Mental-health-related admissions to the acute medical unit during COVID-19

Grimshaw, Ben; Chaudhuri, Ella

doi:10.7861/clinmed.2020-0635

Cited by 10 publications

(7 citation statements)

References 3 publications

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“…Reports indicate there are increases for non-affective psychosis, bipolar disorders, and anorexia nervosa, but fewer presentations for depression, anxiety, adjustment, and personality disorders ( Haripersad et al., 2021 ; Abbas et al., 2021 ). Variations in admission presentation could be due to shifts in patient access to acute mental health services, increased need for behavioral health resources, or delayed care during the COVID-19 pandemic ( Grimshaw and Chaudhuri, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Shifts in inpatient psychiatry utilization patterns at a U.S. Academic Medical Center during the COVID-19 pandemic

Kulp

Mitchell

Pittman

et al. 2022

Psychiatry Research

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Section: Introductionmentioning

confidence: 99%

Shifts in inpatient psychiatry utilization patterns at a U.S. Academic Medical Center during the COVID-19 pandemic

Kulp

Mitchell

Pittman

et al. 2022

Psychiatry Research

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“…On the other hand, although acute care presentations for mental health diagnoses in the UK decreased, the patients admitted had more severe conditions. 96 Admissions for mental health problems increased at an acute medical unit, 97 and there was acceleration in urgent referrals to secondary mental health services in the UK. 98 In Italy, psychological morbidity worsened among 145 palliative care professionals.…”

Section: Resultsmentioning

confidence: 99%

“…99 An emergency department in New Zealand experienced overall decreases in mental health presentations, but relative increases in overdoses and self-harm. 100 Four [96][97][98]100 of these studies were of high quality and one was of fair quality. 99…”

Section: Affective Disordersmentioning

confidence: 99%

Effects of the COVID-19 pandemic and previous pandemics, epidemics and economic crises on mental health: systematic review

et al. 2022

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Background A rise in mental illness is expected to follow the COVID-19 pandemic, which has also been projected to lead to a deep global economic recession, further adding to risk factors. Aims The aim of this review was to assess the impact of the COVID-19 pandemic and previous pandemics, epidemics and economic crises on mental health. Method Searches were conducted in PubMed, Web of Science, PsycINFO and Sociological Abstracts. We included studies of all populations exposed to the COVID-19 pandemic, and other similar pandemics/epidemics and economic crises, compared with non-exposed time periods or regions. The outcome was mental health. Results The 174 included studies assessed mental health impacts of the COVID-19 pandemic (87 studies), 2008 economic crisis (84 studies) and severe acute respiratory syndrome (SARS) epidemic (three studies). Outcomes were divided into affective disorders, suicides, mental healthcare utilisation and other mental health. COVID-19 pandemic studies were of lesser quality than those for the economic crisis or SARS epidemic. Most studies for all exposures showed increases in affective disorders and other mental health problems. For economic crisis exposure, increases in mental healthcare utilisation and suicides were also found, but these findings were mixed for COVID-19 pandemic exposure. This is probably because of quarantine measures affecting help-seeking and shorter follow-ups of studies of COVID-19 pandemic exposure. Conclusions Our findings highlight the importance of available, accessible and sustainable mental health services. Also, socioeconomically disadvantaged populations should be particular targets of policy interventions during the COVID-19 pandemic.

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“…Beyond SARS-CoV-2 infections, impeded health care for non-COVID-19 patients is a major threat ( 4 ). During the first wave of the COVID-19 pandemic, limited access to health care was reported ( 2 , 5 , 6 ). Despite the decrease of admissions to hospitals, admissions due to mental health issues raised in the United Kingdom ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

“…During the first wave of the COVID-19 pandemic, limited access to health care was reported ( 2 , 5 , 6 ). Despite the decrease of admissions to hospitals, admissions due to mental health issues raised in the United Kingdom ( 5 ). Therefore, elucidating distress and mental health of hospital inpatients not admitted for COVID-19 is of paramount importance.…”

Section: Introductionmentioning

confidence: 99%

Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data

et al. 2022

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BackgroundThe coronavirus disease 2019 (COVID-19) pandemic and related countermeasures hinder health care access and affect mental wellbeing of non-COVID-19 patients. There is lack of evidence on distress and mental health of patients hospitalized due to other reasons than COVID-19—a vulnerable population group in two ways: First, given their risk for physical diseases, they are at increased risk for severe courses and death related to COVID-19. Second, they may struggle particularly with COVID-19 restrictions due to their dependence on social support. Therefore, we investigated the association of intensity of COVID-19 restrictions with levels of COVID-19-related distress, mental health (depression, anxiety, somatic symptom disorder, and mental quality of life), and perceived social support among Swiss general hospital non-COVID-19 inpatients.MethodsWe analyzed distress of 873 hospital inpatients not admitted for COVID-19, recruited from internal medicine, gynecology, rheumatology, rehabilitation, acute geriatrics, and geriatric rehabilitation wards of three hospitals. We assessed distress due to the COVID-19 pandemic, and four indicators of mental health: depressive and anxiety symptom severity, psychological distress associated with somatic symptoms, and the mental component of health-related quality of life; additionally, we assessed social support. The data collection period was divided into modest (June 9 to October 18, 2020) and strong (October 19, 2020, to April 17, 2021) COVID-19 restrictions, based on the Oxford Stringency Index for Switzerland.ResultsAn additional 13% (95%-Confidence Interval 4–21%) and 9% (1–16%) of hospital inpatients reported distress related to leisure time and loneliness, respectively, during strong COVID-19 restrictions compared to times of modest restrictions. There was no evidence for changes in mental health or social support.ConclusionsFocusing on the vulnerable population of general hospital inpatients not admitted for COVID-19, our results suggest that tightening of COVID-19 restrictions in October 2020 was associated with increased COVID-19-related distress regarding leisure time and loneliness, with no evidence for a related decrease in mental health. If this association was causal, safe measures to increase social interaction (e.g., virtual encounters and outdoor activities) are highly warranted.Trial registrationwww.ClinicalTrials.gov, identifier: NCT04269005.

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Mental-health-related admissions to the acute medical unit during COVID-19

Cited by 10 publications

References 3 publications

Shifts in inpatient psychiatry utilization patterns at a U.S. Academic Medical Center during the COVID-19 pandemic

Shifts in inpatient psychiatry utilization patterns at a U.S. Academic Medical Center during the COVID-19 pandemic

Effects of the COVID-19 pandemic and previous pandemics, epidemics and economic crises on mental health: systematic review

Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data

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