Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality
| Autor: | Boldrini, Tommaso, Girardi, Paolo, Clerici, Massimo, Conca, Andreas, Creati, Chiara, Di Cicilia, Giuseppe, Ducci, Giuseppe, Durbano, Federico, Maci, Carlo, Maone, Antonio, Nicolò, Giuseppe, Oasi, Osmano, Percudani, Mauro, Polselli, Gian Marco, Pompili, Maurizio, Rossi, Alessandro, Salcuni, Silvia, Tarallo, Federica, Vita, Antonio, Lingiardi, Vittorio, Barlati, Stefano, Bertoldi, De, Francesco, Carnaghi, Giulia, Chiesa, Giovanni, Lelli, Dell'Erba, Alice, Elmo, Maria Giuseppa, Malvini, Lara, Monaco, Leonardo, Erbuto, Denise, Pessina, Rodolfo Luigi, Pontillo, Maria, Riggio, Francesco, Rossi, Chiara, Santorelli, Mario, Schiano Lomoriello, Arianna, Tamorri, Stefano Maria, Venturini, Paola, Vicari, Stefano |
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| Přispěvatelé: | Boldrini, T, Girardi, P, Clerici, M, Conca, A, Creati, C, Di Cicilia, G, Ducci, G, Durbano, F, Maci, C, Maone, A, Nicolo, G, Oasi, O, Percudani, M, Polselli, G, Pompili, M, Rossi, A, Salcuni, S, Tarallo, F, Vita, A, Lingiardi, V, Barlati, S, de Bertoldi, F, Carnaghi, G, Chiesa, G, Dell'Erba, A, Elmo, M, Malvini, L, Monaco, L, Erbuto, D, Pessina, R, Pontillo, M, Riggio, F, Rossi, C, Santorelli, M, Lomoriello, A, Tamorri, S, Venturini, P, Vicari, S |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Settore M-PSI/01 - Psicologia Generale
Adult Male Settore M-PSI/07 - PSICOLOGIA DINAMICA medicine.medical_specialty Coronavirus disease 2019 (COVID-19) COVID-19 Emergency psychiatric department General hospital psychiatric ward Hospital admission Psychiatric hospitalization Suicidality Psychiatric Department Hospital Article Suicidal Ideation symbols.namesake Hospital Young Adult Older patients Pandemic medicine Humans In patient Poisson regression General hospital Young adult Psychiatry Suicidal ideation Biological Psychiatry Aged Pharmacology business.industry Settore M-PSI/03 - Psicometria Age Factors Length of Stay Middle Aged Hospitalization Italy Communicable Disease Control Female Psychiatric Department symbols medicine.symptom business |
| Zdroj: | Progress in Neuro-Psychopharmacology & Biological Psychiatry |
| Popis: | Aims: The present investigation aimed at evaluating differences in psychiatric hospitalizations in Italy during and after the lockdown due to the novel coronavirus disease 2019 (COVID-19), compared to the same periods in 2018 and 2019. Methods: We obtained and analyzed anonymized data on psychiatric admissions (n = 4550) from 12 general hospital psychiatric wards (GHPWs) in different Italian regions (catchment area = 3.71 millions of inhabitants). Using a mixed-effects Poisson regression model, we compared admission characteristics across three periods: (a) March 1–June 30, 2018 and 2019; (b) March 1–April 30, 2020 (i.e., lockdown); and (c) May 1–June 30, 2020 (i.e., post-lockdown). Results: During the COVID-19 lockdown, there was a 41% reduction (IRR = 0.59; p < 0.001, CI: 0.45–0.79) in psychiatric admissions in the enrolled GHPWs with respect to the 2018 and 2019 control period. Conversely, admission rates in the post-lockdown period were similar to those observed in the control period. Notably, a consistent and significant reduction in psychiatric hospitalizations of older patients (aged >65 years) was observed in the lockdown (40%; IRR = 0.60; 95% CI: 0.44–0.82) and post-lockdown (28%; IRR = 0.72; 95% CI: 0.54–0.96) periods. Long-stay admissions (>14 days) increased (63%; IRR = 1.63; 95% CI: 1.32–2.02) during the lockdown and decreased by 39% thereafter (IRR = 0.61; 95% CI: 0.49–0.75). A significant 35% increase in patients reporting suicidal ideation was observed in the post-lockdown period, compared to the rate observed in the 2018 and 2019 control period (IRR = 1.35; 95% CI: 1.01–1.79). Conclusion: The COVID-19 lockdown was associated with changes in the number of psychiatric admissions, particularly for older patients and long-stay hospitalizations. Increased admission of patients reporting suicidal ideation in the post-lockdown period merits special attention. Further studies are required to gain insight into the observed phenomena. |
| Databáze: | OpenAIRE |
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