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- Title
Epidemiological exploration of involuntary admissions during the last 10-year-period of economic crisis in greece.
- Authors
Bakola, M.; Kitsou, K. S.; Hyphantis, T.; Gourzis, P.; Jelastopulu, E.
- Abstract
Introduction: Involuntary admissions (IA) affect the patients' autonomy and take place in order to prevent them to harm themselves or other people. The incidence of compulsory assessment (CA) seems to increase worldwide. Objectives: To investigate the epidemiological patterns of patients hospitalized involuntary after CA, during the economic crisis in North-West Greece. Methods: During 2009-2017, CA and IA were retrospectively assessed from the records of patients admitted to the Psychiatry Department at the University Hospital of Ioannina. Sociodemographic characteristics and data regarding legal procedures were collected. Results: A total of 602 CA were identified, 50% of them (every second year) were evaluated, 284 (85.5%) leaded to IA. The majority were men (67.5%), mean age 49 years, unmarried (70.2%), living with parents or siblings (74.8%), not working (64.8%), without tertiary education (70.2%), with residence in Ioannina (51.5%). First diagnosis was performed by a public hospital psychiatrist (88.6%), average length of stay was 24 days and most of them had been hospitalized in the past (64.2%). In 2009 there were 47 IA, whereas in 2017 there were 83. During 2009, the Femaleto-Male ratio for IA was 1 to 2.4, whereas in 2017 we observed 1 to 1.3, respectively. The main reason for IA was schizophrenia (56%) and to a lesser extent mood disorder (19.6%). Conclusions: The economic crisis seems to affect IA. Between 2009 and 2017 there was an increase in IA and an increase in women IA.
- Subjects
IOANNINA (Greece); GREECE; FINANCIAL crises; PATIENT autonomy; PUBLIC hospitals; AFFECTIVE disorders; UNIVERSITY hospitals
- Publication
European Psychiatry, 2020, Vol 63, pS387
- ISSN
0924-9338
- Publication type
Article