Evidence map›Paper›PMID 33525740›Full record

Observational studyInternational journal of environmental research and public health2021

Impact of the COVID-19 Pandemic on Psychiatric Admissions to a Large Swiss Emergency Department: An Observational Study.

Julia Ambrosetti, Laura Macheret, Aline Folliet, Alexandre Wullschleger, Andrea Amerio, Andrea Aguglia, Gianluca Serafini, Paco Prada, Stefan Kaiser, Guido Bondolfi and 2 more

Abstract readObservational Study
In one paragraph

Observational study in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Utilization of mental health services during the first year of the COVID-19 pandemic - a systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Julia AmbrosettiEmergency Psychiatric Unit, Department of Psychiatry and Department of Emergency (UAUP), Geneva University Hospitals (HUG), 1211 Geneva, Switzerland.
Laura MacheretEmergency Psychiatric Unit, Department of Psychiatry and Department of Emergency (UAUP), Geneva University Hospitals (HUG), 1211 Geneva, Switzerland.
Aline FollietEmergency Psychiatric Unit, Department of Psychiatry and Department of Emergency (UAUP), Geneva University Hospitals (HUG), 1211 Geneva, Switzerland.
Alexandre WullschlegerAdult Psychiatry Division, Department of Psychiatry, University Hospital of Geneva (HUG), 1211 Geneva, Switzerland.
Andrea AmerioDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132 Genoa, Italy.ORCID 0000-0002-3439-340X
Andrea AgugliaDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132 Genoa, Italy.ORCID 0000-0002-2003-2101
Gianluca SerafiniDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132 Genoa, Italy.ORCID 0000-0002-6631-856X
Paco PradaDepartment of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), 1206 Geneva, Switzerland.
Stefan KaiserAdult Psychiatry Division, Department of Psychiatry, University Hospital of Geneva (HUG), 1211 Geneva, Switzerland.
Guido BondolfiDepartment of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), 1206 Geneva, Switzerland.
François SarasinDepartment of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), 1206 Geneva, Switzerland.
Alessandra CostanzaDepartment of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), 1206 Geneva, Switzerland.ORCID 0000-0001-6387-6462

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency with profound mental health consequences. The psychiatric emergency department (ED) plays a key role during this mental health crisis. This study aimed to investigate differences in admissions at a Swiss psychiatric ED from 1 April to 15 May during a "pandemic-free" period in 2016 and a "during-pandemic" period in 2020. The study included 579 consultations at psychiatric ED in the "during-pandemic" period and 702 in the "pandemic-free" period. Sociodemographic and clinical characteristics were compared, and logistic regression analysis was performed to identify variables associated with psychiatric admissions during the pandemic. A reduction in total psychiatric ED admissions was documented during COVID-19. Logistic regression analysis predicted the independent variable (ED admission during the pandemic) and estimated odds ratio (OR) for being unmarried/not in a relationship, arrival in an ambulance, suicidal behavior, behavioral disorders and psychomotor agitation. Though only statistically significant in bivariate analysis, patients were also more likely to be involuntarily hospitalized. This picture appears to be reversed from a sociodemographic and clinical point of view to our observation of psychiatric ED consultation in 2016. These findings highlight that the reduction in psychiatric ED admissions during the pandemic seems to be associated with living alone and more severe psychopathologies, which must alert psychiatrists to ensure access to mental health care in times of pandemic.

Indexed as

PandemicsCOVID-19Emergency Service, HospitalHospitalizationHumansMental HealthPsychiatric Department, HospitalSwitzerlandcoronavirusCOVID-19 pandemicdepressionemergency departmentpsychiatric admissionspsychotic episodepublic mental healthsubstance use disordersuicidal behaviorsuicide

Identifiers

PMID33525740
PMCPMC7908206

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.