The impact of COVID-19 on acute psychiatric admissions for first and repeated episode psychosis

Marlene Kelbrick; Ksenija da Silva; Chris Griffiths; Saba Ansari; Gabriela Paduret; James Tanner; Nick Mann; Sara Johnson

doi:10.1177/00207640231188031

The impact of COVID-19 on acute psychiatric admissions for first and repeated episode psychosis

Marlene Kelbrick, Ksenija da Silva, Chris Griffiths, Saba Ansari, Gabriela Paduret, James Tanner, Nick Mann, Sara Johnson

Centre for Healthcare and Communities

Northamptonshire Healthcare NHS Foundation Trust

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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Abstract

Background: There is limited evidence of the longer-term impact of the COVID-19 pandemic on acute admissions for psychosis in the UK. Aims: We examined the impact of COVID-19 on rates of admissions for first and repeated episode psychosis, and changes in patient profile and seasonal patterns, over a period of 12 months. Method: We conducted a retrospective case note review of all patients admitted with a primary psychosis (F20-29 ICD 10 diagnosis) to an NHS psychiatric inpatient unit. We compared the 12 months pre-COVID-19 period between 1 March 2019 and 28 February 2020, and the 12 months post-COVID-19 period between 1 March 2020 and 28 February 2021. Results: The results showed increase rates of admissions post-COVID-19 in both first and repeated episode psychosis, the patient profile had more females and older age in the repeated episode group, with increased employment rates. Combined group data for both pre- and post-COVID-19 periods showed an increased trend in spring and summer admissions, and even though not statistically significant, more pronounced post-COVID-19. Conclusions: Our findings highlight the effect of the COVID-19 pandemic on acute psychosis admissions over a 12-month period. The results provide evidence for the ‘stress-pathogenesis’ in the context of genetic vulnerability in psychosis. Preventative strategies in the context of the ‘stress-pathogenesis model’, improved access to and responsiveness within NHS transformation efforts needs to be adjusted to fit local need and environmental changes.

Original language	English
Pages (from-to)	2042-2047
Number of pages	6
Journal	International Journal of Social Psychiatry
Volume	69
Issue number	8
Early online date	7 Aug 2023
DOIs	https://doi.org/10.1177/00207640231188031
Publication status	Published - Dec 2023

Bibliographical note

Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.

This document is the author’s post-print version, incorporating any revisions agreed during the peer-review process. Some differences between the published version and this version may remain and you are advised to consult the published version if you wish to cite from it.

Keywords

COVID-19
acute psychiatric admissions
psychosis

Access to Document

10.1177/00207640231188031

Post-PrintAccepted author manuscript, 1.22 MB

Cite this

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title = "The impact of COVID-19 on acute psychiatric admissions for first and repeated episode psychosis",

abstract = "Background: There is limited evidence of the longer-term impact of the COVID-19 pandemic on acute admissions for psychosis in the UK. Aims: We examined the impact of COVID-19 on rates of admissions for first and repeated episode psychosis, and changes in patient profile and seasonal patterns, over a period of 12 months. Method: We conducted a retrospective case note review of all patients admitted with a primary psychosis (F20-29 ICD 10 diagnosis) to an NHS psychiatric inpatient unit. We compared the 12 months pre-COVID-19 period between 1 March 2019 and 28 February 2020, and the 12 months post-COVID-19 period between 1 March 2020 and 28 February 2021. Results: The results showed increase rates of admissions post-COVID-19 in both first and repeated episode psychosis, the patient profile had more females and older age in the repeated episode group, with increased employment rates. Combined group data for both pre- and post-COVID-19 periods showed an increased trend in spring and summer admissions, and even though not statistically significant, more pronounced post-COVID-19. Conclusions: Our findings highlight the effect of the COVID-19 pandemic on acute psychosis admissions over a 12-month period. The results provide evidence for the {\textquoteleft}stress-pathogenesis{\textquoteright} in the context of genetic vulnerability in psychosis. Preventative strategies in the context of the {\textquoteleft}stress-pathogenesis model{\textquoteright}, improved access to and responsiveness within NHS transformation efforts needs to be adjusted to fit local need and environmental changes.",

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AU - Paduret, Gabriela

AU - Tanner, James

AU - Mann, Nick

AU - Johnson, Sara

N1 - Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders. This document is the author’s post-print version, incorporating any revisions agreed during the peer-review process. Some differences between the published version and this version may remain and you are advised to consult the published version if you wish to cite from it.

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ER -

The impact of COVID-19 on acute psychiatric admissions for first and repeated episode psychosis

Abstract

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