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3 results

  • Impact of COVID-19 on referrals to paediatric liaison psychiatry at Children's Health Ireland at Crumlin as the pandemic moved to endemic status

  • B. Sun, D. Adamis, F. McNicholas
  • Journal:
    BJPsych Open / Volume 10 / Issue 5 / September 2024
    Published online by Cambridge University Press:
    04 October 2024, e171
    • Article
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  • Background

    Rates of acute mental health presentations in youth were increasing pre-pandemic internationally. Longitudinal studies following COVID-19 attest to ongoing deterioration in youth mental health, recognising adverse unintended consequences following public health restrictions.

    Aims

    To examine whether the initial post-COVID-19 increase in mental health presentations persisted following the reclassification of COVID-19 to endemic status, accompanied by the removal of most restrictions.

    Method

    All referrals to paediatric liaison psychiatry (PLP) between January 2018 and December 2022 in a Dublin tertiary children's hospital were included in the study. An interrupted time series analysis with autoregressive integrated moving average models was conducted, examining referrals with respect to different phases of COVID-19 and application of public health restrictions.

    Results

    Some 1385 referrals to PLP were received over the 5-year study. There was a significant decrease in PLP referrals immediately post-COVID-19, followed by a significant and sustained increase as the pandemic progressed and moved to endemic status. Public health restriction phases had a unique effect on those presenting with suicidal ideation, with a significant increase in the number of referrals. There was no effect of restrictions on other clinical profiles.

    Conclusions

    Increased referrals for youth with mental health difficulties, reported during the COVID-19 pandemic, persisted into the early endemic stage, after COVID-19 public health restrictions ceased. Specific impacts of restrictions on suicidal ideation referrals require further study. Investment in child and adolescent mental health services remains a priority, and future pandemic response strategies need to examine unintended consequences of any enforced public health measure.

  • 11 - Reframing the Indian Dead: Removal-Era Cherokee Graves and the Changing Landscape of Southern Memory

  • Edited by Craig Thompson Friend, North Carolina State University, Lorri Glover, St Louis University, Missouri
  • Book:
    Death and the American South
    Published online:
    05 November 2014
    Print publication:
    24 November 2014, pp 250-274

  • Summary

    Yellow fever was a regular visitor to the Old South, and Charleston had the displeasure of bearing the brunt of yellow fever mortalities, rivaled only by New Orleans and Savannah in death rates. European immigrants who settled in Charleston died at higher rates than native white Southerners for a variety of reasons, mostly related to lack of resistance to the disease but also indicative of social class and gender. Yellow fever also threatened people legally defined as property. Charleston was an urban slave society, and when slaves died of yellow fever, the monetary losses inspired slaveholding elite to support public health measures. Relations between Irish and African Americans were generally more hostile than those between Germans and black Southerners. Many immigrants had not been socialized to racism, and they were slow to react to the norms of southern society, especially as racial lines hardened in the late antebellum era.