European Journal of Psychiatry最新文献

{"title":"Validation study for the individual recovery outcomes counter (I.ROC) in a Spanish population.","authors":"José A. Garrido-Cervera ,&nbsp;María I. Ruiz-Granados ,&nbsp;Antonio I. Cuesta-Vargas ,&nbsp;Antonio J. Sánchez-Guarnido","doi":"10.1016/j.ejpsy.2024.100287","DOIUrl":"10.1016/j.ejpsy.2024.100287","url":null,"abstract":"<div><h3>Background and Objective</h3><div>To improve mental health recovery, it is necessary to have validated instruments. At present, however, there is a lack of valid instruments capable of measuring the recovery process in Spanish-speaking populations. The objective of this study was therefore to translate, culturally adapt and validate the Individual Recovery Outcomes Counter (I.ROC) for use in Spanish populations.</div></div><div><h3>Methods</h3><div>The methodology applied was that recommended for cultural adaptations of questionnaires. It included the following phases: translation, back translation, cultural adaptation and understandability analysis. To assess its psychometric properties, the translated version of the I.ROC was administered to 307 people with severe mental disorders (SMDs).</div></div><div><h3>Results</h3><div>The questionnaire's internal consistency was satisfactory (Cronbach's alpha = 0.894). Its stability over time was also appropriate, with no significant differences being found in any of the items in the two evaluations. Concurrent validity with the Recovery Assessment Scale (RAS-24) was also acceptable (<em>r</em> = 0.663 <em>p</em> &lt; 0.001). The exploratory factor analysis (EFA) results were concordant with a division into the 4 original factors, but also compatible with two or even with one single general factor.</div></div><div><h3>Conclusion</h3><div>The results of the study suggest that the Spanish version of the I.ROC is a valid, reliable instrument for charting recovery in people with mental disorders (MD).</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100287"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of the TaySH (Transitional Age Youth Self-Harm) Program in the management of Non-Suicidal Self-Harm (NSSI) in outpatient adolescents and young adults: A non-randomized controlled pilot study","authors":"Natalia Calvo ,&nbsp;Silvia Amoretti ,&nbsp;Jorge Lugo-Marín ,&nbsp;Montserrat Oriol ,&nbsp;Citlallí Perez ,&nbsp;Josep Antoni Ramos-Quiroga ,&nbsp;Marc Ferrer","doi":"10.1016/j.ejpsy.2024.100288","DOIUrl":"10.1016/j.ejpsy.2024.100288","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Non-suicidal self-injury (NSSI) has become one of the most severe mental health problems among adolescents and young adults worldwide, especially in clinical populations. The main objective of this non-randomized pilot study is to demonstrate the effectiveness of the TaySH Program in a clinical sample of 37 outpatients aged 14 to 25 years (<em>M</em> = 16.70, SD= 1.51), TAY (Transitional age youth) developmental stage.</div></div><div><h3>Methods</h3><div>All participants underwent the baseline or pre-treatment assessment and 28 patients completed the 12-week intervention treatment and underwent post-treatment evaluation through different interviews and self-reports. The primary outcome was the reduction of NSSI, and the secondary outcomes were suicide risk, emotional dysregulation, the psychopathological clinical manifestations of impulsivity, depressive symptoms and anxiety, and psychosocial functioning.</div></div><div><h3>Results</h3><div>The frequency of NSSI behaviors decreased significantly from a mean of 3.32 (SD=4.07) episodes per week at baseline to 0.29 (SD=0.98) episodes per week post-treatment (<em>p</em> &lt; 0.001, Cohen's <em>d</em> = 0.458). This reduction was accompanied by an improvement in associated psychopathological symptoms, leading to better psychosocial functioning among program participants.</div></div><div><h3>Conclusions</h3><div>The results suggest that the TaySH Program is a promising early intervention for managing NSSI in this population. Future studies should examine the maintenance of the changes achieved, especially concerning the reduction of the psychopathology's tendency toward chronicity.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100288"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eating disorders and cardiovascular outcomes: A systematic review with meta-analysis","authors":"Cristiane Buzanello-Donin ,&nbsp;Monica Augusta Mombelli ,&nbsp;Márcia Rosângela Buzanello ,&nbsp;Clenise Maria Reis Capellani dos Santos ,&nbsp;Cassia Cristina Paes de Almeida ,&nbsp;Rogério da Luz ,&nbsp;Miguel Morita Fernandes da Silva","doi":"10.1016/j.ejpsy.2024.100274","DOIUrl":"10.1016/j.ejpsy.2024.100274","url":null,"abstract":"<div><h3>Background and objective</h3><div>To conduct a literature review to assess the association between eating disorders (ED), cardiovascular outcomes and all-cause mortality.</div></div><div><h3>Methods</h3><div>Observational studies that presented a measure of association between mortality (or cardiac outcomes) and EDs in adult or adolescent patients were included. The databases PubMed, Web of Science, EMBASE, Livivo, Scopus, PsycINFO and Lilacs were consulted. The random effect was adopted to group the findings of the primary studies in the meta-analysis using the Hazzard Ratio (HR) as a measure of association.</div></div><div><h3>Results</h3><div>The meta-analysis with 50,263 patients with ED showed a higher risk of mortality from all causes in patients compared to controls. The associated risk of death from all causes was higher with anorexia (AN) compared to other ED (AN: HR 5.38; 95 %CI 4.42 to 6.56; binge ED: HR 2.48; 95 %CI 1.13 to 5.46; bulimia: HR 2.21; 95 %CI 1.70 to 2.87). Additionally, one study demonstrated an association between bulimia and an increased risk of developing cardiovascular disease (HR 4.25; 95 %CI 2.98 to 6.07) and another study showed a higher risk of cardiovascular events in people with bulimia than in healthy controls (HR 1.4; 95 %CI 0.7 to 2.8). Finally, a higher risk of cardiovascular events in people with AN (HR 10.4; 95 %CI 2.6 to 41.6) was demonstrated in one study, when compared to healthy controls.</div></div><div><h3>Conclusions</h3><div>There is an association between EDs and all-cause mortality, with AN being associated with the highest risk, followed by binge ED and bulimia.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100274"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout in mental health professionals and its relation with their attitudes towards mental illness","authors":"Francisco Del Olmo-Romero ,&nbsp;Carlos Rebolleda-Gil ,&nbsp;Pedro Varandas ,&nbsp;Manuel Martín-Carrasco ,&nbsp;María González-Blanco ,&nbsp;Giampaolo Perna ,&nbsp;Edith Pomarol-Clotet ,&nbsp;Ana C. Martinez-Cabezón ,&nbsp;Raúl Huerta-Ramírez ,&nbsp;Raymond Salvador ,&nbsp;The Inter NOS Working Group","doi":"10.1016/j.ejpsy.2024.100289","DOIUrl":"10.1016/j.ejpsy.2024.100289","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Staff burnout is a concern in the mental health field, in terms of its prevalence and its association with a range of undesirable outcomes. Recent research suggests there is a relationship between mental health professionals’ (MHPs) burnout and stigmatizing attitudes towards their patients, probably leading to deleterious effects on the quality of their care. We measured burnout in a sample of professionals working in a wide range of mental health facilities in Spain, Portugal and Italy, and analyzed (1) its relationship with a set of relevant sociodemographic variables and (2) its influence on their stigmatizing attitudes.</div></div><div><h3>Methods</h3><div>We administered a survey including the Maslach Burnout Inventory (MBI) and two questionnaires related to stigmatizing attitudes: The Community Attitudes towards the Mentally Ill (CAMI) and the Attribution Questionnaire (AQ-27). Sociodemographics including information on profession, work setting and country were also registered.</div></div><div><h3>Results</h3><div>1525 professionals of the surveyed population (34.06 %) completed the survey. Burnout scores were significantly related to many of the sociodemographic variables. Profession and country were the strongest and most consistently associated to the three dimensions of burnout (i.e., Emotional Exhaustion (EE), Depersonalization (Dp) and Personal Achievement (PA)) always with a <em>p</em> &lt; 0.001. Fittings of linear models predicting stigmatizing attitudes from burnout pointed to PA as the most influential variable, being statistically significant for 11 of the 13 stigma variables, followed by both EE and Dp which were significant for 6 of the variables. Finally, higher adjusted R2 from the fitted models showed that burnout was more influential than profession, work setting or country in many of the stigma variables including Anger, Dangerousness, Fear, Help, Restrictiveness and Ideology.</div></div><div><h3>Conclusion</h3><div>Results from this study indicate that burnout of MHPs is related to a wide range of sociodemographic factors, with profession and country being remarkably significant. MHPs reporting higher burnout (especially lower personal achievement at work) have more negative attitudes towards their patients and support more coercive and restrictive approaches in their care. Staff burnout seems to explain most of their stigmatizing attitudes more than personal and professional variables. Thus, interventions to diminish burnout might have a positive influence on mental health care. Future studies should include organizational variables, more specific scales for stigma in MHPs, and have a follow-up design.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100289"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social support and emotion dysregulation: A serial pathway from child maltreatment to depressive symptoms in adults with affective disorders","authors":"Rachel Hsiao Shen Tan ,&nbsp;Sherilyn Shi Hui Chang ,&nbsp;Wen Lin Teh ,&nbsp;Nisha Chandwani ,&nbsp;Mythily Subramaniam ,&nbsp;Jianlin Liu","doi":"10.1016/j.ejpsy.2024.100286","DOIUrl":"10.1016/j.ejpsy.2024.100286","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Child maltreatment is a risk factor for psychopathology in adulthood, and it is important to elucidate avenues for intervention. Social support and emotion dysregulation are two psychosocial factors which mediate the relationship between child maltreatment and psychopathology; however, few studies have examined both simultaneously in an Asian clinical context. This study aimed to investigate the dual roles of social support and emotion dysregulation in the pathway from child maltreatment to depressive symptoms in adulthood by testing three competing pathway models.</div></div><div><h3>Methods</h3><div>A total of 200 participants (Mean age = 36.53; 78 % Chinese ethnicity) with a primary diagnosis of affective disorder were recruited from a tertiary psychiatric hospital in Singapore. Respondents completed self-report measures of child maltreatment exposure, depressive symptoms, perceived social support, and emotion dysregulation. Pathway analyses based on ordinary least squares regressions were conducted using the PROCESS 4.1 tool.</div></div><div><h3>Results and conclusions</h3><div>Higher exposure to child maltreatment was associated with lower perceived social support, greater emotion dysregulation, and more depressive symptoms. Pathway analyses revealed a significant indirect effect of child maltreatment on depressive symptoms via perceived social support and emotion dysregulation (<em>b</em> = 0.0172). This indirect effect was significant for emotional neglect while controlling for other forms of maltreatment (<em>b</em> = 0.0914). Findings provide conceptual support for the serial pathway involving social support and emotion dysregulation in the relationship between child maltreatment and depressive symptoms, highlighting the need to target both interpersonal and intrapersonal factors in treating clinical populations with child maltreatment exposure.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100286"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 12-month follow-up study of self-harming behaviors in a sample of adolescents","authors":"Javier Vera-Martínez ,&nbsp;Francisco Díaz-Atienza ,&nbsp;Pablo González-Domenech ,&nbsp;Luis Gutiérrez-Rojas ,&nbsp;Sara Jiménez-Fernández","doi":"10.1016/j.ejpsy.2025.100301","DOIUrl":"10.1016/j.ejpsy.2025.100301","url":null,"abstract":"","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100301"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of 5-HTT, COMT, and BDNF functional polymorphisms and their interaction with parental bonding in attachment anxiety, among adults with personality disorders","authors":"Leire Erkoreka ,&nbsp;Iker Zamalloa ,&nbsp;Pedro Muñoz ,&nbsp;Santiago Rodriguez ,&nbsp;Aurora Arrue ,&nbsp;Miguel Angel Gonzalez-Torres","doi":"10.1016/j.ejpsy.2024.100270","DOIUrl":"10.1016/j.ejpsy.2024.100270","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Attachment is the tendency of human beings to create strong affective bonds towards specific figures, and has been described as a general vulnerability factor to diverse forms of psychopathology. Although attachment research has not tended to emphasize genetic contribution, heritability is estimated at 36–45 %. We explored the association between <em>5-HTTLPR, COMT</em> Val158Met and <em>BDNF</em> Val66Met functional polymorphisms with attachment dimensions, as well as the gene-environment interaction, considering the perceived parental rearing styles, with both a vulnerability and a differential susceptibility approach.</div></div><div><h3>Methods</h3><div>150 outpatients with a cluster B personality disorder participated in the study. Attachment was assessed using Experiences in Close Relationships-Revised and rearing styles by means of the Parental Bonding Instrument. Genotypes were analyzed using saliva samples. Statistical analyses were carried out with general linear models.</div></div><div><h3>Results</h3><div><em>COMT</em> ValVal homozygotes and <em>BDNF</em> Met-carriers were associated with significantly higher scores in attachment anxiety (COMT: ValVal 4.95±1.25 vs Met-carriers 4.42±1.30, <em>t</em>=-2.096, <em>p</em>=0.038; BDNF: ValVal 4.38±1.31 vs Met-carriers 4.95±1.24, <em>t</em> = 2.833, <em>p</em>=0.005). From a differential susceptibility approach, plasticity genotypes were identified for the three functional polymorphisms, observing significant interactions with parental overprotection and differential outcomes in relation to attachment anxiety. No associations or interactions were found with regard to attachment avoidance and the care dimension.</div></div><div><h3>Conclusion</h3><div>Our results suggest that there are individuals more susceptible to rearing experiences in terms of adult attachment outcomes, which probably also implies a greater potential to benefit from environmental and psychotherapeutic interventions.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100270"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A collective case study of mental health systems’ response to COVID-19: Impact on patterns of care provision for depression and anxiety in two comparable regions of Southern Europe","authors":"G Castelpietra ,&nbsp;T Niyonsenga ,&nbsp;A Iruin ,&nbsp;U Albert ,&nbsp;A Gabilondo ,&nbsp;L Salvador-Carulla","doi":"10.1016/j.ejpsy.2024.100278","DOIUrl":"10.1016/j.ejpsy.2024.100278","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>COVID-19 pandemic has affected the mental health system (MHS) globally, although significant geographical variation was found, particularly for depression and anxiety. The understanding of its impact at the regional level of the context of care is limited when compared to national evaluations.</div></div><div><h3>Methods</h3><div>Collective case study comparing the prior pattern of care with the first 11 months of COVID-19 in two sites: Gipuzkoa (Spain) and Friuli Venezia Giulia - FVG (Italy). Information from both sites derive from administrative data of MHS in the two regions harmonized for comparison. Data included prevalence of psychiatric diagnoses (ICD-10 F30-F39 and F40-F49 codes), number of hospitalisations, mean and range of psychiatric and psychological interventions. Significance of time-period and location difference was assessed using the Chi-square and the T-statistics for prevalence and count data, respectively.</div></div><div><h3>Results</h3><div>MHS is community-based in both sites. The prevalence of anxiety decreased in FVG, while a decrease in hospitalisations was found in Gipuzkoa. Both sites registered an increase in psychiatric visits for anxiety and depression. In both periods, FVG showed significant lower prevalence of diagnoses, but higher mean number of psychiatric interventions.</div></div><div><h3>Conclusions</h3><div><strong>:</strong> The COVID-19 outbreak is a paradigmatic example of complex dynamic systems in public health and illustrates the importance of considering its local context and time dependency. The Standard mapping and coding of local MHS provision is essential to allow comparison and reduce ambiguity. This study highlights the importance of ecosystem research to better interpret epidemiological data and support the development of evidence-informed policymaking.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100278"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex differences in death by suicide versus the rest of external causes of death across the lifespan. A population study","authors":"Alicia Padron-Monedero ,&nbsp;Isabel Noguer-Zambano ,&nbsp;Alejandro G. Arleth ,&nbsp;M. Pilar Martin ,&nbsp;Jerónimo Saiz Ruiz","doi":"10.1016/j.ejpsy.2024.100261","DOIUrl":"10.1016/j.ejpsy.2024.100261","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Men, compared to women, have higher rates of mortality by suicide and the rest of external causes in all age groups. However, it is unclear if the higher tendency of men to die by suicide, it is largely related to men higher propensity to die by external causes in general. As far as we know, only one study (US population) assessed sex differences in suicide versus other external causes of death, finding important differences across the lifespan. Thus, our study aims to assess, in Spanish population, if there are differences between sexes in death by suicide versus the rest of external causes of death and its variation across lifespan.</div></div><div><h3>Methods</h3><div>Cross-sectional study of all Spanish residents that died from suicide and rest of external causes between 2016 and 2018, and which consisted of 45,389 fatalities. To assess sex differences in deaths by suicide versus the rest of external causes of death, we built logistic regression models stratifying by age groups.</div></div><div><h3>Results</h3><div>Compared to women who died by external causes, men who died by external causes had OR (95 % CI) of 1.94(1.85–2.03) of dying by suicide. The OR were 0.78 (0.64–0.96), 0.57 (0.49–0.67), 0.73 (0.64–0.84) and 0.75 (0.65–0.85) for those 25–34, 35–44, 45–54 and 55–64 years respectively. For those 65–74, 75–84 and ≥ 85 years the trend changed, and OR were 1.15 (1.01–1.31), 2.38 (2.10–2.72), and 3.81 (3.28–4.44) respectively.</div></div><div><h3>Conclusions</h3><div>Men, compared to women, are more likely to die by suicide versus the rest of external deaths. Nevertheless, there are important differences across the lifespan.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100261"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Has psychiatric emergency care changed after the COVID-19 pandemic? A retrospective study in a tertiary hospital in Madrid, Spain","authors":"Carolina Fajardo ,&nbsp;Simona Sciacchitano ,&nbsp;Alba Maria Pozo-Prados ,&nbsp;Ana Izquierdo ,&nbsp;Álvaro Orosa-Duarte ,&nbsp;Eduardo Delgado-Parada ,&nbsp;Jose Luis Ayuso-Mateos ,&nbsp;Iosune Torio","doi":"10.1016/j.ejpsy.2024.100281","DOIUrl":"10.1016/j.ejpsy.2024.100281","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The COVID-19 pandemic and the ensuing restrictive measures had a detrimental impact on the mental health of the population, potentially altering the pattern of seeking psychiatric care. A retrospective cross-sectional study was conducted to compare Psychiatric Emergencies after the most restrictive phases of the pandemic with an equivalent pre-pandemic period. Additionally, we aimed to investigate a possible association between the influx of patients to the emergency department (ED) and the cumulative incidence of COVID-19 cases.</div></div><div><h3>Methods</h3><div>Data from the psychiatric ED of a tertiary hospital in Madrid, Spain, during the so-called “new normal” phase (October 2020 - May 2021) were compared with a corresponding period (October 2018 - May 2019).</div></div><div><h3>Results</h3><div>The number of visits to the ED significantly increased from 879 to 980 after the pandemic. Patients were more likely to be compulsorily transferred (<em>M</em> = 281, SD 28.7 vs. <em>M</em> = 209, SD 23.8) and had a higher likelihood of requiring psychiatric hospitalization (<em>M</em> = 323, SD 33.0 vs. <em>M</em> = 246, SD 28.0). Notably, the number of visits related to suicide attempts was significantly higher during the pandemic (<em>M</em> = 147, SD 15.0 vs. <em>M</em> = 86, SD 9.8), while the proportion of patients with bipolar disorder decreased (<em>M</em> = 89, SD 9.1 vs. <em>M</em> = 121, SD 13.8). No significant results were found regarding a possible association between the number of patients in the ED and the COVID-19 incidence rate.</div></div><div><h3>Conclusions</h3><div>These results suggest critical changes in psychiatric emergency care and an increasing trend of suicide attempts during the pandemic, emphasizing the need for the reorganization of emergency care in future health crises.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100281"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}