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Compulsory admissions: Possibly another dark side of the Greek economic crisis
M Skokou1, P Gouma2, Ph Gourzis1
1Department of Psychiatry, General University Hospital of Patras, School of Medicine, University of Patras, Rio, Patra.
Insights
The Greek economic crisis led to a significant rise in compulsory psychiatric assessments and involuntary admissions. This highlights the crisis
Area of Science:
- Public Health
- Psychiatry
- Socioeconomics
Background:
- Previous research indicates the Greek economic crisis negatively impacted public health.
- Increased prevalence of major depression, suicide, and homicide rates were noted.
- Mentally ill individuals are a vulnerable social group facing difficulties during economic downturns.
Purpose of the Study:
- To investigate the impact of the Greek economic crisis on psychiatric care.
- To quantify changes in compulsory assessments and involuntary admissions between 2006 and 2013.
Main Methods:
- Retrospective review of patient records from the Department of Psychiatry, University Hospital of Patras.
- Data collection focused on compulsory assessments and involuntary admissions from 2006 to 2013.
Main Results:
- Compulsory psychiatric assessments increased by 48.86% in 2009 and 101.13% in 2013.
- Involuntary admissions rose by 63.75% from 2006 to 2013.
- These increases occurred during the period of the Greek economic crisis.
Conclusions:
- The study suggests a potential link between the Greek economic crisis and increased involuntary psychiatric placements.
- While other factors may contribute, the crisis appears to be a significant underlying cause.
- This represents a less evident, yet critical, public health consequence of the economic crisis.
Abstract:
Α number of previous articles have dealt with the negative impact of the Greek Economic crisis on public health, including significant increases in major depression prevalence and suicide and homicide rates. The mentally ill seem to represent a vulnerable social group, with particular difficulties in this context. The number of compulsory assessments and involuntary admissions was recorded by reviewing patient records in the Department of Psychiatry of the University Hospital of Patras, through years 2006-2013. Compulsory assessments increased from 176 in 2006 to 262 in 2009 and 354 in 2013, representing a 48.86% and 101.13% increase in the first and the fifth year of economic crisis, respectively. The assessments resulted in 160 involuntary admissions in 2006, which escalated to 262 admissions (63.75% rise) in 2013. Even though a rise in involuntary placements could be attributed to other factors as well, it may also partly represent a not so evident side of the Greek economic crisis.
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