Evidence map›Paper›PMID 38083863›Full record

ArticleBJPsych open2023

A country report: impact of COVID-19 lockdowns on involuntary psychiatric treatment in Austria.

Matthäus Fellinger, Thomas Waldhör, Benjamin Vyssoki, Michaela Amering, Lisa Leutgeb, Andreas Gschaider, Bernhard Rappert, Daniel König, Gernot Fugger, Philipp Knasmüller and 1 more

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  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
    Pooled it
  2. Article
  3. Observational
  4. Observational
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

11 authors at 1 institution in 1 country.

Matthäus FellingerClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.ORCID https://orcid.org/0000-0003-4859-1949
Thomas WaldhörCentre for Public Health, Department of Epidemiology, Medical University of Vienna, Austria.ORCID https://orcid.org/0000-0003-2043-8299
Benjamin VyssokiClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
Michaela AmeringClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
Lisa LeutgebClinic Floridsdorf, Department of General Psychiatry, Vienna Healthcare Group, Vienna, Austria.
Andreas GschaiderVertretungsNetz, Vienna, Austria.
Bernhard RappertVertretungsNetz, Vienna, Austria.
Daniel KönigClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.ORCID https://orcid.org/0000-0002-5741-834X
Gernot FuggerClinical Division of General Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
Philipp KnasmüllerClinic Landstraße, Department of General Psychiatry, Vienna Healthcare Group, Vienna, Austria.
Andrea GmeinerClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoercive measures such as involuntary psychiatric admission are considered a last resort in the treatment of people with psychiatric disorders. So far, numerous factors have been identified that influence their use. However, the link between a pandemic - in particular, restrictions such as lockdowns - and the use of involuntary psychiatric admission is unclear.

aimTo examine the association between COVID-19 lockdowns and involuntary psychiatric admissions in Austria.

methodThis retrospective exploratory study assessed all involuntary psychiatric admissions and use of mechanical restraint in Austria, except for the federal state of Vorarlberg, between 1 January 2018 and 31 December 2020. Descriptive statistics and regression models were used.

resultsDuring the 3-year study period, 40 012 individuals (45.9% females, mean age 51.3 years) had 66 124 involuntary psychiatric admissions for an average of 10.9 days. Mechanical restraint was used during 33.9% of these admissions. In weeks of nationwide COVID-19 lockdowns (2020

conclusionsRestrictions such as lockdowns affect coercive measures and resulted in fewer but longer involuntary psychiatric admissions during weeks of lockdown in Austria. These results strengthen previous findings that showed the dependence of coercive measures on external factors, highlighting the need to further clarify causality and desired prevention effects when using coercive measures.

Indexed as

Coercive measuresCOVID-19involuntary admissionlockdownsmental disorders

Identifiers

PMID38083863
PMCPMC10755558
OpenAlexW4389619654

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.