Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality
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. We obtained and analyzed anonymized data on psychiatric admissions (n ...
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| Veröffentlicht in: | Progress in neuro-psychopharmacology & biological psychiatry 2021-08, Vol.110, p.110304-110304, Article 110304 |
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| creator | 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 |
| description | 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.
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).
During the COVID-19 lockdown, there was a 41% reduction (IRR = 0.59; p 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).
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.
•Admissions to General Hospital Psychiatric Wards during the COVID-19 pandemic in Italy were analyzed.•The COVID-19 lockdown led to a 41% reduction of psychiatric hospitalizations.•Significant changes in duration of hospital admissions and age of inpatients were observed.•In May-June 2020, a 35% increase in patients reporting suicidal ideation was observed.•Suicide prevention strategies are critically needed in the current scenario. |
| doi_str_mv | 10.1016/j.pnpbp.2021.110304 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8569419</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0278584621000634</els_id><sourcerecordid>2503630488</sourcerecordid><originalsourceid>FETCH-LOGICAL-c459t-5583a855a309a4e11a71695f3ff2e32bebd5c95a7517ef2a52517664cf7c43093</originalsourceid><addsrcrecordid>eNp9kdtqGzEQhkVpady0T1AouuzNujqs9lBoIbgnQyBQ2t4KWZqNZWxpK2lTnMfJk3YcJ6G56ZUG5vv_Gc1PyGvO5pzx5t1mPoZxNc4FE3zOOZOsfkJmvGu7qha8eUpmTGCturo5IS9y3jDGuGTyOTmRspWt4GpGbhYxZPg9QbCQaRxoWQNdXPxafqp4T0cTHOy8pTFQ43Y-Z484LZFeQoBktnQd8-gLFmPe27U3JSH9xySXqQ90iZ39e_od3GTBPWLuhf7alFtTHIUSm8BkRPPkrXfYLvuX5Nlgthle3b2n5OeXzz8W36rzi6_Lxdl5ZWvVl0qpTppOKSNZb2rg3LS86dUgh0GAFCtYOWV7ZVrFWxiEUQKLpqnt0NoaNfKUfDz6jtNqB85CKPhDPSa_M2mvo_H6cSf4tb6MV7pTTV_zg8HbO4MU8aK5aLyYhe3WBIhT1kIx2WBKXYeoPKI2xZwTDA9jONOHdPVG36arD-nqY7qoevPvhg-a-zgR-HAEAO905SHpbP0hWucT2KJd9P8d8BfM9rtL</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2503630488</pqid></control><display><type>article</type><title>Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>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</creator><creatorcontrib>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 ; The Italian Network for Research on Mental Health during COVID-19 Pandemic ; Italian Network for Research on Mental Health during COVID-19 Pandemic</creatorcontrib><description>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.
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).
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).
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.
•Admissions to General Hospital Psychiatric Wards during the COVID-19 pandemic in Italy were analyzed.•The COVID-19 lockdown led to a 41% reduction of psychiatric hospitalizations.•Significant changes in duration of hospital admissions and age of inpatients were observed.•In May-June 2020, a 35% increase in patients reporting suicidal ideation was observed.•Suicide prevention strategies are critically needed in the current scenario.</description><identifier>ISSN: 0278-5846</identifier><identifier>ISSN: 1878-4216</identifier><identifier>EISSN: 1878-4216</identifier><identifier>DOI: 10.1016/j.pnpbp.2021.110304</identifier><identifier>PMID: 33737215</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Aged ; Communicable Disease Control ; COVID-19 ; COVID-19 - complications ; COVID-19 - epidemiology ; COVID-19 - psychology ; Emergency psychiatric department ; Female ; General hospital psychiatric ward ; Hospital admission ; Hospitalization - statistics & numerical data ; Humans ; Italy - epidemiology ; Length of Stay - statistics & numerical data ; Male ; Middle Aged ; Psychiatric Department, Hospital - statistics & numerical data ; Psychiatric hospitalization ; Suicidal Ideation ; Suicidality ; Young Adult</subject><ispartof>Progress in neuro-psychopharmacology & biological psychiatry, 2021-08, Vol.110, p.110304-110304, Article 110304</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021 Elsevier Inc. All rights reserved. 2021 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-5583a855a309a4e11a71695f3ff2e32bebd5c95a7517ef2a52517664cf7c43093</citedby><cites>FETCH-LOGICAL-c459t-5583a855a309a4e11a71695f3ff2e32bebd5c95a7517ef2a52517664cf7c43093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pnpbp.2021.110304$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,778,782,883,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33737215$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boldrini, Tommaso</creatorcontrib><creatorcontrib>Girardi, Paolo</creatorcontrib><creatorcontrib>Clerici, Massimo</creatorcontrib><creatorcontrib>Conca, Andreas</creatorcontrib><creatorcontrib>Creati, Chiara</creatorcontrib><creatorcontrib>Di Cicilia, Giuseppe</creatorcontrib><creatorcontrib>Ducci, Giuseppe</creatorcontrib><creatorcontrib>Durbano, Federico</creatorcontrib><creatorcontrib>Maci, Carlo</creatorcontrib><creatorcontrib>Maone, Antonio</creatorcontrib><creatorcontrib>Nicolò, Giuseppe</creatorcontrib><creatorcontrib>Oasi, Osmano</creatorcontrib><creatorcontrib>Percudani, Mauro</creatorcontrib><creatorcontrib>Polselli, Gian Marco</creatorcontrib><creatorcontrib>Pompili, Maurizio</creatorcontrib><creatorcontrib>Rossi, Alessandro</creatorcontrib><creatorcontrib>Salcuni, Silvia</creatorcontrib><creatorcontrib>Tarallo, Federica</creatorcontrib><creatorcontrib>Vita, Antonio</creatorcontrib><creatorcontrib>Lingiardi, Vittorio</creatorcontrib><creatorcontrib>The Italian Network for Research on Mental Health during COVID-19 Pandemic</creatorcontrib><creatorcontrib>Italian Network for Research on Mental Health during COVID-19 Pandemic</creatorcontrib><title>Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality</title><title>Progress in neuro-psychopharmacology & biological psychiatry</title><addtitle>Prog Neuropsychopharmacol Biol Psychiatry</addtitle><description>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.
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).
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).
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.
•Admissions to General Hospital Psychiatric Wards during the COVID-19 pandemic in Italy were analyzed.•The COVID-19 lockdown led to a 41% reduction of psychiatric hospitalizations.•Significant changes in duration of hospital admissions and age of inpatients were observed.•In May-June 2020, a 35% increase in patients reporting suicidal ideation was observed.•Suicide prevention strategies are critically needed in the current scenario.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Communicable Disease Control</subject><subject>COVID-19</subject><subject>COVID-19 - complications</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - psychology</subject><subject>Emergency psychiatric department</subject><subject>Female</subject><subject>General hospital psychiatric ward</subject><subject>Hospital admission</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Psychiatric Department, Hospital - statistics & numerical data</subject><subject>Psychiatric hospitalization</subject><subject>Suicidal Ideation</subject><subject>Suicidality</subject><subject>Young Adult</subject><issn>0278-5846</issn><issn>1878-4216</issn><issn>1878-4216</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdtqGzEQhkVpady0T1AouuzNujqs9lBoIbgnQyBQ2t4KWZqNZWxpK2lTnMfJk3YcJ6G56ZUG5vv_Gc1PyGvO5pzx5t1mPoZxNc4FE3zOOZOsfkJmvGu7qha8eUpmTGCturo5IS9y3jDGuGTyOTmRspWt4GpGbhYxZPg9QbCQaRxoWQNdXPxafqp4T0cTHOy8pTFQ43Y-Z484LZFeQoBktnQd8-gLFmPe27U3JSH9xySXqQ90iZ39e_od3GTBPWLuhf7alFtTHIUSm8BkRPPkrXfYLvuX5Nlgthle3b2n5OeXzz8W36rzi6_Lxdl5ZWvVl0qpTppOKSNZb2rg3LS86dUgh0GAFCtYOWV7ZVrFWxiEUQKLpqnt0NoaNfKUfDz6jtNqB85CKPhDPSa_M2mvo_H6cSf4tb6MV7pTTV_zg8HbO4MU8aK5aLyYhe3WBIhT1kIx2WBKXYeoPKI2xZwTDA9jONOHdPVG36arD-nqY7qoevPvhg-a-zgR-HAEAO905SHpbP0hWucT2KJd9P8d8BfM9rtL</recordid><startdate>20210830</startdate><enddate>20210830</enddate><creator>Boldrini, Tommaso</creator><creator>Girardi, Paolo</creator><creator>Clerici, Massimo</creator><creator>Conca, Andreas</creator><creator>Creati, Chiara</creator><creator>Di Cicilia, Giuseppe</creator><creator>Ducci, Giuseppe</creator><creator>Durbano, Federico</creator><creator>Maci, Carlo</creator><creator>Maone, Antonio</creator><creator>Nicolò, Giuseppe</creator><creator>Oasi, Osmano</creator><creator>Percudani, Mauro</creator><creator>Polselli, Gian Marco</creator><creator>Pompili, Maurizio</creator><creator>Rossi, Alessandro</creator><creator>Salcuni, Silvia</creator><creator>Tarallo, Federica</creator><creator>Vita, Antonio</creator><creator>Lingiardi, Vittorio</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210830</creationdate><title>Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-5583a855a309a4e11a71695f3ff2e32bebd5c95a7517ef2a52517664cf7c43093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Communicable Disease Control</topic><topic>COVID-19</topic><topic>COVID-19 - complications</topic><topic>COVID-19 - epidemiology</topic><topic>COVID-19 - psychology</topic><topic>Emergency psychiatric department</topic><topic>Female</topic><topic>General hospital psychiatric ward</topic><topic>Hospital admission</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Psychiatric Department, Hospital - statistics & numerical data</topic><topic>Psychiatric hospitalization</topic><topic>Suicidal Ideation</topic><topic>Suicidality</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boldrini, Tommaso</creatorcontrib><creatorcontrib>Girardi, Paolo</creatorcontrib><creatorcontrib>Clerici, Massimo</creatorcontrib><creatorcontrib>Conca, Andreas</creatorcontrib><creatorcontrib>Creati, Chiara</creatorcontrib><creatorcontrib>Di Cicilia, Giuseppe</creatorcontrib><creatorcontrib>Ducci, Giuseppe</creatorcontrib><creatorcontrib>Durbano, Federico</creatorcontrib><creatorcontrib>Maci, Carlo</creatorcontrib><creatorcontrib>Maone, Antonio</creatorcontrib><creatorcontrib>Nicolò, Giuseppe</creatorcontrib><creatorcontrib>Oasi, Osmano</creatorcontrib><creatorcontrib>Percudani, Mauro</creatorcontrib><creatorcontrib>Polselli, Gian Marco</creatorcontrib><creatorcontrib>Pompili, Maurizio</creatorcontrib><creatorcontrib>Rossi, Alessandro</creatorcontrib><creatorcontrib>Salcuni, Silvia</creatorcontrib><creatorcontrib>Tarallo, Federica</creatorcontrib><creatorcontrib>Vita, Antonio</creatorcontrib><creatorcontrib>Lingiardi, Vittorio</creatorcontrib><creatorcontrib>The Italian Network for Research on Mental Health during COVID-19 Pandemic</creatorcontrib><creatorcontrib>Italian Network for Research on Mental Health during COVID-19 Pandemic</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Progress in neuro-psychopharmacology & biological psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boldrini, Tommaso</au><au>Girardi, Paolo</au><au>Clerici, Massimo</au><au>Conca, Andreas</au><au>Creati, Chiara</au><au>Di Cicilia, Giuseppe</au><au>Ducci, Giuseppe</au><au>Durbano, Federico</au><au>Maci, Carlo</au><au>Maone, Antonio</au><au>Nicolò, Giuseppe</au><au>Oasi, Osmano</au><au>Percudani, Mauro</au><au>Polselli, Gian Marco</au><au>Pompili, Maurizio</au><au>Rossi, Alessandro</au><au>Salcuni, Silvia</au><au>Tarallo, Federica</au><au>Vita, Antonio</au><au>Lingiardi, Vittorio</au><aucorp>The Italian Network for Research on Mental Health during COVID-19 Pandemic</aucorp><aucorp>Italian Network for Research on Mental Health during COVID-19 Pandemic</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality</atitle><jtitle>Progress in neuro-psychopharmacology & biological psychiatry</jtitle><addtitle>Prog Neuropsychopharmacol Biol Psychiatry</addtitle><date>2021-08-30</date><risdate>2021</risdate><volume>110</volume><spage>110304</spage><epage>110304</epage><pages>110304-110304</pages><artnum>110304</artnum><issn>0278-5846</issn><issn>1878-4216</issn><eissn>1878-4216</eissn><abstract>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.
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).
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).
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.
•Admissions to General Hospital Psychiatric Wards during the COVID-19 pandemic in Italy were analyzed.•The COVID-19 lockdown led to a 41% reduction of psychiatric hospitalizations.•Significant changes in duration of hospital admissions and age of inpatients were observed.•In May-June 2020, a 35% increase in patients reporting suicidal ideation was observed.•Suicide prevention strategies are critically needed in the current scenario.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>33737215</pmid><doi>10.1016/j.pnpbp.2021.110304</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Progress in neuro-psychopharmacology & biological psychiatry, 2021-08, Vol.110, p.110304-110304, Article 110304 |
| issn | 0278-5846 1878-4216 1878-4216 |
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| subjects | Adult Age Factors Aged Communicable Disease Control COVID-19 COVID-19 - complications COVID-19 - epidemiology COVID-19 - psychology Emergency psychiatric department Female General hospital psychiatric ward Hospital admission Hospitalization - statistics & numerical data Humans Italy - epidemiology Length of Stay - statistics & numerical data Male Middle Aged Psychiatric Department, Hospital - statistics & numerical data Psychiatric hospitalization Suicidal Ideation Suicidality Young Adult |
| title | Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T18%3A38%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Consequences%20of%20the%20COVID-19%20pandemic%20on%20admissions%20to%20general%20hospital%20psychiatric%20wards%20in%20Italy:%20Reduced%20psychiatric%20hospitalizations%20and%20increased%20suicidality&rft.jtitle=Progress%20in%20neuro-psychopharmacology%20&%20biological%20psychiatry&rft.au=Boldrini,%20Tommaso&rft.aucorp=The%20Italian%20Network%20for%20Research%20on%20Mental%20Health%20during%20COVID-19%20Pandemic&rft.date=2021-08-30&rft.volume=110&rft.spage=110304&rft.epage=110304&rft.pages=110304-110304&rft.artnum=110304&rft.issn=0278-5846&rft.eissn=1878-4216&rft_id=info:doi/10.1016/j.pnpbp.2021.110304&rft_dat=%3Cproquest_pubme%3E2503630488%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2503630488&rft_id=info:pmid/33737215&rft_els_id=S0278584621000634&rfr_iscdi=true |