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Updated: Sep 19, 2025

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

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Published on: September 24, 2020

Veteran Mental Health Emergency Care Utilization Following SARS-CoV-2 Infection.

Jason I Chen^1,2, Meike Niederhausen^1,3, David P Bui¹

¹Center to Improve Veteran Involvement in Care, VA Portland Health Care System (HCS), Portland, Oregon, USA.

Health Services Research

|June 6, 2025

Summary

Veterans who contracted SARS-CoV-2 (the virus that causes COVID-19) experienced a 48% increased risk of needing mental health emergency care. This highlights the importance of mental health support following COVID-19 infection.

Keywords:

VA health care system ambulatory cohort analysis mental health observational data outpatient care psychiatry quasi‐experiments

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Area of Science:

Public Health
Infectious Diseases
Mental Health Services Research

Background:

The COVID-19 pandemic has raised concerns about long-term health consequences, including mental health impacts.
Understanding the risk of mental health emergency care utilization after SARS-CoV-2 infection is crucial for healthcare planning.

Purpose of the Study:

To determine if Veterans infected with SARS-CoV-2 have a higher risk of requiring mental health emergency care (MHEC) compared to uninfected individuals.
To quantify the association between SARS-CoV-2 infection and subsequent MHEC utilization.

Main Methods:

A national retrospective cohort study using Veterans Health Administration (VHA) data was conducted.
A target trial emulation framework was used to analyze long-term outcomes.
Uninfected Veterans were matched to SARS-CoV-2 infected Veterans based on demographics, clinical factors, and healthcare utilization.

Main Results:

The study included over 200,000 SARS-CoV-2 infected Veterans and over 1 million uninfected comparators.
The incidence of MHEC use within 365 days post-infection was significantly higher in the SARS-CoV-2 group (Hazard Ratio = 1.48).
A higher hazard for MHEC use was observed across all analyzed timeframes for SARS-CoV-2 patients.

Conclusions:

SARS-CoV-2 infection is associated with an increased need for mental health emergency care.
Enhanced care coordination for Veterans with existing mental health conditions may help alleviate post-infection distress.
Further research is recommended to identify specific factors, such as care continuity, contributing to MHEC use.