Factors Affecting Self-Harm- or Violence-Related Urgent Psychiatric Consultation During the COVID-19 Pandemic in Taiwan

Purpose: People's health-care-seeking behaviors considerably changed during the COVID-19 pandemic. This study evaluated the changes in self -harm-and violence-related urgent psychiatric consultation (UPC) in the emergency department (ED) during different stages of the pandemic and at different levels of hospitals. Patients and Methods: We recruited patients who received UPC during the baseline (2019), peak (2020), and slack (2021) periods of the same time window (calendar weeks 4-18) during the COVID-19 pandemic. Demographic data such as age, sex, and referral type (by the police/emergency medical system) were also recorded. Results: We found female gender and younger age associated with higher risk of self-harm-related UPCs, whereas patients visiting regional hospitals, male patients, and patients referred by the policy/emergency medical system, had a higher risk of violence-related UPCs. After adjustment, the different pandemic stages were not significantly associated with self -harm-or violence-related UPCs. Conclusion: Patient's demographic data, but not the pandemic itself, may be responsible for the changes in self -harm-and violence -related UPCs during the pandemic.

Automated summary

This study evaluated the changes in self-harm-and violence-related urgent psychiatric consultation (UPC) in the emergency department (ED) during different stages of the COVID-19 pandemic and at different levels of hospitals. The results showed that female gender and younger age were associated with higher risk of self-harm-related UPCs, while patients visiting regional hospitals, male patients, and patients referred by the policy/emergency medical system had a higher risk of violence-related UPCs. After adjustment, the different pandemic stages were not significantly associated with self-harm or violence-related UPCs.