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The actual worldwide context (disease outbreak, confinements instaured in many countries) is a stressful factor for many people. It can have consequences on mental health : separation from loved ones, loss of freedom, uncertainty about infection status, boredom. Patients with mental disorders are especially vulnerable.
On march 17th, the french government ordonned a national confinement to slow the progression of the COVID-19 outbreak, for 15 days at first then renewed several times. This situation has led to a reorganization of care as requested on March 22nd, 2020 in the recommendations applicable to the organization of care in psychiatric services : priority to telephone contacts and teleconsultation by multiplying contacts and assessments.
By the time the reorganization of care became operational, the most vulnerable patients may have experienced a decompensation of their disease.
It is important to know if the COVID-19 outbreak combined with the confinement increased the number of unvoluntary commitment the month after the announce of the confinement.
This could help us understand which patients are more vulnerable is this context, and improve our organization (ambulatory and hospitalization care) if this situation occurs again.
The main objective is to notice if we can observe a increase in the number of unvonluntary commitment the month after the announce of the confinement in the psychiatric hospital La Colombière, CHU Montpellier, France.
Secondary objectives :
It is expected to highlight :
The medical file of all the patients unvonlutary commited from march 12th to April 09th 2020 are screened, and compared to the patients unvonlutary commited during the same period in 2019.
The caracteristics of interest are their age and sex, if the patient lives alone, the matter of hospitalization, its lengh, their primary psychiatric diagnostic, the use of toxics at the moment of the hospitalization and if this psychiatric decompensation happens in a context of treatment interruption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Unvonluntary commitment from March 12th to April 09th 2019 | Patients hospitalized with unvonluntary commitment procedure from March 12th to April 09th 2019 |
| |
| Unvonluntary commitment from March 12th to April 09th 2020 | Patients hospitalized with unvonluntary commitment procedure from March 12th to April 09th 2020 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Description of groups caracteristics | Other | Comparison of the two groups on all the following criterias : age, sex, if the patient lives alone, the matter of hospitalization, its lengh, their primary psychiatric diagnostic, the use of toxics at the moment of the hospitalization and if this psychiatric decompensation happens in a context of treatment interruption. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of hospitalized patients | Number of hospitalized patients From March 12th to April 09th | 1 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cause of hospitalization | Primary psychiatric diagnostic From March 12th to April 09th | 1 months |
| Measure | Description | Time Frame |
|---|---|---|
| Lengh of hospitalization | Patients without psychiatric antecedent (number) From March 12th to April 09th | 1 months |
| Treatment interruption | Presence of absence of history of treatment interruption leading to the hospitalization From March 12th to April 09th |
Inclusion criteria:
- Unvonluntary commitment in psychiatric hospital La Colombière, CHU Montpellier, from march 12th to april 19th (2019 and 2020).
Exclusion criteria:
- refusal to participate
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Adults having been aditted to the psychiatric hospital La Colombière, CHU Montpellier, France, with unvonluntary commitment procedure from march 12th to April 09th (2019 and 2020)
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| Name | Affiliation | Role |
|---|---|---|
| Emilie Olie, MD PhD | University Hospital, Montpellier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University hospital | Montpellier | 34295 | France |
NC
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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|
| 1 months |
| Number of hospitalized patients living alone | Number of hospitalized patients living alone (opposed to those living with family) From March 12th to April 09th | 1 months |
| Use of drugs | Number of patients using drugs From March 12th to April 09th | 1 months |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |