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. |
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| 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] |
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| Database: | Psychology and Behavioral Sciences Collection |
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