A Retrospective Longitudinal Analysis of Mental Health Admissions: Measuring the Fallout of the Pandemic.
COVID-19
healthcare access
healthcare inequality
mental health
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
10 01 2023
10 01 2023
Historique:
received:
05
12
2022
revised:
01
01
2023
accepted:
08
01
2023
entrez:
21
1
2023
pubmed:
22
1
2023
medline:
25
1
2023
Statut:
epublish
Résumé
In this research article, we review the infrequently considered long-term impact of the pandemic on inpatient mental health, by reviewing the clinical parameters of all psychiatric admissions to Mount Carmel Hospital, our region's main psychiatric healthcare facility, from 2019-2021. 4292 patients were admitted during the research period of this retrospective longitudinal analysis. Taking 2019 as the pre-COVID reference year, we compared mean monthly admissions from 2020 and 2021, looking at patient demographics, status under the Mental Health Act, diagnosis, and self-injurious behaviour. While the pandemic was reflected in a moderate increase in mean monthly presentations with suicidal ideation and suicidal self-injury, presentations in 2020 otherwise remained largely stable. This contrasted with a surge in presentations in 2021 with mood disorders, schizophrenia, anxiety, personality disorders, and autism spectrum disorders. Furthermore, presentations involving self-injurious behaviour continued to grow. Involuntary admissions also increased significantly in 2021. This paper highlights the pernicious long-term impact of the pandemic on mental health presentations, demonstrated by an increase in hospital admissions and more serious presentations. These findings should be considered in the guidance for responses to any future pandemic, giving attention to the evidence of the impact of restrictive measures on mental health.
Sections du résumé
BACKGROUND
In this research article, we review the infrequently considered long-term impact of the pandemic on inpatient mental health, by reviewing the clinical parameters of all psychiatric admissions to Mount Carmel Hospital, our region's main psychiatric healthcare facility, from 2019-2021.
METHODS
4292 patients were admitted during the research period of this retrospective longitudinal analysis. Taking 2019 as the pre-COVID reference year, we compared mean monthly admissions from 2020 and 2021, looking at patient demographics, status under the Mental Health Act, diagnosis, and self-injurious behaviour.
RESULTS
While the pandemic was reflected in a moderate increase in mean monthly presentations with suicidal ideation and suicidal self-injury, presentations in 2020 otherwise remained largely stable. This contrasted with a surge in presentations in 2021 with mood disorders, schizophrenia, anxiety, personality disorders, and autism spectrum disorders. Furthermore, presentations involving self-injurious behaviour continued to grow. Involuntary admissions also increased significantly in 2021.
CONCLUSIONS
This paper highlights the pernicious long-term impact of the pandemic on mental health presentations, demonstrated by an increase in hospital admissions and more serious presentations. These findings should be considered in the guidance for responses to any future pandemic, giving attention to the evidence of the impact of restrictive measures on mental health.
Identifiants
pubmed: 36673950
pii: ijerph20021194
doi: 10.3390/ijerph20021194
pmc: PMC9858631
pii:
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Références
AJOB Neurosci. 2022 Jul-Sep;13(3):177-190
pubmed: 33989127
Mol Autism. 2021 Mar 3;12(1):21
pubmed: 33658046
Eur Arch Psychiatry Clin Neurosci. 2022 Aug;272(5):773-782
pubmed: 34698871
N Engl J Med. 2020 Jun 4;382(23):2268-2270
pubmed: 32294339
Front Public Health. 2021 Apr 30;9:593307
pubmed: 33996706
Psychiatr Q. 2022 Mar;93(1):181-197
pubmed: 34101075
J Autism Dev Disord. 2022 Jan;52(1):473-482
pubmed: 33689088
MMWR Morb Mortal Wkly Rep. 2020 Nov 13;69(45):1675-1680
pubmed: 33180751
J Acad Consult Liaison Psychiatry. 2021 Nov-Dec;62(6):588-594
pubmed: 34058432
J Affect Disord. 2021 Mar 1;282:26-32
pubmed: 33387743
Perspect Psychol Sci. 2022 Jul;17(4):915-936
pubmed: 35044275
Gen Psychiatr. 2021 Feb 9;34(1):e100424
pubmed: 33644689
J Affect Disord. 2021 Mar 1;282:991-995
pubmed: 33601744
Acta Psychiatr Scand. 2021 Dec;144(6):553-562
pubmed: 34525216
Ir J Psychol Med. 2022 Mar 14;:1-7
pubmed: 35285434
Popul Health Manag. 2020 Oct;23(5):368-377
pubmed: 32816644
Front Psychol. 2021 Mar 02;12:577529
pubmed: 33737894
Brain Behav Immun. 2020 Jul;87:34-39
pubmed: 32298803
Psychiatr Serv. 2020 Jun 1;71(6):624-626
pubmed: 32321388
J Affect Disord. 2022 Feb 15;299:118-125
pubmed: 34798148
Autism Res. 2021 Oct;14(10):2113-2119
pubmed: 34231323
Lancet Child Adolesc Health. 2020 Jun;4(6):421
pubmed: 32302537
J Telemed Telecare. 2014 Mar;20(2):59-62
pubmed: 24414395
Clin Med (Lond). 2021 Jan;21(1):e77-e79
pubmed: 33355199
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Aug 30;110:110304
pubmed: 33737215
JAMA Netw Open. 2021 Sep 1;4(9):e2124092
pubmed: 34477850
MMWR Morb Mortal Wkly Rep. 2020 Sep 11;69(36):1250-1257
pubmed: 32915166
Psychiatr Serv. 2007 Jun;58(6):836-43
pubmed: 17535945
Front Immunol. 2020 May 27;11:1170
pubmed: 32574266
Brain Behav Immun. 2020 Jul;87:18-22
pubmed: 32240762
Br J Psychiatry. 2021 Jun;218(6):326-333
pubmed: 33081860
Asian J Psychiatr. 2020 Aug;52:102066
pubmed: 32302935
Br J Psychiatry. 2020 Oct;217(4):543-546
pubmed: 32654678
Int J Environ Res Public Health. 2021 Jan 28;18(3):
pubmed: 33525740
Psychiatry Res. 2021 Sep;303:114072
pubmed: 34256349
Int J Qual Health Care. 2021 Sep 20;33(3):
pubmed: 34541600