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Admissions to psychiatric inpatient services and use of coercive measures in 2020 in a Swiss psychiatric department: An interrupted time-series analysis

Author

Listed:
  • Alexandre Wullschleger
  • Leonel Gonçalves
  • Maya Royston
  • Othman Sentissi
  • Julia Ambrosetti
  • Stefan Kaiser
  • Stéphanie Baggio

Abstract

Background: The CoVID pandemic and the associated lockdown had a significant impact on mental health services. Inpatient services faced the challenge of offering acute psychiatric while implementing strict infection control measures. There is, however, a lack of studies investigating the use of coercive measures during the pandemic and their relation to hospitalizations and symptom severity. Aims: To investigate the effects of the CoVID outbreak on psychiatric admissions, use of seclusion and symptom severity. Method: Using routine data from 2019 and 2020 gathered in the Department of Psychiatry at the Geneva University Hospitals, we performed an interrupted time series analysis. This included the number of psychiatric hospitalizations, the proportion of people who experienced seclusion and the average severity of symptoms as measured by the Health of Nations Outcome Scale (HoNOS). Dependent variables were regressed on the time variable using regression model with bootstrapped standard errors. Results: Hospitalizations decreased over time (b = -0.57, 95% CI: -0.67; -0.48, p

Suggested Citation

  • Alexandre Wullschleger & Leonel Gonçalves & Maya Royston & Othman Sentissi & Julia Ambrosetti & Stefan Kaiser & Stéphanie Baggio, 2023. "Admissions to psychiatric inpatient services and use of coercive measures in 2020 in a Swiss psychiatric department: An interrupted time-series analysis," PLOS ONE, Public Library of Science, vol. 18(7), pages 1-12, July.
    • Handle: RePEc:plo:pone00:0289310
    DOI: 10.1371/journal.pone.0289310
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    References listed on IDEAS

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    1. Julia Ambrosetti & Laura Macheret & Aline Folliet & Alexandre Wullschleger & Andrea Amerio & Andrea Aguglia & Gianluca Serafini & Paco Prada & Stefan Kaiser & Guido Bondolfi & François Sarasin & Aless, 2021. "Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study," IJERPH, MDPI, vol. 18(3), pages 1-10, January.
    2. Robert Engle & Clive Granger, 2015. "Co-integration and error correction: Representation, estimation, and testing," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 39(3), pages 106-135.
    3. Kwiatkowski, Denis & Phillips, Peter C. B. & Schmidt, Peter & Shin, Yongcheol, 1992. "Testing the null hypothesis of stationarity against the alternative of a unit root : How sure are we that economic time series have a unit root?," Journal of Econometrics, Elsevier, vol. 54(1-3), pages 159-178.
    4. Donald W. K. Andrews, 2003. "Tests for Parameter Instability and Structural Change with Unknown Change Point: A Corrigendum," Econometrica, Econometric Society, vol. 71(1), pages 395-397, January.
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