7 research outputs found
Role of substance abuse in requirement of physical restraint of psychiatric patients in emergency setting
Stay home while going out – Possible impacts of earthquake co-occurring with COVID-19 pandemic on mental health and vice versa
Differences in Facial Emotional Recognition Between Patients With the First-Episode Psychosis, Multi-episode Schizophrenia, and Healthy Controls
Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries
Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries
69Background: The COVID-19 pandemic is having profound mental health consequences for many people. Concerns have been expressed that, at their most extreme, these consequences could manifest as increased suicide rates. We aimed to assess the early effect of the COVID-19 pandemic on suicide rates around the world. Methods: We sourced real-time suicide data from countries or areas within countries through a systematic internet search and recourse to our networks and the published literature. Between Sept 1 and Nov 1, 2020, we searched the official websites of these countries’ ministries of health, police agencies, and government-run statistics agencies or equivalents, using the translated search terms “suicide” and “cause of death”, before broadening the search in an attempt to identify data through other public sources. Data were included from a given country or area if they came from an official government source and were available at a monthly level from at least Jan 1, 2019, to July 31, 2020. Our internet searches were restricted to countries with more than 3 million residents for pragmatic reasons, but we relaxed this rule for countries identified through the literature and our networks. Areas within countries could also be included with populations of less than 3 million. We used an interrupted time-series analysis to model the trend in monthly suicides before COVID-19 (from at least Jan 1, 2019, to March 31, 2020) in each country or area within a country, comparing the expected number of suicides derived from the model with the observed number of suicides in the early months of the pandemic (from April 1 to July 31, 2020, in the primary analysis). Findings: We sourced data from 21 countries (16 high-income and five upper-middle-income countries), including whole-country data in ten countries and data for various areas in 11 countries). Rate ratios (RRs) and 95% CIs based on the observed versus expected numbers of suicides showed no evidence of a significant increase in risk of suicide since the pandemic began in any country or area. There was statistical evidence of a decrease in suicide compared with the expected number in 12 countries or areas: New South Wales, Australia (RR 0·81 [95% CI 0·72–0·91]); Alberta, Canada (0·80 [0·68–0·93]); British Columbia, Canada (0·76 [0·66–0·87]); Chile (0·85 [0·78–0·94]); Leipzig, Germany (0·49 [0·32–0·74]); Japan (0·94 [0·91–0·96]); New Zealand (0·79 [0·68–0·91]); South Korea (0·94 [0·92–0·97]); California, USA (0·90 [0·85–0·95]); Illinois (Cook County), USA (0·79 [0·67–0·93]); Texas (four counties), USA (0·82 [0·68–0·98]); and Ecuador (0·74 [0·67–0·82]). Interpretation: This is the first study to examine suicides occurring in the context of the COVID-19 pandemic in multiple countries. In high-income and upper-middle-income countries, suicide numbers have remained largely unchanged or declined in the early months of the pandemic compared with the expected levels based on the pre-pandemic period. We need to remain vigilant and be poised to respond if the situation changes as the longer-term mental health and economic effects of the pandemic unfold. Funding: None.reservedmixedPirkis J.; John A.; Shin S.; DelPozo-Banos M.; Arya V.; Analuisa-Aguilar P.; Appleby L.; Arensman E.; Bantjes J.; Baran A.; Bertolote J.M.; Borges G.; Brecic P.; Caine E.; Castelpietra G.; Chang S.-S.; Colchester D.; Crompton D.; Curkovic M.; Deisenhammer E.A.; Du C.; Dwyer J.; Erlangsen A.; Faust J.S.; Fortune S.; Garrett A.; George D.; Gerstner R.; Gilissen R.; Gould M.; Hawton K.; Kanter J.; Kapur N.; Khan M.; Kirtley O.J.; Knipe D.; Kolves K.; Leske S.; Marahatta K.; Mittendorfer-Rutz E.; Neznanov N.; Niederkrotenthaler T.; Nielsen E.; Nordentoft M.; Oberlerchner H.; O'Connor R.C.; Pearson M.; Phillips M.R.; Platt S.; Plener P.L.; Psota G.; Qin P.; Radeloff D.; Rados C.; Reif A.; Reif-Leonhard C.; Rozanov V.; Schlang C.; Schneider B.; Semenova N.; Sinyor M.; Townsend E.; Ueda M.; Vijayakumar L.; Webb R.T.; Weerasinghe M.; Zalsman G.; Gunnell D.; Spittal M.J.Pirkis, J.; John, A.; Shin, S.; DelPozo-Banos, M.; Arya, V.; Analuisa-Aguilar, P.; Appleby, L.; Arensman, E.; Bantjes, J.; Baran, A.; Bertolote, J. M.; Borges, G.; Brecic, P.; Caine, E.; Castelpietra, G.; Chang, S. -S.; Colchester, D.; Crompton, D.; Curkovic, M.; Deisenhammer, E. A.; Du, C.; Dwyer, J.; Erlangsen, A.; Faust, J. S.; Fortune, S.; Garrett, A.; George, D.; Gerstner, R.; Gilissen, R.; Gould, M.; Hawton, K.; Kanter, J.; Kapur, N.; Khan, M.; Kirtley, O. J.; Knipe, D.; Kolves, K.; Leske, S.; Marahatta, K.; Mittendorfer-Rutz, E.; Neznanov, N.; Niederkrotenthaler, T.; Nielsen, E.; Nordentoft, M.; Oberlerchner, H.; O'Connor, R. C.; Pearson, M.; Phillips, M. R.; Platt, S.; Plener, P. L.; Psota, G.; Qin, P.; Radeloff, D.; Rados, C.; Reif, A.; Reif-Leonhard, C.; Rozanov, V.; Schlang, C.; Schneider, B.; Semenova, N.; Sinyor, M.; Townsend, E.; Ueda, M.; Vijayakumar, L.; Webb, R. T.; Weerasinghe, M.; Zalsman, G.; Gunnell, D.; Spittal, M. J
Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries
Purpose: There is disregard in the scientific literature for the evaluation of psychiatric in-patient care as rated directly by patients. In this context, we aimed to explore satisfaction of people treated in mental health in-patient facilities. The project was a part of the Young Psychiatrist Program by the Association for the Improvement of Mental Health Programmes. Methods: This is an international multicentre cross-sectional study conducted in 25 hospitals across 11 countries. The research team at each study site approached a consecutive target sample of 30 discharged patients to measure their satisfaction using the five-item study-specific questionnaire. Individual and institution level correlates of ‘low satisfaction’ were examined by comparisons of binary and multivariate associations in multilevel regression models. Results: A final study sample consisted of 673 participants. Total satisfaction scores were highly skewed towards the upper end of the scale, with a median total score of 44 (interquartile range 38–48) out of 50. After taking clustering into account, the only independent correlates of low satisfaction were schizophrenia diagnosis and low psychiatrist to patient ratio. Conclusion: Further studies on patients’ satisfaction should additionally pay attention to treatment expectations formed by the previous experience of treatment, service-related knowledge, stigma and patients’ disempowerment, and power imbalance.</p