Publications by authors named "D Barruel"

Introduction: Psychiatric emergency departments (EDs) in France have been under pressure from several factors, exacerbated by the COVID-19 pandemic. The pandemic led to an increase in psychiatric disorders, particularly anxiety and depression, with younger people and women being most affected. The aim of this study was to provide a comprehensive description of the trends in the number of visits to the largest psychiatric emergency department in France, with a particular focus on the period preceding and following the advent of COVID-19 pandemic.

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Objective: Shortening the length of hospital stay (LOS) has become a major challenge for psychiatric hospitals in reducing unnecessary costs and improving the patient healthcare experience. We investigated the key factors associated with a long psychiatric hospitalization.

Method: This was a retrospective study of 8,870 full-time psychiatric hospital stays (6,216 patients) in the Paris Psychiatry Hospital Group, with a discharge in 2022.

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Detecting patients with a high-risk profile for treatment-resistant schizophrenia (TRS) can be beneficial for implementing individually adapted therapeutic strategies and better understanding the TRS etiology. The aim of this study was to explore, with machine learning methods, the impact of demographic and clinical patient characteristics on TRS prediction, for already established risk factors and unexplored ones. This was a retrospective study of 500 patients admitted during 2020 to the University Hospital Group for Paris Psychiatry.

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Article Synopsis
  • There is a lack of research on psychiatric emergencies in older adults over 60, especially in Europe, prompting a study at a major French psychiatric emergency center.
  • The study involved 300 older patients, predominantly women, many with a history of psychiatric issues, commonly presenting with depression, anxiety, and suicidal thoughts.
  • Findings indicated that 39% of these patients were hospitalized, with factors like past hospitalizations, suicidal tendencies, and certain psychiatric diagnoses being key predictors of hospitalization.
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