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A Following Wave Pattern of Suicide-Related Pediatric Emergency Room Admissions during the COVID-19 Pandemic

Author

Listed:
  • Tomer Mevorach

    (Department of Psychiatry, Feinberg Child Study Center, Schneider Children’s Medical Center of Israel, Petach Tikva 4920235, Israel
    Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Gil Zur

    (The Edmond and Lily Safra Center for Brain Sciences (ELSC), The Hebrew University of Jerusalem, Jerusalem 9112102, Israel)

  • Noa Benaroya-Milshtein

    (Department of Psychiatry, Feinberg Child Study Center, Schneider Children’s Medical Center of Israel, Petach Tikva 4920235, Israel
    Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Alan Apter

    (Department of Psychiatry, Feinberg Child Study Center, Schneider Children’s Medical Center of Israel, Petach Tikva 4920235, Israel
    Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Silvana Fennig

    (Department of Psychiatry, Feinberg Child Study Center, Schneider Children’s Medical Center of Israel, Petach Tikva 4920235, Israel
    Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Shira Barzilay

    (Department of Psychiatry, Feinberg Child Study Center, Schneider Children’s Medical Center of Israel, Petach Tikva 4920235, Israel
    Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 3498838, Israel)

Abstract

The COVID-19 pandemic and response, which included physical distancing and stay-at-home orders, disrupted the daily lives of children and adolescents, isolating them from their peers, school, and other meaningful contacts. The present study aims to add to the accumulating evidence on the pandemic’s impact on child and adolescent suicidal behavior. Data were extracted from Schneider Children’s Medical Center of Israel’s pediatric emergency room (ER) admissions for psychiatric consultation for suicidal-risk assessment between 1 January 2020, and 16 April 2022. We applied time-lagged cross-correlation analysis and a Granger causality test to assess the temporal relationships between COVID-19 infection waves and patterns of suicide-related ER admissions. The results revealed a significant lagged correlation between national COVID-19 infection rates and ER admission rates. The highest correlation was above 0.4 and was found with a lag of 80 to 100 days from infection rate to ER admission rate. The findings show that the effects of public crises change over time and may be lagged. This may have important implications for mental health services’ readiness to serve growing numbers of children and adolescents at risk for suicide.

Suggested Citation

  • Tomer Mevorach & Gil Zur & Noa Benaroya-Milshtein & Alan Apter & Silvana Fennig & Shira Barzilay, 2023. "A Following Wave Pattern of Suicide-Related Pediatric Emergency Room Admissions during the COVID-19 Pandemic," IJERPH, MDPI, vol. 20(2), pages 1-8, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1619-:d:1037477
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    References listed on IDEAS

    as
    1. Chen Dror & Nimrod Hertz-Palmor & Yael Yadan-Barzilai & Talia Saker & Maya Kritchmann-Lupo & Yuval Bloch, 2022. "Increase in Referrals of Children and Adolescents to the Psychiatric Emergency Room Is Evident Only in the Second Year of the COVID-19 Pandemic—Evaluating 9156 Visits from 2010 through 2021 in a Singl," IJERPH, MDPI, vol. 19(15), pages 1-8, July.
    2. Andrés Ayala & Pablo Villalobos Dintrans & Felipe Elorrieta & Claudio Castillo & Claudio Vargas & Matilde Maddaleno, 2021. "Identification of COVID-19 Waves: Considerations for Research and Policy," IJERPH, MDPI, vol. 18(21), pages 1-8, October.
    3. Granger, C W J, 1969. "Investigating Causal Relations by Econometric Models and Cross-Spectral Methods," Econometrica, Econometric Society, vol. 37(3), pages 424-438, July.
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