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Ambient Temperature and Associations with Daily Visits to a Psychiatric Emergency Unit in Sweden

Carlsen, Hanne Krage; Oudin, Anna LU ; Steingrimsson, Steinn and Oudin Åström, Daniel LU (2019) In International Journal of Environmental Research and Public Health 16(2).
Abstract

High or low ambient temperatures pose a risk factor for the worsening or onset of psychiatric disorders. The aim of this study was to investigate the association between ambient temperature and psychiatric emergency visits in an urban region in a temperate climate. The daily number of visits to a psychiatric emergency room (PEVs) at Sahlgrenska University Hospital, Gothenburg, Sweden and the daily mean temperature were extracted for the study period 1 July 2012 to 31 December 2017. Case-crossover analysis with distributed lag non-linear models was used to analyse the data by season. The warm season was defined as May to August and the cold season as November to February. Shorter lags periods were used for the warm season than the cold... (More)

High or low ambient temperatures pose a risk factor for the worsening or onset of psychiatric disorders. The aim of this study was to investigate the association between ambient temperature and psychiatric emergency visits in an urban region in a temperate climate. The daily number of visits to a psychiatric emergency room (PEVs) at Sahlgrenska University Hospital, Gothenburg, Sweden and the daily mean temperature were extracted for the study period 1 July 2012 to 31 December 2017. Case-crossover analysis with distributed lag non-linear models was used to analyse the data by season. The warm season was defined as May to August and the cold season as November to February. Shorter lags periods were used for the warm season than the cold season. In the analysis, temperatures at the 95th percentile was associated with 14% (95% confidence interval (CI): 2%, 28%) increase in PEVs at lag 0⁻3 and 22% (95%CI: 6%, 40%) for lags 0⁻14 during the warm season, relative to the seasonal minimum effect temperature (MET). During the cold season temperatures at the 5th percentile were associated with 25% (95% CI: -8%, 13%) and 18% (95% CI: -30%, 98%) increase in PEVs at lags 0⁻14 and 0⁻21 respectively. We observed an increased number of PEVs at high and low temperatures; however, not to a statistically significant extent for low temperatures. Our findings are similar to what has been found for somatic diseases and in studies of other mental health outcomes in regions with more extreme climates. This merits the inclusion of individuals with psychiatric disorders in awareness planning for climate warning systems.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
climate, environmental epidemiology, mental illness, psychiatric disorders
in
International Journal of Environmental Research and Public Health
volume
16
issue
2
publisher
Multidisciplinary Digital Publishing Institute (MDPI)
external identifiers
  • scopus:85060400789
ISSN
1660-4601
DOI
10.3390/ijerph16020286
language
English
LU publication?
yes
id
baf90c83-d9cd-42fc-a199-73eca5023db2
date added to LUP
2019-02-01 08:33:19
date last changed
2019-02-27 05:11:39
@article{baf90c83-d9cd-42fc-a199-73eca5023db2,
  abstract     = {<p>High or low ambient temperatures pose a risk factor for the worsening or onset of psychiatric disorders. The aim of this study was to investigate the association between ambient temperature and psychiatric emergency visits in an urban region in a temperate climate. The daily number of visits to a psychiatric emergency room (PEVs) at Sahlgrenska University Hospital, Gothenburg, Sweden and the daily mean temperature were extracted for the study period 1 July 2012 to 31 December 2017. Case-crossover analysis with distributed lag non-linear models was used to analyse the data by season. The warm season was defined as May to August and the cold season as November to February. Shorter lags periods were used for the warm season than the cold season. In the analysis, temperatures at the 95th percentile was associated with 14% (95% confidence interval (CI): 2%, 28%) increase in PEVs at lag 0⁻3 and 22% (95%CI: 6%, 40%) for lags 0⁻14 during the warm season, relative to the seasonal minimum effect temperature (MET). During the cold season temperatures at the 5th percentile were associated with 25% (95% CI: -8%, 13%) and 18% (95% CI: -30%, 98%) increase in PEVs at lags 0⁻14 and 0⁻21 respectively. We observed an increased number of PEVs at high and low temperatures; however, not to a statistically significant extent for low temperatures. Our findings are similar to what has been found for somatic diseases and in studies of other mental health outcomes in regions with more extreme climates. This merits the inclusion of individuals with psychiatric disorders in awareness planning for climate warning systems.</p>},
  articleno    = {286},
  author       = {Carlsen, Hanne Krage and Oudin, Anna and Steingrimsson, Steinn and Oudin Åström, Daniel},
  issn         = {1660-4601},
  keyword      = {climate,environmental epidemiology,mental illness,psychiatric disorders},
  language     = {eng},
  month        = {01},
  number       = {2},
  publisher    = {Multidisciplinary Digital Publishing Institute (MDPI)},
  series       = {International Journal of Environmental Research and Public Health},
  title        = {Ambient Temperature and Associations with Daily Visits to a Psychiatric Emergency Unit in Sweden},
  url          = {http://dx.doi.org/10.3390/ijerph16020286},
  volume       = {16},
  year         = {2019},
}