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Factors in Psychiatric Admissions: Before and During the Covid-19 Pandemic

Robyn H McCarron1, Peter Swann1,2, Jonathon Artingstall1

  • 1Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.

Clinical Neuropsychiatry
|January 5, 2022
PubMed

Insights

The COVID-19 pandemic worsened mental health, increasing psychiatric admissions, especially for women and older adults. Factors like isolation and routine changes were key during the first UK lockdown.

Area of Science:

  • Psychiatry
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic has raised concerns about community mental health.
  • The specific impact on acute psychiatric admissions remains under-investigated.

Purpose of the Study:

  • To investigate factors contributing to acute psychiatric admissions during the first UK lockdown.
  • To compare these factors with pre-pandemic periods (2018-2019).

Main Methods:

  • Retrospective case-note review study.
  • Exploratory mixed-methods design.
  • Comparison of admissions during the first UK lockdown (2020) with the same periods in 2019 and 2018.

Main Results:

  • Key themes identified: psychopathology, risk, social stressors, community treatment, and physical health.
  • Changes in routines and isolation were prominent during the lockdown year.
  • Women, older adults, single individuals, and those with affective disorders were disproportionately represented in COVID-19 related admissions.

Conclusions:

  • The early COVID-19 pandemic exacerbated existing psychosocial vulnerabilities.
  • There was a notable impact on the mental health of women, older adults, and individuals with affective disorders.
  • Psychiatric admissions were influenced by pandemic-related stressors and pre-existing vulnerabilities.
Abstract

Keywords:
COVID-19inpatientmental healthpsychiatryqualitative

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