Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study
Background Assessing the risk of subsequent self-harm after hospitalisation for COVID-19 is critical for mental health care planning during and after the pandemic. Aims This study aims to compare the risk of admission to hospital for self-harm within 12 months following a COVID-19 hospitalisation...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-11-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472424007865/type/journal_article |
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| author | Philippe Pirard Valentina Decio Baptiste Pignon Olivier Bouaziz Vittorio Perduca Viviane Kovess-Masfety Emmanuelle Corruble Francis Chin Pierre A. Geoffroy Yann Le Strat Jonathan Messika Nolwenn Regnault Sarah Tebeka |
| author_facet | Philippe Pirard Valentina Decio Baptiste Pignon Olivier Bouaziz Vittorio Perduca Viviane Kovess-Masfety Emmanuelle Corruble Francis Chin Pierre A. Geoffroy Yann Le Strat Jonathan Messika Nolwenn Regnault Sarah Tebeka |
| author_sort | Philippe Pirard |
| collection | DOAJ |
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Background
Assessing the risk of subsequent self-harm after hospitalisation for COVID-19 is critical for mental health care planning during and after the pandemic.
Aims
This study aims to compare the risk of admission to hospital for self-harm within 12 months following a COVID-19 hospitalisation during the first half of 2020, with the risk following hospitalisations for other reasons.
Method
Using the French administrative healthcare database, logistic regression models were employed to analyse data from patients admitted to hospitals in metropolitan France between January and June 2020. The analysis included adjustments for sociodemographic factors, psychiatric history and the level of care received during the initial hospital stay.
Results
Of the 96 313 patients hospitalised for COVID-19, 336 (0.35%) were subsequently admitted for self-harm within 12 months, compared to 20 135 (0.72%) of 2 797 775 patients admitted for other reasons. This difference remained significant after adjusting for sociodemographic factors (adjusted odds ratio (aOR) = 0.66, 95% CI: 0.59–0.73), psychiatric disorder history (aOR = 0.65, 95% CI: 0.58–0.73) and the level of care received during the initial hospital stay (aOR = 0.70, 95% CI: 0.63–0.78). History of psychiatric disorders and intensive care were strongly correlated with increased risk, while older age was inversely associated with self-harm admissions.
Conclusions
Hospitalisation for COVID-19 during the early pandemic was linked to a lower risk of subsequent self-harm than hospitalisation for other reasons. Clinicians should consider psychiatric history and intensive care factors in evaluating the risk of future suicide.
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| format | Article |
| id | doaj-art-0a0b8ac351604281a5377e01c2f1d118 |
| institution | Kabale University |
| issn | 2056-4724 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj-art-0a0b8ac351604281a5377e01c2f1d1182024-12-05T13:25:24ZengCambridge University PressBJPsych Open2056-47242024-11-011010.1192/bjo.2024.786Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal studyPhilippe Pirard0Valentina Decio1Baptiste Pignon2https://orcid.org/0000-0003-0526-3136Olivier Bouaziz3Vittorio Perduca4Viviane Kovess-Masfety5Emmanuelle Corruble6Francis Chin7Pierre A. Geoffroy8Yann Le Strat9Jonathan Messika10Nolwenn Regnault11Sarah Tebeka12https://orcid.org/0000-0003-0269-4600Non Communicable Diseases and Trauma Division, Santé publique France, Paris, FranceNon Communicable Diseases and Trauma Division, Santé publique France, Paris, FranceDépartement Médico Universitaire (DMU) – Innovation en santé Mentale, Psychiatrie et AddiCTologie, Hôpitaux Universitaires « H. Mondor », Assistance Publique hôpitaux de Paris (AP-HP), Université Paris-Est-Créteil (UPEC), Mondor Biomedical Research Institute (IMRB - Inserm), Translational Neuropsychiatry, Fondation FondaMental, Créteil, FranceUniversité Paris Cité, CNRS, MAP5, Paris, FranceUniversité Paris Cité, CNRS, MAP5, Paris, FranceNon Communicable Diseases and Trauma Division, Santé publique France, Paris, France; and Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, Paris, FranceCESP, MOODS Team, INSERM UMR 1018, Faculté de Médecine, Université Paris-Saclay, Paris, France; and Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Hôpitaux Universitaires Paris-Saclay, AP–HP, Hôpital de Bicêtre, Paris, FranceData Science Division, Santé publique France, Paris, FranceDépartement de Psychiatrie et d'Addictologie, AP-HP, Centre ChronoS, Groupe Hospitalier Universitaire (GHU) Paris Nord, DMU Neurosciences, Hospital Bichat - Claude Bernard, Paris, France; (GHU) Paris - Psychiatry & Neurosciences, Paris, France; and Université de Paris, NeuroDiderot, INSERM, FHU I2-D2, Paris, FranceData Science Division, Santé publique France, Paris, FranceService de Pneumologie B et Transplantation Pulmonaire, Hôpital Bichat-Claude Bernard, AP-HP, Nord-Université Paris Cité, Paris, France; and Physiopathology and Epidemiology of Respiratory Diseases, UMR1152 INSERM and Université de Paris, Paris, FranceNon Communicable Diseases and Trauma Division, Santé publique France, Paris, FranceNon Communicable Diseases and Trauma Division, Santé publique France, Paris, France; Department of Psychiatry, AP-HP, Louis Mourier Hospital, Paris, France; and INSERM Team 1 – UMR1266, Institute of Psychiatry and Neurosciences, Université de Paris, Paris, France Background Assessing the risk of subsequent self-harm after hospitalisation for COVID-19 is critical for mental health care planning during and after the pandemic. Aims This study aims to compare the risk of admission to hospital for self-harm within 12 months following a COVID-19 hospitalisation during the first half of 2020, with the risk following hospitalisations for other reasons. Method Using the French administrative healthcare database, logistic regression models were employed to analyse data from patients admitted to hospitals in metropolitan France between January and June 2020. The analysis included adjustments for sociodemographic factors, psychiatric history and the level of care received during the initial hospital stay. Results Of the 96 313 patients hospitalised for COVID-19, 336 (0.35%) were subsequently admitted for self-harm within 12 months, compared to 20 135 (0.72%) of 2 797 775 patients admitted for other reasons. This difference remained significant after adjusting for sociodemographic factors (adjusted odds ratio (aOR) = 0.66, 95% CI: 0.59–0.73), psychiatric disorder history (aOR = 0.65, 95% CI: 0.58–0.73) and the level of care received during the initial hospital stay (aOR = 0.70, 95% CI: 0.63–0.78). History of psychiatric disorders and intensive care were strongly correlated with increased risk, while older age was inversely associated with self-harm admissions. Conclusions Hospitalisation for COVID-19 during the early pandemic was linked to a lower risk of subsequent self-harm than hospitalisation for other reasons. Clinicians should consider psychiatric history and intensive care factors in evaluating the risk of future suicide. https://www.cambridge.org/core/product/identifier/S2056472424007865/type/journal_articleCOVID-19epidemiologyadmission to hospitalsuicide attemptspsychiatric disorders |
| spellingShingle | Philippe Pirard Valentina Decio Baptiste Pignon Olivier Bouaziz Vittorio Perduca Viviane Kovess-Masfety Emmanuelle Corruble Francis Chin Pierre A. Geoffroy Yann Le Strat Jonathan Messika Nolwenn Regnault Sarah Tebeka Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study BJPsych Open COVID-19 epidemiology admission to hospital suicide attempts psychiatric disorders |
| title | Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study |
| title_full | Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study |
| title_fullStr | Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study |
| title_full_unstemmed | Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study |
| title_short | Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study |
| title_sort | risk of admission to hospital for self harm after admission to hospital for covid 19 french nationwide longitudinal study |
| topic | COVID-19 epidemiology admission to hospital suicide attempts psychiatric disorders |
| url | https://www.cambridge.org/core/product/identifier/S2056472424007865/type/journal_article |
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