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Int. J. Environ. Res. Public Health 2019, 16(2), 286;

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

Psykiatri Affektiva, Sahlgrenska University Hospital, 416 50 Gothenburg, Sweden
Occupational and Environmental Medicine, Gothenburg University, 40530 Gothenburg, Sweden
Occupational and Environmental Medicine, Lund University, 223 63 Lund, Sweden
Section of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, 901 87 Umeå, Sweden
Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
Author to whom correspondence should be addressed.
Received: 19 November 2018 / Revised: 28 December 2018 / Accepted: 15 January 2019 / Published: 21 January 2019
(This article belongs to the Section Environmental Health)
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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. View Full-Text
Keywords: psychiatric disorders; mental illness; environmental epidemiology; climate psychiatric disorders; mental illness; environmental epidemiology; climate

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Carlsen, H.K.; Oudin, A.; Steingrimsson, S.; Oudin Åström, D. Ambient Temperature and Associations with Daily Visits to a Psychiatric Emergency Unit in Sweden. Int. J. Environ. Res. Public Health 2019, 16, 286.

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