Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from 4 centres in Italy

Beghi, Massimiliano; Ferrari, Silvia; Brandolini, Riccardo; Casolaro, Ilaria; Balestrieri, Matteo; Colli, Chiara; Fraticelli, Carlo; Lorenzo, Rosaria Di; Paoli, Giovanni De; Nicotra, Alessandra; Pischiutta, Livia; Tedeschini, Enrico; Castelpietra, Giulio

doi:10.1080/13651501.2021.1980588

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…Indeed, although community services remained active during the emergency phases of the pandemic, outpatient visits and home care services may have faced significant rescheduling. Such a hypothesis is in line with converging evidence for the long-term effects of the pandemic in increasing access to emergency and acute mental health services [ 13 , 18 ].…”

Section: Discussionsupporting

confidence: 58%

Changes in Revolving-Door Mental Health Hospitalizations during the COVID-19 Pandemic: A 5-Year Chart Review Study

Napoli¹,

Garzitto

Magliulo³

et al. 2023

JCM

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This study assessed changes in revolving-door (RD) mental health hospitalizations during the COVID-19 pandemic. A 5-year retrospective hospital chart review was performed, collecting revolving-door hospitalization, sociodemographic, and clinical data. Out of 1036 patients, 5.69% had RD hospitalizations, which accounted for 10.38% of all recorded hospitalizations. Further, a higher number of RD hospitalizations occurred following the pandemic outbreak, which is unlikely to have been a result of the confounding effect of trimester and month of hospitalization. Finally, several sociodemographic and clinical characteristics recurred more frequently in the context of RD hospitalizations, such as being younger, being compulsorily admitted, being an absconding patient, and being referred by a public service. Certain diagnostic categories occurred more frequently among RD hospitalizations, including psychotic, personality, and substance use disorders, as well as intellectual disability. Patients with specific characteristics are more likely to incur in RD hospitalizations, requiring the implementation of supportive treatment plans, especially following the pandemic outbreak.

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Section: Discussionsupporting

confidence: 58%

Changes in Revolving-Door Mental Health Hospitalizations during the COVID-19 Pandemic: A 5-Year Chart Review Study

Napoli¹,

Garzitto

Magliulo³

et al. 2023

JCM

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“…The improvement in coping strategy of severe psychiatric patients in critical periods 31,32 and more similar condition to the general populations could improve the mental health of the more severe patients, along with the increase of patients and family's support. 18 Moreover, the reduction of Emergency Room (ER) admissions for psychiatric disorders 3,4,33 in the lockdown period attributable to the fear of the contagion, 34 especially in older people, 35 could also delay the diagnosis of new onset psychiatric disorders. A multicen-ter study carried out in Italian ERs, 35 in line with this hypothesis, found a 50% reduction of admissions also for non psychiatric patients, especially for less severe reasons (white and green codes) while no changes were found for the most severe reasons (red codes).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric ward admissions during the COVID-19 pandemic in Canton of Ticino (Swiss Confederation) and the province of Como (Italy): a comparison between two different systems of care and outbreak response strategies

Beghi¹,

Alamia

Alippi

et al. 2023

Emerg Care J

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The aim of the study was to estimate the effect of the COVID- 19 pandemic and response policies on the psychiatric ward admissions in the hospitals referring to the ASST Lariana (province of Como, Italy) and the Hospital of Mendrisio (Canton of Ticino, Switzerland), two similar territories that belong to countries that dealt differently with the pandemic. We compared the two territories for type of admission (voluntary vs. compulsory), the Stringency Index (SI) and the country’s number of admission in Intensive Care Units (ICU). We found a significant reduction in the psychiatric ward admission in the lockdown period in both territories, even in periods with milder lockdown measures. The admission rate’s reduction in the ASST Lariana was significantly associated with the ICU admissions (p<0.001). In the Hospital of Mendrisio, admissions included a weekly seasonality, were significantly correlated with SI (p=0.001) and period (pre-pandemic and pandemic; p<0.001) and we observed also a significant reduction of compulsory admission that is influenced both by the stringency index (p<0.001) and period (p<0.001). The differences between the two territories seem influenced by the different mental health systems.

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“…These concerns were based not only on the increase in rates of MDD, but also on a prosuicidal effect identified in pre-pandemic studies for factors such as job loss, social isolation, bereavement, domestic violence and disruption of mental health services. The dramatic increase in the prevalence of these problems was reported in studies conducted after the outbreak of the pandemic (6)(7)(8)(9)(10). In addition, the SARS-CoV-2 virus affects several biological processes that may be involved in the development of suicidal behavior (e.g., the rennin-angiotensin system, nicotinic receptors, and central and systemic inflammation) (11,12).…”

Section: Introductionmentioning

confidence: 99%

Suicide risk in patients with a current depressive episode during the COVID-19 pandemic

Zinchuk,

Kustov,

Beghi

et al. 2024

Front. Psychiatry

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IntroductionThe prevalence of major depressive disorder (MDD) increased during the COVID-19 pandemic. Data on suicidality in these patients during the pandemic period remain scarce. The aim of the study was to determine the prevalence and variables associated with serious suicide risk in Russian inpatients with MDD during the COVID-19 pandemic.MethodsA cross-sectional cohort study with consecutive sampling was conducted from January 1, 2021 to December 31, 2021. All patients completed the Mini International Neuropsychiatric Interview (M.I.N.I.) (including the suicidality module), the Beck Depression Inventory, and the State-Trait Anxiety Inventory, and underwent a semi-structured interview to collect relevant demographic and clinical data. Effect sizes for all independent variables and covariates were calculated using partial eta-squared (ηp2).ResultsOf the 6757 patients with non-psychotic mental disorders assessed, 1605 (23.7%) had MDD confirmed by the M.I.N.I., of whom 17.8% were at serious risk for suicide according to the M.I.N.I. suicidality module. Factors independently associated with serious suicide risk in Russian inpatients with MDD during the pandemic were younger age (ηp2 = 0.021), greater severity of depression (0.038), higher state anxiety (0.003), and nonsuicidal self-injury (NSSI) (0.066). The same variables, except for state anxiety, were independently associated with suicide risk in the subgroup of MDD patients previously infected with SARS-CoV2.ConclusionIn the COVID-19 pandemic, the proportion of patients with MDD at serious risk of suicide was similar to pre-pandemic data. No associations were found between suicidality in patients with MDD and COVID-related factors. Younger age, greater severity of depression, and especially NSSI were the most significant risk factors for suicide in patients with MDD during the COVID-19 pandemic.

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Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from 4 centres in Italy

Cited by 7 publications

References 15 publications

Changes in Revolving-Door Mental Health Hospitalizations during the COVID-19 Pandemic: A 5-Year Chart Review Study

Changes in Revolving-Door Mental Health Hospitalizations during the COVID-19 Pandemic: A 5-Year Chart Review Study

Psychiatric ward admissions during the COVID-19 pandemic in Canton of Ticino (Swiss Confederation) and the province of Como (Italy): a comparison between two different systems of care and outbreak response strategies

Suicide risk in patients with a current depressive episode during the COVID-19 pandemic

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