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Article

Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study

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Emergency Psychiatric Unit, Department of Psychiatry and Department of Emergency (UAUP), Geneva University Hospitals (HUG), 1211 Geneva, Switzerland
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Adult Psychiatry Division, Department of Psychiatry, University Hospital of Geneva (HUG), 1205 Geneva, Switzerland
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Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132 Genoa, Italy
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IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy
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Department of Psychiatry, Tufts University, Boston, MA 02111, USA
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Department of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), 1206 Geneva, Switzerland
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Service of Liaison Psychiatry and Crisis Intervention (SPLIC), Department of Psychiatry, Geneva University Hospitals (HUG), 1211 Geneva, Switzerland
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Emergency Medicine Unit, Department of Emergency, Geneva University Hospitals (HUG), 1211 Geneva, Switzerland
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Department of Psychiatry, ASO Santi Antonio e Biagio e Cesare Arrigo Hospital, 15121 Alessandria, Italy
*
Author to whom correspondence should be addressed.
Academic Editors: Michael McAleer, Chia-Lin Chang, Daniel J. Slottje and Teodosio Pérez Amaral
Int. J. Environ. Res. Public Health 2021, 18(3), 1174; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18031174
Received: 28 December 2020 / Revised: 25 January 2021 / Accepted: 25 January 2021 / Published: 28 January 2021
The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency with profound mental health consequences. The psychiatric emergency department (ED) plays a key role during this mental health crisis. This study aimed to investigate differences in admissions at a Swiss psychiatric ED from 1 April to 15 May during a “pandemic-free” period in 2016 and a “during-pandemic” period in 2020. The study included 579 consultations at psychiatric ED in the “during-pandemic” period and 702 in the “pandemic-free” period. Sociodemographic and clinical characteristics were compared, and logistic regression analysis was performed to identify variables associated with psychiatric admissions during the pandemic. A reduction in total psychiatric ED admissions was documented during COVID-19. Logistic regression analysis predicted the independent variable (ED admission during the pandemic) and estimated odds ratio (OR) for being unmarried/not in a relationship, arrival in an ambulance, suicidal behavior, behavioral disorders and psychomotor agitation. Though only statistically significant in bivariate analysis, patients were also more likely to be involuntarily hospitalized. This picture appears to be reversed from a sociodemographic and clinical point of view to our observation of psychiatric ED consultation in 2016. These findings highlight that the reduction in psychiatric ED admissions during the pandemic seems to be associated with living alone and more severe psychopathologies, which must alert psychiatrists to ensure access to mental health care in times of pandemic. View Full-Text
Keywords: coronavirus; COVID-19 pandemic; depression; emergency department; public mental health; psychiatric admissions; psychotic episode; substance use disorder; suicide; suicidal behavior coronavirus; COVID-19 pandemic; depression; emergency department; public mental health; psychiatric admissions; psychotic episode; substance use disorder; suicide; suicidal behavior
MDPI and ACS Style

Ambrosetti, J.; Macheret, L.; Folliet, A.; Wullschleger, A.; Amerio, A.; Aguglia, A.; Serafini, G.; Prada, P.; Kaiser, S.; Bondolfi, G.; Sarasin, F.; Costanza, A. Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study. Int. J. Environ. Res. Public Health 2021, 18, 1174. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18031174

AMA Style

Ambrosetti J, Macheret L, Folliet A, Wullschleger A, Amerio A, Aguglia A, Serafini G, Prada P, Kaiser S, Bondolfi G, Sarasin F, Costanza A. Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study. International Journal of Environmental Research and Public Health. 2021; 18(3):1174. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18031174

Chicago/Turabian Style

Ambrosetti, Julia, Laura Macheret, Aline Folliet, Alexandre Wullschleger, Andrea Amerio, Andrea Aguglia, Gianluca Serafini, Paco Prada, Stefan Kaiser, Guido Bondolfi, François Sarasin, and Alessandra Costanza. 2021. "Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study" International Journal of Environmental Research and Public Health 18, no. 3: 1174. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18031174

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