Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline calls

Background: The SARS-CoV-2 pandemic precipitated disruptions and limitations in medical services which led to changes in help-seeking behaviour. There was a surge the demand for crisis hotlines. The “Info-Telefon Depression”, a hotline primarily focused on offering information about depressive disor...

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Main Authors: Jil Zippelius, Simon Schreynemackers, Ulrich Hegerl, Hanna Reich
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Journal of Affective Disorders Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666915325000150
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author Jil Zippelius
Simon Schreynemackers
Ulrich Hegerl
Hanna Reich
author_facet Jil Zippelius
Simon Schreynemackers
Ulrich Hegerl
Hanna Reich
author_sort Jil Zippelius
collection DOAJ
description Background: The SARS-CoV-2 pandemic precipitated disruptions and limitations in medical services which led to changes in help-seeking behaviour. There was a surge the demand for crisis hotlines. The “Info-Telefon Depression”, a hotline primarily focused on offering information about depressive disorders rather than crisis intervention. This study investigated the impact of the SARS-CoV-2 pandemic on hotline usage trends through a time-series analysis. Methods: Based on longitudinal data from 2018 to 2022 predictive models were developed for caller trends on the Info-Telefon Depression. These predictive models were validated by comparing the anticipated caller volumes with actual observations. Unique weekly seasonality parameters were assigned to the lockdown phases to capture anticipated variations in calling patterns. Furthermore, rolling back cross-validation was employed to iteratively assess mean absolute errors over one-month periods during the pre-phase, the SARS-CoV-2-phase and the post-phase to explore variations in forecast quality across these timeframes. Results: There were 56 more calls observed during the first lockdown phase than anticipated by the forecast model, a statistically significant finding (P < 0.005). During the second lockdown phase, the difference was even greater (P < 0.005) with 262 calls more than expected. The modelling accuracy of the prophet models has differences between the phases indicating that the SARS-CoV-2-phase has a different dynamic. Conclusion: The study demonstrated that information-seeking behaviour changed during the pandemic, especially during the lockdown phases. In the event of health crises, more resources must be allocated to meet the increased demand for mental health services. Further research needs to explore the pandemic preparedness and crisis readiness.
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spelling doaj-art-b29b1a9b4047448a8b2499b3181310b52025-02-12T05:32:59ZengElsevierJournal of Affective Disorders Reports2666-91532025-04-0120100885Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline callsJil Zippelius0Simon Schreynemackers1Ulrich Hegerl2Hanna Reich3Depression Research Centre of the German Foundation for Depression and Suicide Prevention, Department for Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, Germany; Correspondence author at Heinrich-Hoffmann-Straße 10, 60528, Frankfurt am Main.Depression Research Centre of the German Foundation for Depression and Suicide Prevention, Department for Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, GermanyDepression Research Centre of the German Foundation for Depression and Suicide Prevention, Department for Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, Germany; Johann Christian Senckenberg Distinguished Professorship, Department for Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, GermanyDepression Research Centre of the German Foundation for Depression and Suicide Prevention, Department for Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, GermanyBackground: The SARS-CoV-2 pandemic precipitated disruptions and limitations in medical services which led to changes in help-seeking behaviour. There was a surge the demand for crisis hotlines. The “Info-Telefon Depression”, a hotline primarily focused on offering information about depressive disorders rather than crisis intervention. This study investigated the impact of the SARS-CoV-2 pandemic on hotline usage trends through a time-series analysis. Methods: Based on longitudinal data from 2018 to 2022 predictive models were developed for caller trends on the Info-Telefon Depression. These predictive models were validated by comparing the anticipated caller volumes with actual observations. Unique weekly seasonality parameters were assigned to the lockdown phases to capture anticipated variations in calling patterns. Furthermore, rolling back cross-validation was employed to iteratively assess mean absolute errors over one-month periods during the pre-phase, the SARS-CoV-2-phase and the post-phase to explore variations in forecast quality across these timeframes. Results: There were 56 more calls observed during the first lockdown phase than anticipated by the forecast model, a statistically significant finding (P < 0.005). During the second lockdown phase, the difference was even greater (P < 0.005) with 262 calls more than expected. The modelling accuracy of the prophet models has differences between the phases indicating that the SARS-CoV-2-phase has a different dynamic. Conclusion: The study demonstrated that information-seeking behaviour changed during the pandemic, especially during the lockdown phases. In the event of health crises, more resources must be allocated to meet the increased demand for mental health services. Further research needs to explore the pandemic preparedness and crisis readiness.http://www.sciencedirect.com/science/article/pii/S2666915325000150Covid 19Information seeking behaviourMental health
spellingShingle Jil Zippelius
Simon Schreynemackers
Ulrich Hegerl
Hanna Reich
Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline calls
Journal of Affective Disorders Reports
Covid 19
Information seeking behaviour
Mental health
title Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline calls
title_full Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline calls
title_fullStr Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline calls
title_full_unstemmed Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline calls
title_short Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline calls
title_sort heightened demand for mental health information resources during the sars cov 2 pandemic in germany a retrospective longitudinal analysis of helpline calls
topic Covid 19
Information seeking behaviour
Mental health
url http://www.sciencedirect.com/science/article/pii/S2666915325000150
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