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Suicidality in psychiatric emergency department situations during the first and the second wave of COVID-19 pandemic.

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Title: Suicidality in psychiatric emergency department situations during the first and the second wave of COVID-19 pandemic.
Authors: Kippe, Yann David (AUTHOR), Adam, Maia (AUTHOR), Finck, Anna (AUTHOR), Moran, James Kenneth (AUTHOR), Schouler-Ocak, Meryam (AUTHOR), Bermpohl, Felix (AUTHOR), Gutwinski, Stefan (AUTHOR), Goldschmidt, Thomas (AUTHOR)
Source: European Archives of Psychiatry & Clinical Neuroscience. Mar2023, Vol. 273 Issue 2, p311-323. 13p. 4 Charts, 1 Graph.
Subjects: COVID-19 pandemic, COVID-19, Suicidal ideation, Hospital emergency services, Borderline personality disorder, Social phobia, Psychiatric emergencies
Geographic Terms: Berlin (Germany)
Abstract: Psychiatric patients are prone to mental health deterioration during the Covid-19 pandemic. Little is known about suicidality in psychiatric patients during the Covid-19 pandemic. This study is a retrospective chart review of psychiatric emergency department (pED) presentations with present or absent suicidality (5634 pED attendances, 4110 patients) in an academic pED in Berlin, Germany. Poisson regression analysis was performed on the effect of Covid-19 period on suicidality (suicidal ideation (SI), suicide plans (SP) or suicide attempt (SA)) during the first (3/2/2020–5/24/2020 "first-wave") and second (9/15/2020–3/1/2021 "second-wave") wave of the Covid-19 pandemic compared to the same periods one year earlier. During the first-wave the number of pED visits per person with SI, SP and SA was higher compared to one year earlier (SI RR = 1.614; p = 0.016; SP RR = 2.900; p = 0.004; SA RR = 9.862; p = 0.003). SI and SP were predicted by interaction between substance use disorder (SUD) and second-wave (SI RR = 1.305, p = 0.043; SP RR = 1.645, p = 0.018), SA was predicted by interaction between borderline personality disorder (BPD) and second-wave (RR = 7.128; p = 0.012). Suicidality increased during the first-wave of Covid-19 pandemic in our sample. In the second-wave this was found in patients with SUD and BPD. These patients may be at particular risk of suicidality during the Covid-19 pandemic. [ABSTRACT FROM AUTHOR]
Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Suicidality in psychiatric emergency department situations during the first and the second wave of COVID-19 pandemic.
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  Data: <searchLink fieldCode="AR" term="%22Kippe%2C+Yann+David%22">Kippe, Yann David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Adam%2C+Maia%22">Adam, Maia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Finck%2C+Anna%22">Finck, Anna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moran%2C+James+Kenneth%22">Moran, James Kenneth</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schouler-Ocak%2C+Meryam%22">Schouler-Ocak, Meryam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bermpohl%2C+Felix%22">Bermpohl, Felix</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gutwinski%2C+Stefan%22">Gutwinski, Stefan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Goldschmidt%2C+Thomas%22">Goldschmidt, Thomas</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Archives+of+Psychiatry+%26+Clinical+Neuroscience%22">European Archives of Psychiatry & Clinical Neuroscience</searchLink>. Mar2023, Vol. 273 Issue 2, p311-323. 13p. 4 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Borderline+personality+disorder%22">Borderline personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Social+phobia%22">Social phobia</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+emergencies%22">Psychiatric emergencies</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Berlin+%28Germany%29%22">Berlin (Germany)</searchLink>
– Name: Abstract
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  Data: Psychiatric patients are prone to mental health deterioration during the Covid-19 pandemic. Little is known about suicidality in psychiatric patients during the Covid-19 pandemic. This study is a retrospective chart review of psychiatric emergency department (pED) presentations with present or absent suicidality (5634 pED attendances, 4110 patients) in an academic pED in Berlin, Germany. Poisson regression analysis was performed on the effect of Covid-19 period on suicidality (suicidal ideation (SI), suicide plans (SP) or suicide attempt (SA)) during the first (3/2/2020–5/24/2020 "first-wave") and second (9/15/2020–3/1/2021 "second-wave") wave of the Covid-19 pandemic compared to the same periods one year earlier. During the first-wave the number of pED visits per person with SI, SP and SA was higher compared to one year earlier (SI RR = 1.614; p = 0.016; SP RR = 2.900; p = 0.004; SA RR = 9.862; p = 0.003). SI and SP were predicted by interaction between substance use disorder (SUD) and second-wave (SI RR = 1.305, p = 0.043; SP RR = 1.645, p = 0.018), SA was predicted by interaction between borderline personality disorder (BPD) and second-wave (RR = 7.128; p = 0.012). Suicidality increased during the first-wave of Covid-19 pandemic in our sample. In the second-wave this was found in patients with SUD and BPD. These patients may be at particular risk of suicidality during the Covid-19 pandemic. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00406-022-01486-6
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        Type: general
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        Type: general
      – SubjectFull: Suicidal ideation
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      – SubjectFull: Hospital emergency services
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      – SubjectFull: Berlin (Germany)
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              Text: Mar2023
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