Evidence map›Paper›PMID 34560856›Full record

ArticleBMC psychiatry2021

Psychiatric emergency admissions during and after COVID-19 lockdown: short-term impact and long-term implications on mental health.

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

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 2 pooled it
11.3field-weighted citation impact, top 1% of its field
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

74 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

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  9. "What I do not see and others see in me": mutual aid for suicide recovery in Colombia.International journal of qualitative studies on health and well-being · 2025
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14 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 at 3 institutions in 3 countries.

Julia AmbrosettiDepartment of Psychiatry and Department of Emergency, Emergency Psychiatric Unit (UAUP), Geneva University Hospitals (HUG), 1211, Geneva, Switzerland. julia.ambrosetti@hcuge.ch.ORCID 0000-0002-5775-4589
Laura MacheretDepartment of Psychiatry and Department of Emergency, Emergency Psychiatric Unit (UAUP), Geneva University Hospitals (HUG), 1211, Geneva, Switzerland.
Aline FollietDepartment of Psychiatry and Department of Emergency, Emergency Psychiatric Unit (UAUP), Geneva University Hospitals (HUG), 1211, Geneva, Switzerland.
Alexandre WullschlegerAdult Psychiatry Division, Department of Psychiatry, University Hospital of Geneva (HUG), 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.
Gianluca SerafiniDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, 16132, Genoa, Italy.
Paco PradaFaculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.
Stefan KaiserAdult Psychiatry Division, Department of Psychiatry, University Hospital of Geneva (HUG), Geneva, Switzerland.
Guido BondolfiFaculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.
François SarasinFaculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.
Alessandra CostanzaFaculty of Medicine, University of Geneva (UNIGE), 1206, Geneva, Switzerland.ORCID 0000-0001-6387-6462
University of Geneva · CHOspedale Policlinico San Martino · ITUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 'lockdown' measures, adopted to restrict population movements in order to help curb the novel coronavirus disease 2019 (COVID-19) pandemic, contributed to a global mental health crisis. Although several studies have extensively examined the impact of lockdown measures on the psychological well-being of the general population, little is known about long-term implications. This study aimed to identify changes in psychiatric emergency department (ED) admissions between two 8-week periods: during and immediately after lifting the lockdown.

methodsSocio-demographic and clinical information on 1477 psychiatric ED consultations at the University Hospital of Geneva (HUG) were retrospectively analyzed.

resultsWhen grouped according to admission dates, contrary to what we expected, the post-lockdown group presented with more severe clinical conditions (as measured using an urgency degree index) compared to their lockdown counterparts. Notably, after the lockdown had been lifted we observed a statistically significant increase in suicidal behavior and psychomotor agitation and a decrease in behavior disorder diagnoses. Furthermore, more migrants arrived at the HUG ED after the lockdown measures had been lifted. Logistic regression analysis identified diagnoses of suicidal behavior, behavioral disorders, psychomotor agitation, migrant status, involuntary admission, and private resident discharge as predictors of post-lockdown admissions.

conclusionsCollectively, these findings can have implications concerning the prioritization of mental health care facilities and access for patients at risk of psychopathological decompensation in time of confinement policies, but above all, provide a foundation for future studies focusing on the long-term impact of the pandemic and its associated sanitary measures on mental health.

trial registrationResearch Ethics Committee of Geneva, Registration number 2020-01510, approval date: 29 June 2020.

Indexed as

COVID-19Mental HealthCommunicable Disease ControlEmergency Service, HospitalHumansRetrospective StudiesSARS-CoV-2CoronavirusCOVID-19 pandemicDepressionEmergency departmentPsychiatric admissionsPsychotic episodePublic mental healthSubstance use disorderSuicidal behaviorSuicide

Identifiers

PMID34560856
PMCPMC8464091
OpenAlexW3199729042

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.