Psychiatric emergency admissions during and after COVID-19 lockdown: short-term impact and long-term implications on mental health.

Autor: Ambrosetti J; Department of Psychiatry and Department of Emergency, Emergency Psychiatric Unit (UAUP), Geneva University Hospitals (HUG), 1211, Geneva, Switzerland. julia.ambrosetti@hcuge.ch., Macheret L; Department of Psychiatry and Department of Emergency, Emergency Psychiatric Unit (UAUP), Geneva University Hospitals (HUG), 1211, Geneva, Switzerland., Folliet A; Department of Psychiatry and Department of Emergency, Emergency Psychiatric Unit (UAUP), Geneva University Hospitals (HUG), 1211, Geneva, Switzerland., Wullschleger A; Adult Psychiatry Division, Department of Psychiatry, University Hospital of Geneva (HUG), Geneva, Switzerland., Amerio A; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132, Genoa, Italy.; IRCCS Ospedale Policlinico San Martino, 16132, Genoa, Italy., Aguglia A; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132, Genoa, Italy.; IRCCS Ospedale Policlinico San Martino, 16132, Genoa, Italy., Serafini G; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132, Genoa, Italy.; IRCCS Ospedale Policlinico San Martino, 16132, Genoa, Italy., Prada P; Faculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.; Department of Psychiatry, Service of Liaison Psychiatry and Crisis Intervention (SPLIC), Geneva University Hospitals (HUG), 1211, Geneva, Switzerland., Kaiser S; Adult Psychiatry Division, Department of Psychiatry, University Hospital of Geneva (HUG), Geneva, Switzerland.; Faculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland., Bondolfi G; Faculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.; Department of Psychiatry, Service of Liaison Psychiatry and Crisis Intervention (SPLIC), Geneva University Hospitals (HUG), 1211, Geneva, Switzerland., Sarasin F; Faculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.; Department of Emergency, Emergency Medicine Unit, Geneva University Hospitals (HUG), 1211, Geneva, Switzerland., Costanza A; Faculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2021 Sep 24; Vol. 21 (1), pp. 465. Date of Electronic Publication: 2021 Sep 24.
DOI: 10.1186/s12888-021-03469-8
Abstrakt: Background: The 'lockdown' measures, adopted to restrict population movements in order to help curb the novel coronavirus disease 2019 (COVID-19) pandemic, contributed to a global mental health crisis. Although several studies have extensively examined the impact of lockdown measures on the psychological well-being of the general population, little is known about long-term implications. This study aimed to identify changes in psychiatric emergency department (ED) admissions between two 8-week periods: during and immediately after lifting the lockdown.
Methods: Socio-demographic and clinical information on 1477 psychiatric ED consultations at the University Hospital of Geneva (HUG) were retrospectively analyzed.
Results: When grouped according to admission dates, contrary to what we expected, the post-lockdown group presented with more severe clinical conditions (as measured using an urgency degree index) compared to their lockdown counterparts. Notably, after the lockdown had been lifted we observed a statistically significant increase in suicidal behavior and psychomotor agitation and a decrease in behavior disorder diagnoses. Furthermore, more migrants arrived at the HUG ED after the lockdown measures had been lifted. Logistic regression analysis identified diagnoses of suicidal behavior, behavioral disorders, psychomotor agitation, migrant status, involuntary admission, and private resident discharge as predictors of post-lockdown admissions.
Conclusions: Collectively, these findings can have implications concerning the prioritization of mental health care facilities and access for patients at risk of psychopathological decompensation in time of confinement policies, but above all, provide a foundation for future studies focusing on the long-term impact of the pandemic and its associated sanitary measures on mental health.
Trial Registration: Research Ethics Committee of Geneva, Registration number 2020-01510, approval date: 29 June 2020.
(© 2021. The Author(s).)
Databáze: MEDLINE
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