Macroeconomic antecedents of involuntary psychiatric commitments in Denmark

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-04-30 DOI:10.1016/j.socscimed.2025.118133

Parvati Singh , Marquianna Griffin , Camilla Hvidtfeldt , Lars H. Andersen

{"title":"Macroeconomic antecedents of involuntary psychiatric commitments in Denmark","authors":"Parvati Singh , Marquianna Griffin , Camilla Hvidtfeldt , Lars H. Andersen","doi":"10.1016/j.socscimed.2025.118133","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><div>Economic downturns may increase involuntary psychiatric commitments in a population through several mechanisms. This study examines the population-level association between economic downturns and involuntary psychiatric commitments in Denmark, and assesses whether this relation differs across Danes and non-western immigrants.</div></div><div><h3>Methods</h3><div>We examined the relation between quarterly aggregated counts of unemployed persons (exposure) and involuntary psychiatric commitments (outcomes) in the (1) overall population, (2) among Danes (excluding non-western immigrants), and (3) among non-western immigrants in Denmark, over 72 quarters, from 2001 to 2018, using Danish register data. We specified our exposure as the quarterly counts of unemployed persons in Denmark (0, 1 quarterly lags). We used time-series analyses to control for autocorrelation, change in underlying population and quarterly volume of voluntary (i.e. non-coercive) psychiatric inpatient admissions.</div></div><div><h3>Results</h3><div>Results from time-series analyses indicate 15 additional involuntary psychiatric commitments in the overall Danish population, one quarter after increase in 50,000 additional unemployed persons (p-value <0.05). We also observe 7 additional involuntary commitments among non-western immigrants at exposure lag 1 (p-value <0.05). Our discovered coefficients correspond with a 2.3 % increase in involuntary commitments in the overall population and a 9 % increase among non-western immigrants one quarter following a 1 standard deviation increase in unemployed persons in Denmark.</div></div><div><h3>Conclusions</h3><div>Our findings show an increase in involuntary psychiatric commitments following macroeconomic downturns in Denmark.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"377 ","pages":"Article 118133"},"PeriodicalIF":4.9000,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Science & Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0277953625004630","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Aims

Economic downturns may increase involuntary psychiatric commitments in a population through several mechanisms. This study examines the population-level association between economic downturns and involuntary psychiatric commitments in Denmark, and assesses whether this relation differs across Danes and non-western immigrants.

Methods

We examined the relation between quarterly aggregated counts of unemployed persons (exposure) and involuntary psychiatric commitments (outcomes) in the (1) overall population, (2) among Danes (excluding non-western immigrants), and (3) among non-western immigrants in Denmark, over 72 quarters, from 2001 to 2018, using Danish register data. We specified our exposure as the quarterly counts of unemployed persons in Denmark (0, 1 quarterly lags). We used time-series analyses to control for autocorrelation, change in underlying population and quarterly volume of voluntary (i.e. non-coercive) psychiatric inpatient admissions.

Results

Results from time-series analyses indicate 15 additional involuntary psychiatric commitments in the overall Danish population, one quarter after increase in 50,000 additional unemployed persons (p-value <0.05). We also observe 7 additional involuntary commitments among non-western immigrants at exposure lag 1 (p-value <0.05). Our discovered coefficients correspond with a 2.3 % increase in involuntary commitments in the overall population and a 9 % increase among non-western immigrants one quarter following a 1 standard deviation increase in unemployed persons in Denmark.

Conclusions

Our findings show an increase in involuntary psychiatric commitments following macroeconomic downturns in Denmark.

查看原文本刊更多论文

丹麦非自愿精神病治疗的宏观经济先例

经济衰退可能通过几种机制增加人口中的非自愿精神病患者。本研究考察了丹麦经济衰退与非自愿精神治疗之间的人口水平关联，并评估了这种关系在丹麦人和非西方移民之间是否存在差异。方法：我们使用丹麦登记数据，在2001年至2018年的72个季度中，研究了(1)总体人口、(2)丹麦人（不包括非西方移民）和(3)丹麦非西方移民中失业人员季度汇总计数（暴露）与非自愿精神疾病承诺（结果）之间的关系。我们指定我们的暴露为丹麦失业人员的季度计数（0.1个季度滞后）。我们使用时间序列分析来控制自相关性、潜在人群的变化和自愿（即非强制性）精神病住院患者的季度量。结果：时间序列分析的结果表明，在失业人数增加5万人后，丹麦总人口中又增加了15名非自愿精神病患者（p值<；0.05）。我们还观察到，非西方移民在暴露滞后1时增加了7项非自愿承诺（p值<；0.05）。我们发现的系数对应于总人口中非自愿承诺增加2.3%，在丹麦失业人数增加1个标准差后的四分之一，非西方移民增加9%。结论：我们的研究结果显示，在丹麦，随着宏观经济的衰退，非自愿精神治疗的人数有所增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.