Factors in Psychiatric Admissions: Before and During the Covid-19 Pandemic.
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Authors
McCarron, Robyn H
Swann, Peter
Artingstall, Jonathon
Deakin, Julia
Ellis, Fiona
Gandamaneni, Praveen Kumar
Griffith, Joannah
Ireland, Amanda
Leadbetter, Jim
Man, Joyce
Mitchell, Simon
Praseedom, Asha
Rokkou, Ilyana
Rose, Clare
Russell, Ginny
Worsnip, Patricia
Murray, Graham K
Thompson, Fiona
Publication Date
2021-10Journal Title
Clin Neuropsychiatry
ISSN
1724-4935
Publisher
Royal College of Psychiatrists
Volume
18
Issue
5
Pages
270-277
Type
Article
This Version
VoR
Physical Medium
Print
Metadata
Show full item recordCitation
McCarron, R. H., Swann, P., Artingstall, J., Burn, A., Deakin, J., Ellis, F., Gandamaneni, P. K., et al. (2021). Factors in Psychiatric Admissions: Before and During the Covid-19 Pandemic.. Clin Neuropsychiatry, 18 (5), 270-277. https://doi.org/10.36131/cnfioritieditore20210505
Abstract
OBJECTIVE: The COVID-19 pandemic has impacted community mental health, but the effect on psychiatric admissions is unknown. We investigated factors contributing to acute psychiatric admissions, and whether this changed during the first UK lockdown. METHOD: A retrospective case-note review study with an exploratory mixed-methods design to examine factors for psychiatric admissions following the first UK 2020 lockdown compared to the same time periods in 2019 and 2018. RESULTS: Themes of psychopathology, risk, social stressors, community treatment issues, and physical health concerns were generated. The mean number of codes per case was 6.19 (s . d. = 2.43), with a mean number of categories per case of 3.73, (s. d. = 0.98). Changes in routines and isolation were common factors in the study year; accommodation and substance abuse were more prominent in the control year. Relationship stressors featured strongly in both groups. There were significantly more women (χ2(1, N = 98) = 20.80, p < 0.00001) and older adults (χ2(1, N = 98) = 8.61, p = 0.0033) in the study group than the control. Single people, compared to those in a relationship (χ2(1, N = 45) = 4.46, p = 0.035), and people with affective disorders compared to psychotic disorders ((χ2(1, N = 28) = 5.19, p = 0.023), were more likely to have a COVID-19 related admission factor. CONCLUSIONS: Early stages of the COVID-19 pandemic amplified pre-existing psychosocial vulnerabilities with a disproportionate psychiatric admissions impact on the mental health of women, older adults and those with affective disorders.
Keywords
COVID-19, inpatient, mental health, psychiatry, qualitative
Identifiers
External DOI: https://doi.org/10.36131/cnfioritieditore20210505
This record's URL: https://www.repository.cam.ac.uk/handle/1810/332981
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