita, Bogotá D. C., ColombiaClínica Reina Sofía, Bogotá D. C., ColombiaIntroduction: The impact of the COVID-19 pandemic and confinement measures on the pattern of admissions for suicidal behavior in emergency departments is unknown. Methods: A retrospective longitudinal cohort study was conducted, collecting monthly data from January 2015 to June 2022 from the mental health program of two reference institutions in Bogota. All patients were assessed by psychiatrists and psychologists in the emergency department and their demographic, clinical and specific attributes of suicidal behavior were characterized. An interrupted time series analysis was performed to evaluate the trend and impact on the pattern of care before and during the pandemic. Results: A total of 884 individuals were admitted for suicidal behavior during the study period (67% women, 66% young adults, 55% students, and 1.6% LGBTQ+ population). There was an increase in the number of cases attended (mean of 5 additional cases per month) compared to the prepandemic period (p < 0.000). Suicidal ideation was the most documented typology during the pandemic (p <0.001), and the prevalence of suicidal behavior among children and adolescents (≤18 years) increased from 29% to 33%. Conclusions: Theresults suggest that the pandemic catalyzed the number of admissions for suicidal behavior in the general population after the implementation of containment measures or contagion prevention restrictions. The need to integrate emergency departments in the prevention, detection, management, and follow-up of suicidal behavior, especially in the current mental health epidemic, is underscored.https://revistas.udea.edu.co/index.php/iatreia/article/view/353691covid-19emergency medical servicesmental healthsuicidesuicide attempted |
| spellingShingle | Gutiérrez-Dajud, Sasha Stefany Pastran-Cortés, Ana María Mendivelso, Fredy Rodríguez-Bedoya, Ingrid Milena Moreno-Gómez, Jairo Enrique Muñoz-Tamayo, Rodrigo Emergency Care for Suicidal Behavior Before and During the COVID-19 Pandemic in Two Hospitals in Bogotá: a Longitudinal Analysis Iatreia covid-19 emergency medical services mental health suicide suicide attempted |
| title | Emergency Care for Suicidal Behavior Before and During the COVID-19 Pandemic in Two Hospitals in Bogotá: a Longitudinal Analysis |
| title_full | Emergency Care for Suicidal Behavior Before and During the COVID-19 Pandemic in Two Hospitals in Bogotá: a Longitudinal Analysis |
| title_fullStr | Emergency Care for Suicidal Behavior Before and During the COVID-19 Pandemic in Two Hospitals in Bogotá: a Longitudinal Analysis |
| title_full_unstemmed | Emergency Care for Suicidal Behavior Before and During the COVID-19 Pandemic in Two Hospitals in Bogotá: a Longitudinal Analysis |
| title_short | Emergency Care for Suicidal Behavior Before and During the COVID-19 Pandemic in Two Hospitals in Bogotá: a Longitudinal Analysis |
| title_sort | emergency care for suicidal behavior before and during the covid 19 pandemic in two hospitals in bogota a longitudinal analysis |
| topic | covid-19 emergency medical services mental health suicide suicide attempted |
| url | https://revistas.udea.edu.co/index.php/iatreia/article/view/353691 |
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