A study of mental health (MH)-related emergency department (ED) visits during the pandemic found fluctuating patterns of visits relative to COVID-19 case surges, with increases after surges and variations both within and across racial and ethnic groups, researchers reported yesterday in JAMA Psychiatry.Using data from the National Syndromic Surveillance Program from January 2019 to Aug 14, 2021, researchers from the Centers for Disease Control and Prevention (CDC) compared MH-related ED visits for 10 mental health disorders the following ways:During a period of high Delta variant circulation (Jul 18 to Aug 14, 2021) with the pre-Delta period (Apr 18 to May 15, 2021)After a COVID-19 case peak (Feb 14 to Mar 13, 2021) with during a COVID-19 case peak (Dec 27, 2020 to Jan 23, 2021)During the Delta period and the period after a COVID-19 case peak with the respective corresponding weeks during the prepandemic periodThe MH disorders included anxiety, depressive, bipolar, schizophrenia spectrum, trauma- and stressor-related, obsessive-compulsive, eating, and tic disorders.Changes after COVID-19 peaksThe study included more than 107 million ED visits among adults aged 18 to 64 years; 55% were among adults aged 25 to 49 years, 30% were 50- to 64-year-olds, and 15% were 18 to 24.
After a decline in MH-related ED visits in March 2020, visit counts for most disorders rose in the spring, peaked from summer to mid-fall, then declined in late fall 2020.All MH-related ED visit counts (–3.3%), as well as counts for most specific disorders, stabilized in all ages between the Delta and pre-Delta periods (percentage change, −1.4% to −7.5%), except for eating disorders (−11.9%) and tic disorders (−19.8%) and after a COVID-19 case peak