Prevalence and social determinants of anxiety and depression among adults in Ghana systematic review

Abstract

Migration and Poverty, enrolled an open cohort of subjects resident in three large areas of Italy (2018-2021) aged 10 þ (N ¼ 5,159,363), and followed-up until 2021. The study outcome was the first ordinary admission with a psychiatric disorder as main diagnosis (FMHA). Citizenship and deprivation level (DL) are the socioeconomic factor considered. Different groups of diagnosis were used to characterize the hospitalizations. The impact of Covid-19 on FMHAs was evaluated by interrupted time series (ITS) analysis, pre (until February 2020) and post (from March 2020) the outbreak of pandemic, using a step-change model. Results: 11,171 FMHAs were observed. Patients hospitalized with a MH diagnosis were younger compared to the study population; the distributions by sex, deprivation level and citizenship were similar. A decrease of incidence of FMHAs was found after the outbreak of the pandemic, overall and for all group of diagnoses, except for post-traumatic stress disorders (PTSD). A reduction in adjusted FMHA rates after the onset of Covid-19 (RR 0.80[0.72-0.90]) were observed through multivariate ITS. The oldest patients had the lowest probabilities of FMHAs in pre Covid-19 and experienced the highest reduction in post-Covid19. PTSD presented trend in countertend-ency compared with the other diagnosis, with an immediate effect of Covid-19 increasing FMHAs (þ97%), followed by a post-outbreak return to the pre-pandemic levels, below the counterfactual line. Conclusions: Covid-19 pandemic determined a general reduction of admissions for psychiatric disorders. A significant impact was observed among the eldest (decrease) and for PTSD (increase). Key messages: • Covid-19 pandemic determined a reduction of admissions for psychiatric disorders. • Older people were mostly affected. No significant socioeconomic impact was observed. Abstract citation ID: ckae144.2219 Trends and gender differentials in age-specific suicide mortality, 2004-2020, Cyprus Background: Cyprus is rarely included in international studies of suicide trends and the only published national data is two decades old. In the context of the first National Strategy for Mental Health, this study assessed suicide trends in 2004-2020, spanning the 2008 global and 2012-2013 Cyprus financial recessions, but falling short of the COVID-19 pandemic due to delays in recording. Methods: Suicide deaths were obtained from the Mortality Registry (ICD-10, including "undetermined"). Directly standardized rates were calculated for four gender/age groups. Annual change was estimated in Poisson regression models with interaction terms to assess differential trends over time periods.