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The impact of COVID-19 on acute psychiatric admissions for first and repeated episode psychosis

Author

Listed:
  • Marlene Kelbrick
  • Ksenija da Silva
  • Chris Griffiths
  • Saba Ansari
  • Gabriela Paduret
  • James Tanner
  • Nick Mann
  • Sara Johnson

Abstract

Background: There is limited evidence of the longer-term impact of the COVID-19 pandemic on acute admissions for psychosis in the UK. Aims: We examined the impact of COVID-19 on rates of admissions for first and repeated episode psychosis, and changes in patient profile and seasonal patterns, over a period of 12 months. Method: We conducted a retrospective case note review of all patients admitted with a primary psychosis (F20-29 ICD 10 diagnosis) to an NHS psychiatric inpatient unit. We compared the 12 months pre-COVID-19 period between 1 March 2019 and 28 February 2020, and the 12 months post-COVID-19 period between 1 March 2020 and 28 February 2021. Results: The results showed increase rates of admissions post-COVID-19 in both first and repeated episode psychosis, the patient profile had more females and older age in the repeated episode group, with increased employment rates. Combined group data for both pre- and post-COVID-19 periods showed an increased trend in spring and summer admissions, and even though not statistically significant, more pronounced post-COVID-19. Conclusions: Our findings highlight the effect of the COVID-19 pandemic on acute psychosis admissions over a 12-month period. The results provide evidence for the ‘stress-pathogenesis’ in the context of genetic vulnerability in psychosis. Preventative strategies in the context of the ‘stress-pathogenesis model’, improved access to and responsiveness within NHS transformation efforts needs to be adjusted to fit local need and environmental changes.

Suggested Citation

  • Marlene Kelbrick & Ksenija da Silva & Chris Griffiths & Saba Ansari & Gabriela Paduret & James Tanner & Nick Mann & Sara Johnson, 2023. "The impact of COVID-19 on acute psychiatric admissions for first and repeated episode psychosis," International Journal of Social Psychiatry, , vol. 69(8), pages 2042-2047, December.
    • Handle: RePEc:sae:socpsy:v:69:y:2023:i:8:p:2042-2047
    DOI: 10.1177/00207640231188031
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    1. Connor, Jade & Madhavan, Sarina & Mokashi, Mugdha & Amanuel, Hanna & Johnson, Natasha R. & Pace, Lydia E. & Bartz, Deborah, 2020. "Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review," Social Science & Medicine, Elsevier, vol. 266(C).
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