HealthDay News — Suicide or self-injury and depressive disorders continued to account for a majority of acute mental health care encounters in U.S. children’s hospitals after COVID-19-related school closures, according to a study published online May 25 in Psychiatric Services.
Bonnie T. Zima, M.D., M.P.H., from the University of California in Los Angeles, and colleagues conducted a retrospective, cross-sectional cohort study using the Pediatric Health Information System database to assess percent changes in emergency department discharges and hospitalizations among children aged 3 to 17 years in 44 U.S. hospitals in 2020 (after statewide COVID-19-related school closure orders) compared with 2019. Data were included for 2,658,474 total encounters in 2020.
The researchers found that the decrease in mental health emergency department discharges was smaller than the decline in emergency department discharges and hospitalizations for primary general medical disorders (−24.8 versus −49.1%) and mental health hospitalizations decreased less (−8.0 versus −26.8%) in 2020. More than 50% of acute mental health care encounters before and after the statewide school closure were suicide attempt or self-injury and depressive disorders. There was a 5.1 percentage point increase in both emergency department discharges and hospitalization for suicide attempt or self-injury. By fall 2020, there was a 41.7% increase in mental health hospitalizations for suicide attempt or self-injury, with increases of 43.8 and 49.2% among adolescents and girls, respectively.
“Adolescent girls were particularly vulnerable after the statewide school closures, as evidenced by a disproportionate rise in acute MH encounters for suicide or self-injury in summer and fall 2020,” the authors write.