COVID-19パンデミック開始以降、精神的危機に陥る子供や青年が増加(More children and adolescents in mental health crisis since beginning of COVID-19 pandemic: study)


2023-05-03 ニューサウスウェールズ大学(UNSW)



COVID-19 and Pediatric Mental Health Hospitalizations

Jahidur Rahman Khan, Nan Hu, Ping-I Lin, Valsamma Eapen, Natasha Nassar, James John, Jackie Curtis, Maugan Rimmer, Fenton O’Leary, Barb Vernon, Raghu Lingam
Paediatrics  Published:April 14 2023

Monthly observed (solid line) and forecasted (dashed line) numbers of all mental health-related hospital admissions during the pre–COVID-19 and the COVID-19 periods in Australia (panels A and B); cumulative differences between forecasted and observed numbers of admissions in the COVID-19 period (panels C and D). Note the first row displays the forecasts in the COVID-19 restriction period on the basis of data in the pre–COVID-19 period (panels A and C), and the second row displays the forecasts in the COVID-19 restriction-eased period on the basis of data in the pre–COVID-19 and the restriction periods (panels B and D).

To analyze Australian national data to examine the impact of the coronavirus disease 2019 (COVID-19) pandemic on mental health-related hospital presentations among children and adolescents during the pandemic period with restrictions, and the period after the restrictions eased.

We analyzed the monthly mental health-related inpatient admissions and emergency department (ED) attendances data from 6 large pediatric hospitals across Australia, using the Bayesian structural time series models. The COVID-19 restriction period was from March 2020 to December 2021 and the COVID-19 restriction-eased period from January to June 2022.

A total of 130 801 mental health-related hospital admissions (54 907) and ED attendances (75 894) were analyzed. During the COVID-19 restriction period, there was a significant increase in inpatient admissions related to deliberate self-harm behaviors (82%, 95% credible interval [CrI], 7%–160%) and ED attendances related to overall mental health disorders (15%, 95% CrI, 1.1%–30%) and eating disorders (76%, 95% CrI, 36%–115%). The increase was higher among females and those living in the least socioeconomically disadvantaged areas, suggesting a widening gap between mental health-related presentations by sex and socioeconomic status. After the restrictions eased, there were slight declines in mental health-related hospital presentations; however, the numbers remained higher than the pre–COVID-19 levels.

The increase in mental health-related hospital presentations during the COVID-19 period calls for additional support for pediatric mental health care, particularly for eating disorders and deliberate self-harm among female adolescents. It is important to monitor pediatric mental health service use as we enter “COVID-19 normal” period.