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

Alexandre Wullschleger, Leonel Gonçalves, Maya Royston, Othman Sentissi, Julia Ambrosetti, Stefan Kaiser and Stéphanie Baggio

PLOS ONE, 2023, vol. 18, issue 7, 1-12

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

Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0289310

DOI: 10.1371/journal.pone.0289310

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