Auswirkungen der Covid-19-Pandemie auf die psychiatrische Versorgung – eine Sekundärdatenanalyse auf der Grundlage von AOK-Versichertendaten

Engels, Alexander; Stein, Janine; Konnopka, Claudia; Eichler, Uwe; Riedel‐Heller, Steffi G.; König, Hans‐Helmut

doi:10.1007/978-3-662-64685-4_7

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…We recommend an increase in availability and accessibility of psychological support programs, which can addresses worries specific to this group of caregivers of older adults and may be helpful to lower their mental health burden. Even regular mental health support (e.g., psychotherapeutic care) had been negatively affected during the pandemic in Germany ( Engels et al., 2022 ), which can be especially problematic for vulnerable populations such as informal caregivers. Thus, in preparation for future crises, political emergency plans need to consider this vulnerable group of caregivers of older adults in terms of providing them with more support options specific to their needs.…”

Section: Discussionmentioning

confidence: 99%

Mental health, social integration and support of informal caregivers during the second wave of the COVID-19 pandemic: A population-based representative study from Germany

Zwar

König

Hajek

2023

Archives of Gerontology and Geriatrics

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Section: Discussionmentioning

confidence: 99%

Mental health, social integration and support of informal caregivers during the second wave of the COVID-19 pandemic: A population-based representative study from Germany

Zwar

König

Hajek

2023

Archives of Gerontology and Geriatrics

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Temporal and spatial changes in the provision of mental health care during the COVID-19 pandemic in Germany: a claims-based cohort study on patients with severe mental disorders

Engels,

Stein,

Riedel-Heller

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Purpose Major lockdowns were imposed in Germany from March until May 2020 and from December 2020 until May 2021. We studied the influence of these lockdowns, the strain on intensive care units and the strictness of COVID-19-related containment strategies on the utilization of mental health care among patients with severe mental disorders. Methods We used health insurance claims data to identify n = 736,972 patients with severe mental disorders shortly before the pandemic and n = 735,816 patients a year earlier. We applied entropy balancing to adjust for baseline differences by district. For a 12-month follow-up, we modeled monthly changes in utilization through meta-analytic models using both the COVID-19 stringency index and intensive care unit cases per 100,000 inhabitants as predictors. Our outcomes were changes in psychiatric hospital days and time treated by outpatient psychiatrists. Results Psychiatric hospital days declined by at least 7.7% in all calender month during the pandemic. Peak reduction rates were observed in April (− 27.9%), May (− 22.3%) 2020 and January 2021 (− 18.3%). Utilization changes were associated with the stringency index and the second lockdown. Time treated by psychiatrists was shorter in April (− 16.2%) and May (− 11.5%) 2020 and in January 2021 (− 10.5%), which was partially offset by higher utilization in June and September 2020. These utilization changes were associated with the stringency index and the strain on intensive care units during both lockdowns. Conclusion Hospitals did not maintain the level of utilization during the pandemic, while outpatient psychiatrists adapted more quickly, presumably due to digital and telemedical care.

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The development of suicide risk in people with severe mental disorders during the first year of the COVID-19 pandemic: a claims-based cohort study

Engels,

Stein,

Riedel-Heller

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Purpose In this study, we assess how the first and second waves of the COVID-19 pandemic influenced the suicide risk of patients with severe mental disorders in Germany. Methods We analyzed German health insurance claims data to compare the suicide risk of patients with severe mental disorders before and during the pandemic. We included n = 690,845 patients between October 2019 and March 2020 and n = 693,457 patients the corresponding period of the previous year and applied entropy balancing to adjust for confounding covariates. Given that the cause of death was unknown, we defined potential suicides as deaths of patients with a history of intentional self-harm whose passing could not be explained by COVID-19. Potential suicides were tracked in both cohorts over one year and compared using logistic regression. Results 128 potential suicides were identified in the period during and 101 before the pandemic. This corresponded to a significant increase in the risk for potential suicide of 27.4% compared to the control period (β = 0.24, z = 1.82, p < 0.05). Conclusion The noticeable increase in the risk for potential suicide for patients with severe pre-existing mental disorders emphasizes the call for additional efforts to prevent suicide and to help patients cope with their mental illness in the aftermath of the COVID-19 crisis.

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Auswirkungen der Covid-19-Pandemie auf die psychiatrische Versorgung – eine Sekundärdatenanalyse auf der Grundlage von AOK-Versichertendaten

Cited by 4 publications

References 16 publications

Mental health, social integration and support of informal caregivers during the second wave of the COVID-19 pandemic: A population-based representative study from Germany

Mental health, social integration and support of informal caregivers during the second wave of the COVID-19 pandemic: A population-based representative study from Germany

Temporal and spatial changes in the provision of mental health care during the COVID-19 pandemic in Germany: a claims-based cohort study on patients with severe mental disorders

The development of suicide risk in people with severe mental disorders during the first year of the COVID-19 pandemic: a claims-based cohort study

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