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Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study

The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency with profound mental health consequences. The psychiatric emergency department (ED) plays a key role during this mental health crisis. This study aimed to investigate differences in admissions at a Swiss psychiatric ED fro...

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Autores principales: Ambrosetti, Julia, Macheret, Laura, Folliet, Aline, Wullschleger, Alexandre, Amerio, Andrea, Aguglia, Andrea, Serafini, Gianluca, Prada, Paco, Kaiser, Stefan, Bondolfi, Guido, Sarasin, François, Costanza, Alessandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908206/
https://www.ncbi.nlm.nih.gov/pubmed/33525740
http://dx.doi.org/10.3390/ijerph18031174
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author Ambrosetti, Julia
Macheret, Laura
Folliet, Aline
Wullschleger, Alexandre
Amerio, Andrea
Aguglia, Andrea
Serafini, Gianluca
Prada, Paco
Kaiser, Stefan
Bondolfi, Guido
Sarasin, François
Costanza, Alessandra
author_facet Ambrosetti, Julia
Macheret, Laura
Folliet, Aline
Wullschleger, Alexandre
Amerio, Andrea
Aguglia, Andrea
Serafini, Gianluca
Prada, Paco
Kaiser, Stefan
Bondolfi, Guido
Sarasin, François
Costanza, Alessandra
author_sort Ambrosetti, Julia
collection PubMed
description The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency with profound mental health consequences. The psychiatric emergency department (ED) plays a key role during this mental health crisis. This study aimed to investigate differences in admissions at a Swiss psychiatric ED from 1 April to 15 May during a “pandemic-free” period in 2016 and a “during-pandemic” period in 2020. The study included 579 consultations at psychiatric ED in the “during-pandemic” period and 702 in the “pandemic-free” period. Sociodemographic and clinical characteristics were compared, and logistic regression analysis was performed to identify variables associated with psychiatric admissions during the pandemic. A reduction in total psychiatric ED admissions was documented during COVID-19. Logistic regression analysis predicted the independent variable (ED admission during the pandemic) and estimated odds ratio (OR) for being unmarried/not in a relationship, arrival in an ambulance, suicidal behavior, behavioral disorders and psychomotor agitation. Though only statistically significant in bivariate analysis, patients were also more likely to be involuntarily hospitalized. This picture appears to be reversed from a sociodemographic and clinical point of view to our observation of psychiatric ED consultation in 2016. These findings highlight that the reduction in psychiatric ED admissions during the pandemic seems to be associated with living alone and more severe psychopathologies, which must alert psychiatrists to ensure access to mental health care in times of pandemic.
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spelling pubmed-79082062021-02-27 Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study Ambrosetti, Julia Macheret, Laura Folliet, Aline Wullschleger, Alexandre Amerio, Andrea Aguglia, Andrea Serafini, Gianluca Prada, Paco Kaiser, Stefan Bondolfi, Guido Sarasin, François Costanza, Alessandra Int J Environ Res Public Health Article The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency with profound mental health consequences. The psychiatric emergency department (ED) plays a key role during this mental health crisis. This study aimed to investigate differences in admissions at a Swiss psychiatric ED from 1 April to 15 May during a “pandemic-free” period in 2016 and a “during-pandemic” period in 2020. The study included 579 consultations at psychiatric ED in the “during-pandemic” period and 702 in the “pandemic-free” period. Sociodemographic and clinical characteristics were compared, and logistic regression analysis was performed to identify variables associated with psychiatric admissions during the pandemic. A reduction in total psychiatric ED admissions was documented during COVID-19. Logistic regression analysis predicted the independent variable (ED admission during the pandemic) and estimated odds ratio (OR) for being unmarried/not in a relationship, arrival in an ambulance, suicidal behavior, behavioral disorders and psychomotor agitation. Though only statistically significant in bivariate analysis, patients were also more likely to be involuntarily hospitalized. This picture appears to be reversed from a sociodemographic and clinical point of view to our observation of psychiatric ED consultation in 2016. These findings highlight that the reduction in psychiatric ED admissions during the pandemic seems to be associated with living alone and more severe psychopathologies, which must alert psychiatrists to ensure access to mental health care in times of pandemic. MDPI 2021-01-28 2021-02 /pmc/articles/PMC7908206/ /pubmed/33525740 http://dx.doi.org/10.3390/ijerph18031174 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ambrosetti, Julia
Macheret, Laura
Folliet, Aline
Wullschleger, Alexandre
Amerio, Andrea
Aguglia, Andrea
Serafini, Gianluca
Prada, Paco
Kaiser, Stefan
Bondolfi, Guido
Sarasin, François
Costanza, Alessandra
Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study
title Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study
title_full Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study
title_fullStr Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study
title_full_unstemmed Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study
title_short Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study
title_sort impact of the covid-19 pandemic on psychiatric admissions to a large swiss emergency department: an observational study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908206/
https://www.ncbi.nlm.nih.gov/pubmed/33525740
http://dx.doi.org/10.3390/ijerph18031174
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