https://doi.org/10.4081/ecj.2023.11000
0
0
0
0
Smart Citations0
0
0
0
Citing PublicationsSupportingMentioningContrasting
See how this article has been cited at scite.ai
scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.
Psychiatric ward admissions during the COVID-19 pandemic in Canton of Ticino (Swiss Confederation) and the province of Como (Italy): a comparison between two different systems of care and outbreak response strategies
The aim of the study was to estimate the effect of the COVID- 19 pandemic and response policies on the psychiatric ward admissions in the hospitals referring to the ASST Lariana (province of Como, Italy) and the Hospital of Mendrisio (Canton of Ticino, Switzerland), two similar territories that belong to countries that dealt differently with the pandemic. We compared the two territories for type of admission (voluntary vs. compulsory), the Stringency Index (SI) and the country’s number of admission in Intensive Care Units (ICU). We found a significant reduction in the psychiatric ward admission in the lockdown period in both territories, even in periods with milder lockdown measures. The admission rate’s reduction in the ASST Lariana was significantly associated with the ICU admissions (p<0.001). In the Hospital of Mendrisio, admissions included a weekly seasonality, were significantly correlated with SI (p=0.001) and period (pre-pandemic and pandemic; p<0.001) and we observed also a significant reduction of compulsory admission that is influenced both by the stringency index (p<0.001) and period (p<0.001). The differences between the two territories seem influenced by the different mental health systems.
Downloads
Citations
1
0
Pasquale Scognamiglio, Valeria Iniziato, Silvestro La Pia, Vassilis Martiadis (2023)
A no-win situation: psychiatrists navigating competing obligations between free will, paternalism, duty of care, and position of guarantee. Mental Wellness, 1(1), 10.4081/mw.2023.4
COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet 2020;398:1700-12.
Fiorillo A, Sampogna G, Giallonardo V, et al. Effects of the lockdown on the mental health of the general population during the COVID-19 pandemic in Italy: Results from the COMET collaborative network. Eur Psychiatry 2020;63:e87.
DOI: https://doi.org/10.1192/j.eurpsy.2020.89
Ambrosetti J, Macheret L, Folliet A, et al. Impact of the COVID-19 pandemic on psychiatric admissions to a large Swiss emergency department: an observational study. Int J Environ Res Public Health 2021;18:1174.
DOI: https://doi.org/10.3390/ijerph18031174
Balestrieri M, Rucci P, Amendola D, et al. Emergency psychiatric consultations during and after the COVID-19 lockdown in Italy. A multicentre study. Front Psychiatry 2021;12:697058.
DOI: https://doi.org/10.3389/fpsyt.2021.697058
Berardelli I, Sarubbi S, Rogante E, et al. The impact of the COVID-19 pandemic on suicide ideation and suicide attempts in a sample of psychiatric inpatients. Psychiatry Res 2021;303:114072.
DOI: https://doi.org/10.1016/j.psychres.2021.114072
Boldrini T, Girardi P, Clerici M, et al. Italian Network for Research on Mental Health during COVID-19 Pandemic. Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality. Prog Neuropsychopharmacol Biol Psychiatry 2021;110:110304.
DOI: https://doi.org/10.1016/j.pnpbp.2021.110304
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912–20.
DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
Moser DA, Glaus J, Frangou S, Schechter DS. Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data. Eur Psychiatry 220;63:e58.
DOI: https://doi.org/10.1192/j.eurpsy.2020.56
Öngür D, Perlis R, Goff D. Psychiatry and COVID-19. JAMA 2020;324:1149-50.
DOI: https://doi.org/10.1001/jama.2020.14294
Stein DJ, Naslund JA, Bantjes J. COVID-19 and the global acceleration of digital psychiatry. Lancet Psychiatry 2022;9:8-9.
DOI: https://doi.org/10.1016/S2215-0366(21)00474-0
Pini S, Benvenuti A, Pacciardi B, et al. Characteristics of psychiatric comorbidities in emergency medicine setting and impact on length of hospitalization: A retrospective study. Emerg Care J 2022;18:10216.
DOI: https://doi.org/10.4081/ecj.2022.10216
Butler M, Delvi A, Mujic F, et al. Reduced activity in an inpatient liaison psychiatry service during the first wave of the COVID-19 pandemic: Comparison with 2019 data and characterization of the SARS-CoV-2 positive cohort. Front Psychiatry 2021;12:619550.
DOI: https://doi.org/10.3389/fpsyt.2021.619550
Carpiniello B, Tusconi M, Zanalda E, et al. Executive Committee of The Italian Society of Psychiatry. Psychiatry during the Covid-19 pandemic: a survey on mental health departments in Italy. BMC Psychiatry 2020;20:593.
DOI: https://doi.org/10.1186/s12888-020-02997-z
Fasshauer JM, Bollmann A, Hohenstein S, et al. Impact of COVID-19 pandemic on involuntary and urgent inpatient admissions for psychiatric disorders in a German-wide hospital network. J Psychiatr Res 2021;142:140-3.
DOI: https://doi.org/10.1016/j.jpsychires.2021.07.052
Jagadheesan K, Danivas V, Itrat Q, et al. COVID-19 and psychiatric admissions: An observational study of the first six months of lockdown in Melbourne. Psychiatry Res 2021;300:113902.
DOI: https://doi.org/10.1016/j.psychres.2021.113902
Kim HK, Carvalho AF, Gratzer D, et al. The impact of COVID-19 on psychiatric emergency and inpatient services in the first month of the pandemic in a large urban mental health hospital in Ontario, Canada. Front Psychiatry 2021;12:563906.
DOI: https://doi.org/10.3389/fpsyt.2021.563906
Panariello F, Longobardi S, Cellini L, et al. Psychiatric hospitalization during the two SARS-CoV-2 pandemic waves: New warnings for acute psychotic episodes and suicidal behaviors. World J Psychiatry 2021;11:1095-105.
DOI: https://doi.org/10.5498/wjp.v11.i11.1095
Piccinelli MP, Bortolaso P, Wilkinson GD. Rethinking hospital psychiatry in Italy in light of COVID-19 experience. World J Virol 2022;11:73-81.
DOI: https://doi.org/10.5501/wjv.v11.i1.73
Rømer TB, Christensen RHB, Blomberg SN, et al. Psychiatric admissions, referrals, and suicidal behavior before and during the COVID-19 pandemic in Denmark: A time-trend study. Acta Psychiatr Scand 2021;144:553-62.
DOI: https://doi.org/10.1111/acps.13369
Bollmann A, Hohenstein S, Pellissier V, et al. Utilization of in- and outpatient hospital care in Germany during the Covid-19 pandemic insights from the German-wide Helios hospital network. PLoS One 2021;16:e0249251.
DOI: https://doi.org/10.1371/journal.pone.0249251
Hamlin M, Ymerson T, Carlsen HK, et al. Changes in psychiatric inpatient service utilization during the first and second waves of the COVID-19 pandemic. Front Psychiatry, 2022;13:829374.
DOI: https://doi.org/10.3389/fpsyt.2022.829374
Grimshaw B, Chaudhuri E. Mental-health-related admissions to the acute medical unit during COVID-19. Clin Med (Lond) 2021;21:e77-e79.
DOI: https://doi.org/10.7861/clinmed.2020-0635
Sidana A, Goel V, Kaur S. Impact of the COVID-19 pandemic on psychiatric hospitalization in a tertiary care hospital of northern India. Prim Care Companion CNS Disord 2021;23:21m02936.
DOI: https://doi.org/10.4088/PCC.21m02936
ISTAT. Available from: http://dati.istat.it/Index.aspx?QueryId=18460
Swiss Confederation. Federal office for statistics. Available from: https://www.bfs.admin.ch/bfs/de/home/statistiken
Hale T, Angrist N, Hale AJ, Kira B, Majumdar S, Petherick A, et al. Government responses and COVID-19 deaths: Global evidence across multiple pandemic waves. PLoS One 2021;16:e0253116.
DOI: https://doi.org/10.1371/journal.pone.0253116
GITHUB. COVID-19 Monitoring service. Available from: https://github.com/pcm-dpc/COVID-19
Swiss Confederation. Federal Office of Public Health. COVID-19. Available from: Https://Www.Covid19.Admin.Ch/It/Epidemiologic/Case
Our World in Data. Available from: https://ourworldindata.org
Liboschik T, Konstantinos F, Roland F. tscount: An R package for analysis of count time series following generalized linear models. J Statistical Software 2017:82:1-51.
DOI: https://doi.org/10.18637/jss.v082.i05
Dohan FC. Wartime changes in hospital admissions for schizophrenia. A comparison of admission for schizophrenia and other psychoses in six countries during World War II. Acta Psychiatr Scand 1966;42:1-23.
DOI: https://doi.org/10.1111/j.1600-0447.1966.tb01912.x
Haker H, Lauber C, Malti T, Rössler W. Is there an impact of global and local disasters on psychiatric inpatient admissions? Eur Arch Psychiatry Clin Neurosci 2004;254:330-4.
DOI: https://doi.org/10.1007/s00406-004-0507-0
Beghi M, Ferrari S, Brando, et al. Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from 4 centres in Italy. Int J Psychiatry Clin Pract 2021;30:1-5.
Bojdani E, Rajagopalan A, Chen A, et al. COVID-19 Pandemic: Impact on psychiatric care in the United States. Psychiatry Res 2020;289:113069.
DOI: https://doi.org/10.1016/j.psychres.2020.113069
Giostra F, Mirarchi MG, Farina G, et al. Impact of COVID-19 pandemic and lockdown on emergency room access in Northern and Central Italy. Emerg Care J 2021;17:9705.
DOI: https://doi.org/10.4081/ecj.2021.9705
Beghi M, Ferrari S, Biondi L, et al. Mid-term psychiatric consequences of the COVID-19 pandemic: a 4 months observational study on emergency room admissions for psychiatric evaluation after the (first) lockdown period in Italy. Soc Psychiatry Psychiatr Epidemiol 2022;57:1283-9.
DOI: https://doi.org/10.1007/s00127-022-02262-6
Beghi M, Brandolini R, Biondi L, et al. Effects after the lockdown on emergency room admissions for psychiatric evaluation: An observational study from the province of Forlì-Cesena, Italy. Emerg Care J 2021;17:9827.
DOI: https://doi.org/10.4081/ecj.2021.9827
Ambrosetti J, Macheret L, Folliet A, et al. Psychiatric emergency admissions during and after COVID-19 lockdown: short-term impact and long-term implications on mental health. BMC Psychiatry 2021;21:465.
DOI: https://doi.org/10.1186/s12888-021-03469-8
McCarron RH, Swann P, Artingstall J, et al. Factors in psychiatric admissions: Before and during the COVID-19 pandemic. Clin Neuropsychiatry 2021;18:270-7.
DOI: https://doi.org/10.1192/bjo.2021.156
Tromans S, Chester V, Harrison H, et al. Patterns of use of secondary mental health services before and during COVID-19 lockdown: Observational study. BJPsych Open 2020;6:e117.
DOI: https://doi.org/10.1192/bjo.2020.104
How to Cite
Beghi, M., Alamia, A., Alippi, M., Colombo, R. A., & Fraticelli, C. (2023). Psychiatric ward admissions during the COVID-19 pandemic in Canton of Ticino (Swiss Confederation) and the province of Como (Italy): a comparison between two different systems of care and outbreak response strategies. Emergency Care Journal, 19(1). https://doi.org/10.4081/ecj.2023.11000
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
