The impact of Covid-19 on acute psychiatric admissions for first and repeated episode psychosis

Bibliographic Data

ID19271925
AuthorsMarlene Kelbrick (0009-0009-5862-8531, Northamptonshire Healthcare NHS Foundation Trust, Kettering, UK, corresponding author), Ksenija Maravic da Silva (0000-0002-9232-3143, Coventry University), Ksenija da Silva (Coventry University, Coventry, UK), Chris Griffiths (0000-0001-7935-8694, Northamptonshire Healthcare NHS Foundation Trust, Kettering, UK), Saba Ansari (Northamptonshire Healthcare NHS Foundation Trust, Kettering, UK), Gabriela Paduret (Northamptonshire Healthcare NHS Foundation Trust, Kettering, UK), James Tanner (0000-0002-0487-0236, Northamptonshire Healthcare NHS Foundation Trust, Kettering, UK), Nick Mann (Northamptonshire Healthcare NHS Foundation Trust, Kettering, UK), Sara B Johnson (0000-0003-4532-1847, Northamptonshire Healthcare NHS Foundation Trust), Sara Johnson (0000-0002-8815-181X, Northamptonshire Healthcare NHS Foundation Trust, Kettering, UK)
Year2023
Volume69
Issue8
Pages2042-2047
Publication date2023-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Social Psychiatry (JOURNAL)
Journal identifiersISSN: 0020-7640 • E-ISSN: 1741-2854
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00207640231188031
PMID37548342
OpenAlexW4385620938
LanguageEN
Citations received1
References cited37

BACKGROUND: There is limited evidence of the longer-term impact of the COVID-19 pandemic on acute admissions for psychosis in the UK. AIMS: We examined the impact of COVID-19 on rates of admissions for first and repeated episode psychosis, and changes in patient profile and seasonal patterns, over a period of 12 months. METHOD: We conducted a retrospective case note review of all patients admitted with a primary psychosis (F20-29 ICD 10 diagnosis) to an NHS psychiatric inpatient unit. We compared the 12 months pre-COVID-19 period between 1 March 2019 and 28 February 2020, and the 12 months post-COVID-19 period between 1 March 2020 and 28 February 2021. RESULTS: The results showed increase rates of admissions post-COVID-19 in both first and repeated episode psychosis, the patient profile had more females and older age in the repeated episode group, with increased employment rates. Combined group data for both pre- and post-COVID-19 periods showed an increased trend in spring and summer admissions, and even though not statistically significant, more pronounced post-COVID-19. CONCLUSIONS: Our findings highlight the effect of the COVID-19 pandemic on acute psychosis admissions over a 12-month period. The results provide evidence for the 'stress-pathogenesis' in the context of genetic vulnerability in psychosis. Preventative strategies in the context of the 'stress-pathogenesis model', improved access to and responsiveness within NHS transformation efforts needs to be adjusted to fit local need and environmental changes

Context (archaeology) · Coronavirus disease 2019 (COVID-19) · Disease · Mental health · Pandemic · Psychiatry · Psychosis · COVID-19 and Mental Health · Internal Medicine · Medicine · Pharmacological Receptor Mechanisms and Effects · Schizophrenia research and treatment · Pediatrics

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