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dc.contributor.authorMcCarron, Robyn H
dc.contributor.authorSwann, Peter
dc.contributor.authorArtingstall, Jonathon
dc.contributor.authorBurn, Anne-Marie
dc.contributor.authorDeakin, Julia
dc.contributor.authorEllis, Fiona
dc.contributor.authorGandamaneni, Praveen Kumar
dc.contributor.authorGriffith, Joannah
dc.contributor.authorIreland, Amanda
dc.contributor.authorLeadbetter, Jim
dc.contributor.authorMan, Joyce
dc.contributor.authorMitchell, Simon
dc.contributor.authorPraseedom, Asha
dc.contributor.authorRokkou, Ilyana
dc.contributor.authorRose, Clare
dc.contributor.authorRussell, Ginny
dc.contributor.authorWorsnip, Patricia
dc.contributor.authorMurray, Graham K
dc.contributor.authorThompson, Fiona
dc.date.accessioned2022-01-28T00:31:16Z
dc.date.available2022-01-28T00:31:16Z
dc.date.issued2021-10
dc.identifier.issn1724-4935
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/332981
dc.description.abstractOBJECTIVE: 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.
dc.format.mediumPrint
dc.publisherRoyal College of Psychiatrists
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCOVID-19
dc.subjectinpatient
dc.subjectmental health
dc.subjectpsychiatry
dc.subjectqualitative
dc.titleFactors in Psychiatric Admissions: Before and During the Covid-19 Pandemic.
dc.typeArticle
dc.publisher.departmentDepartment of Psychiatry
dc.date.updated2022-01-27T13:44:10Z
prism.endingPage277
prism.issueIdentifier5
prism.publicationDate2021
prism.publicationNameClin Neuropsychiatry
prism.startingPage270
prism.volume18
dc.identifier.doi10.17863/CAM.80405
dcterms.dateAccepted2021-11-05
rioxxterms.versionofrecord10.36131/cnfioritieditore20210505
rioxxterms.versionVoR
dc.contributor.orcidBurn, Anne-Marie [0000-0002-0637-2118]
dc.contributor.orcidMurray, Graham [0000-0001-8296-1742]
dc.identifier.eissn2385-0787
rioxxterms.typeJournal Article/Review
cam.issuedOnline2021-12-08
cam.depositDate2022-01-27
pubs.licence-identifierapollo-deposit-licence-2-1
pubs.licence-display-nameApollo Repository Deposit Licence Agreement


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International