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European Archives of Psychiatry and Clinical Neuroscience

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Open Access 07-09-2022 | Suicide | Original Paper

Suicidality in psychiatric emergency department situations during the first and the second wave of COVID-19 pandemic

Authors: Yann David Kippe, Maia Adam, Anna Finck, James Kenneth Moran, Meryam Schouler-Ocak, Felix Bermpohl, Stefan Gutwinski, Thomas Goldschmidt

Published in: European Archives of Psychiatry and Clinical Neuroscience | Issue 2/2023

Abstract

Psychiatric patients are prone to mental health deterioration during the Covid-19 pandemic. Little is known about suicidality in psychiatric patients during the Covid-19 pandemic. This study is a retrospective chart review of psychiatric emergency department (pED) presentations with present or absent suicidality (5634 pED attendances, 4110 patients) in an academic pED in Berlin, Germany. Poisson regression analysis was performed on the effect of Covid-19 period on suicidality (suicidal ideation (SI), suicide plans (SP) or suicide attempt (SA)) during the first (3/2/2020–5/24/2020 “first-wave”) and second (9/15/2020–3/1/2021 “second-wave”) wave of the Covid-19 pandemic compared to the same periods one year earlier. During the first-wave the number of pED visits per person with SI, SP and SA was higher compared to one year earlier (SI RR = 1.614; p = 0.016; SP RR = 2.900; p = 0.004; SA RR = 9.862; p = 0.003). SI and SP were predicted by interaction between substance use disorder (SUD) and second-wave (SI RR = 1.305, p = 0.043; SP RR = 1.645, p = 0.018), SA was predicted by interaction between borderline personality disorder (BPD) and second-wave (RR = 7.128; p = 0.012). Suicidality increased during the first-wave of Covid-19 pandemic in our sample. In the second-wave this was found in patients with SUD and BPD. These patients may be at particular risk of suicidality during the Covid-19 pandemic.

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Title: Suicidality in psychiatric emergency department situations during the first and the second wave of COVID-19 pandemic
Authors: Yann David Kippe
Maia Adam
Anna Finck
James Kenneth Moran
Meryam Schouler-Ocak
Felix Bermpohl
Stefan Gutwinski
Thomas Goldschmidt
Publication date: 07-09-2022
Publisher: Springer Berlin Heidelberg
Keywords: Suicide
Suicide
Psychiatric Emergency
Borderline Personality Disorder
COVID-19
Published in: European Archives of Psychiatry and Clinical Neuroscience / Issue 2/2023
Print ISSN: 0940-1334
Electronic ISSN: 1433-8491
DOI: https://doi.org/10.1007/s00406-022-01486-6

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Suicidality in psychiatric emergency department situations during the first and the second wave of COVID-19 pandemic

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