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Table 4 General Hospital Psychiatric Wards operating and activities undertaken during the Covid-19 epidemic in Italy

From: Psychiatry during the Covid-19 pandemic: a survey on mental health departments in Italy

Items

N (%) of respondents Yes

Statistically significantdifferences according togeographical area1

Differences according to classesbased upon rates of Covid + cases per 1000 inhabitants on aregional basis2

PWs closed

15 (13.1)

None

None

Number of beds reduced

34 (31.8)

None

None

Scheduled, not urgent admissions allowed

39 (36.4)

None

None

Admissions reduced

94 (87.8)

None

None

Compulsory Admissions increased

9 (8.4)

None

None

Staff meetings 3

72 (67.2)

None

None

Urgent Psychiatric Consultations for GeneralHospital Emergency Rooms/Other MedicalUnits

103 (96.3)

None

None

Psychiatric Consultations for Covid+ cases

23 (21.5)

N = 19 (33.9) C = 1 (7.1)S = 3 (9.7) p<.05

High rate regions2 = 2 (33.8)

low rate regions2 = 5 (11 .1) p<.01

Psychiatric Consultations for Medical/surgicalUnits in other Hospitals4

Overall 58 (54.2)

Only urgent 28 (26.2)

None

None

High rate regions2 = 41 (66.1) lowrate regions2 = 19 (42.2) p<.01

High rate regions2 = 8 (12.9) lowrate regions2 = 15 (33.3) p<.05

Decrease of psychiatric consultations

74 (69.1)

None

High rate regions2 = 50 (80.6) lowrate regions2 = 22 (48.9) p<.005

Frequency of consultations according topsychiatric disorders

Delirium 35 (32.7)

Mood disord 68 (63.5)

Anxiety Dis 51 (47.7)

Adjust Dis 37 (34.6)

Personality Dis 21 (19.6)

Subst use 36 (33.6)

Other psyco-org dis 22 (20.5)

Suicide Attempts 51 (47.7)

Psychoses 56 (52.3)

Complic Mourning 3 (2.8)

None

None

Inpatients violence (increase)

9 (8.4)

None

None

  1. 1Italy’s Geographical areas are: N=North, C=Centre, S=South and Islands
  2. 2group 1 ≥ 2 cases × 1000 inhabitants; group 2 < 2 cases × 1000 inhabitants;high rate regions are those included in group 1, as above; Low rate regions are those included in class 2 as above
  3. 3On site or in videoconference
  4. 4Psychiatric consultation may be required in several regions of Italy to GHPWs for other Hospitals of the same Trust