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Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the Covid-19 Pandemic

Bibliographic Data

ID15523589
AuthorsMatilda Hamlin (0009-0007-3354-0467, University of Gothenburg), Thérèse Ymerson (Sahlgrenska University Hospital), Hanne Krage Carlsen (0000-0003-1656-9624, University of Gothenburg), Marzia Dellepiane, Örjan Falk (0000-0002-0705-1957, Sahlgrenska University Hospital), Michael Ioannou (0000-0002-3150-3490, University of Gothenburg), Steinn Steingrímsson (0000-0001-8320-5607, University of Gothenburg, corresponding author)
Year2022
Volume13
Pages829374-829374
Publication date2022-02-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.829374
PMID35250673
OpenAlexW4212889242
LanguageEN
Citations received2
References cited29

The COVID-19 pandemic has caused societal restrictions and public fear which may have impacted the pattern of seeking psychiatric care. There has generally been a decrease in the numbers seeking acute psychiatric care. It is important to investigate which groups seeking psychiatric treatment have decreased in number. The aim of our investigation was to identify which groups have a changed pattern in acute psychiatric service utilization during the first two waves of the COVID-19 pandemic. The study investigated changes in the rate and pattern of visits and hospital admissions for psychiatric disorders at a large Swedish hospital. A register-based study was conducted using administrative data on adult psychiatric emergency department visits (PEVs) and hospital admission rates. Data during the first two COVID-19 waves were compared to corresponding control periods in 2018-2019. Furthermore, a survey was performed among patients visiting the Psychiatric Emergency Department on their views of COVID-19 and acute psychiatric care. During the COVID-19 periods, PEVs were reduced overall by 16 and 15% during the first and second wave, respectively ( p < 0.001 in both cases), while the rate of admissions remained unaltered. PEVs were significantly reduced for most psychiatric diagnosis subgroups except for patients with schizophrenia and other related psychotic disorders as well as for those who required ongoing outpatient care. Most of the survey respondents disagreed that the pandemic affected their visit and about a quarter thought a video call with a doctor could have replaced their visit. In conclusion, there was a significant reduction in overall PEVs during both COVID-19 waves but this did not affect the numbers requiring admission for psychiatric inpatient care

Coronavirus disease 2019 (COVID-19 · Disease · Emergency department · Pandemic · Psychiatry · Quarter (Canadian coin · Schizophrenia (object-oriented programming · COVID-19 and healthcare impacts · COVID-19 and Mental Health · Family and Patient Care in Intensive Care Units · Medicine

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Unique citing works2
Citations per year1
Citation span2024 - 2025 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2
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