Abstract.
Background:
Disasters of the magnitude of September 11, 2001 have a serious public health impact. By dominating media broadcasts, this effect is not limited to the site of the disaster. We tested the hypothesis whether such extraordinary burden results in an increase of psychiatric inpatient treatment. As such we analysed all psychiatric inpatient admissions in the Canton of Zurich/Switzerland. To test the influence of proximity to a disaster, we additionally analysed the impact of a local amok run on September 27, 2001.
Methods:
Psychiatric inpatient admissions in the Canton of Zurich from September 2000 to September 2002 were analysed based on the data of the psychiatric case register. ARIMA modelling was employed to describe time-series of admissions per week over the 2-year period and to identify the impact of the incidents of 9/11 and 9/27,2001.
Results:
Mean numbers of weekly admissions were comparable in a time span of one month before and one month after the two incidents, thus, no significant changes were detected by the ARIMA modelling.
Conclusion:
Against widespread beliefs, for patients with severe mental disorders requiring hospitalisation illness factors seem to play a more relevant role for decompensation than external psychosocial factors such as the described incidents.
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References
Akaike H (1987) Factor analysis and AIC. Psychometrika 52:317–332
Bürgy R, Häfner-Ranabauer W (2000) Need and demand in psychiatric emergency service utilization: explaining topographic differences of a utilization sample in Mannheim. Eur Arch Psychiatry Clin Neurosci 250:226–233
Cardenas J, Williams K, Wilson JP, Fanouraki G, Singh A (2003) PSTD, major depressive symptoms, and substance abuse following September 11:2001, in a midwestern university population. Int J Emerg Ment Health 5:15–28
Dixon P, Rehling G, Shiwach R (1993) Peripheral victims of the Herald of Free Enterprise disaster. Br J Med Psychol 66 (Pt 2):93–202
Franklin CL, Young D, Zimmerman M (2002) Psychiatric patients’ vulnerability in the wake of the September 11th terrorist attacks. J Nerv Ment Dis 190:833–838
Gaebel W, Baumann A, Witte AM, Zaeske H (2002) Public attitudes towards people with mental illness in six German cities: results of a public survey under special consideration of schizophrenia. Eur Arch Psychiatry Clin Neurosci 252:278–287
Galea S, Resnick H, Ahern J, Gold J, Bucuvalas M, Kilpatrick D, Stuber J, Vlahov D (2002) Posttraumatic stress disorder in Manhattan, New York City, after the September 11th terrorist attacks. J Urban Health 79:340–353
Giggs JA, Cooper JE (1987) Ecological structure and the distribution of schizophrenia and affective psychoses in Nottingham. Br J Psychiatry 151:627–633
ICD-10 (1992) International Statistical Classification of Diseases and Related Health Problems. World Health Organization, Geneva
Kinzie JD, Boehnlein JK, Riley C, Sparr L (2002) The effects of September 11 on traumatized refugees: reactivation of posttraumatic stress disorder. J Nerv Ment Dis 190:437–441
Lauber C, Falcato L, Nordt C, Rossler W (2003a) Lay beliefs about causes of depression. Acta Psychiatr Scand Suppl:96–99
Lauber C, Nordt C, Falcato L, Rossler W (2001) Lay recommendations on how to treat mental disorders. Soc Psychiatry Psychiatr Epidemiol 36:553–556
Lauber C, Nordt C, Falcato L, Rossler W (2002) Public attitude to compulsory admission of mentally ill people. Acta Psychiatr Scand 105:385–389
Lauber C, Nordt C, Falcato L, Rossler W (2003b) Do people recognise mental illness? Factors influencing mental health literacy. Eur Arch Psychiatry Clin Neurosci 253:248–251
Lee A, Isaac M, Janca A (2002) Post-traumatic stress disorder and terrorism. Curr Op Psychiatry 15:633–637
Marshall RD, Galea S (2004) Science for the community: assessing mental health after 9/11. J Clin Psychiatry 65 Suppl 1:37–43
Marshall RD, Suh EJ (2003) Contextualizing Trauma: Using Evidence-Based Treatments in a Multicultural Community After 9/11. Psychiatr Q 74:401–420
McDowell D, McCleary R, Meidinger E, Hay RJ (1980) Interrupted time series analysis. Sage, Thousand Oaks, CA
Pfefferbaum B, Seale TW, McDonald NB, Brandt EN Jr, Rainwater SM, Maynard BT, Meierhoefer B, Miller PD (2000) Posttraumatic stress two years after the Oklahoma City bombing in youths geographically distant from the explosion. Psychiatry 63:358–370
Rosenheck R, Fontana A (2003) Use of mental health services by veterans with PTSD after the terrorist attacks of September 11. Am J Psychiatry 160:1684–1690
Salib E (2003) Effect of 11 September 2001 on suicide and homicide in England and Wales. Br J Psychiatry 183:207–212
Schlenger WE, Caddell JM, Ebert L, Jordan BK, Rourke KM, Wilson D, Thalji L, Dennis JM, Fairbank JA, Kulka RA (2002) Psychological reactions to terrorist attacks: findings from the National Study of Americans’ Reactions to September 11. JAMA 288:581–588
Schuster MA, Stein BD, Jaycox L, Collins RL, Marshall GN, Elliott MN, Zhou AJ, Kanouse DE, Morrison JL, Berry SH (2001) A national survey of stress reactions after the September 11:2001, terrorist attacks. N Engl J Med 345:1507–1512
Silver RC, Holman EA, McIntosh DN, Poulin M, Gil-Rivas V (2002) Nationwide longitudinal study of psychological responses to September 11. JAMA 288:1235–1244
Tabachnik B, Fidell L (2001) Using multivariate statistics. Allyn and Bacon, Boston
Terr LC, Bloch DA, Michel BA, Shi H, Reinhardt JA, Metayer S (1999) Children’s symptoms in the wake of Challenger: a field study of distant-traumatic effects and an outline of related conditions. Am J Psychiatry 156:1536–1544
Wunsch-Hitzig R, Plapinger J, Draper J, del Campo E (2002) Calls for help after September 11: a community mental health hot line. J Urban Health 79:417–428
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Haker, H., Lauber, C., Malti, T. et al. Is there an impact of global and local disasters on psychiatric inpatient admissions?. European Archives of Psychiatry and Clinical Neurosciences 254, 330–334 (2004). https://doi.org/10.1007/s00406-004-0507-0
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DOI: https://doi.org/10.1007/s00406-004-0507-0