Hospitalization for Severe Depressive Episode with Psychotic Symptoms 2020-2023
Hospitalización por Episodio Depresivo Grave con síntomas psicóticos 2020-2023
DOI:
https://doi.org/10.5281/zenodo.15300400Keywords:
Chile, Hospitalization, Major Depressive Disorder, Mental Health, Age GroupsAbstract
Introduction: Major Depressive Disorder (MDD) is a common mental disorder; globally, it is estimated that 5% of adults suffer from depression. Objective: To describe the hospital discharge rate (HDR) for MDD with psychotic symptoms during the period 2020–2023 in Chile. Materials and Methods: An observational, descriptive, and quantitative study was conducted using statistical data from the Department of Health Statistics and Information (DEIS) and the National Institute of Statistics (INE). Descriptive analysis was performed using measures of central tendency, supported by charts and tables generated with Excel analytical software. Results: A total of 2,523 cases of MDD were recorded in Chile during the period. Women were more frequently diagnosed with this mental disorder, but men had longer hospital stays due to MDD. The age group with the highest HDR during the period was 15 to 19 years old, with a rate of 9.78 per 100,000 inhabitants. Regarding the average length of hospitalization, 2020 had the highest average at 21.42 days. Discussion: HDR was highest in 2023, which may be associated with the effects of the pandemic in 2020 and 2021, potentially leading to underdiagnoses. Females had a higher HDR, which could be related to biopsychosocial factors such as hormones and gender roles, resulting in a greater psychological burden. Conclusion: Women consistently had higher discharge rates than men (5.08 for women; 2.55 for men), especially in 2023. The age group with the highest rate was 15–19 years (9.78), while the lowest was 5–9 years (0.14).
Downloads
References
[1] Organización Mundial de la Salud. Depresión. WHO [Internet]. 2023 [citado el 16 de febrero de 2025]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/depression
[2] Pan American Health Organization. Causas principales de mortalidad y pérdidas en salud de nivel regional, subregional y nacional en la Región de las Américas, 2000-2019. OPS [Internet]. 2021 [citado el 16 de febrero de 2025]. Disponible en: https://www.paho.org/es/enlace/causas-principales-mortalidad-discapacidad
[3] Departamento de Epidemiología. Informe de Encuesta Nacional de Salud 2016-2017: Trastornos del ánimo: Depresión y Bipolaridad I y II . Ministerio de Salud [Internet]. 2017 [citado el 16 de febrero de 2025]. Disponible en: https://epi.minsal.cl/wp-content/uploads/2017/12/2017.21.07_pdf.primeros.resultados.pdf
[4] Salvo L, Saldivia S, Parra C, Rodríguez R, Cifuentes M, Acevedo P, Díaz M, Ormazabal M, Guerra I, Navarrete N, Bravo V, Castro A. Características clínicas del trastorno depresivo mayor en tratamiento en el nivel secundario de atención. Revista médica de Chile [Internet]. 2017 [citado el 16 de febrero de 2025]. Disponible en: https://doi.org/10.4067/S0034-98872017000300007
[5] American Psychiatric Association. Manual diagnóstico y estadístico de los trastornos mentales. Editorial Médica Panamericana [Internet]. 2014 [citado el 16 de febrero de 2025]. Disponible en: https://www.eafit.edu.co/ninos/reddelaspreguntas/Documents/dsm-v-guia-consulta-manual-diagnostico-estadistico-trastornos-mentales.pdf
[6] Gascón MA, Roselló R, Pascual C, Cano J, Francés N, Lull J. Depresión psicótica: más allá del trastorno depresivo mayor. XIX Congreso Virtual Internacional de Psiquiatría [Internet]. 2018 [citado el 16 de febrero de 2025]. Disponible en: https://psiquiatria.com/congresos/pdf/1-1-2017-13-prb2.pdf
[7] Navarrete C, Badilla N. Promedio de días de estadía hospitalaria por episodio depresivo recurrente en los años 2018-2021 en Chile. Revista Confluencia [Internet]. 2023 [citado el 10 de abril de 2025]. Disponible en: https://doi.org/10.52611/confluencia.num1.2023.887
[8] Santander J, Huerta D, Aceituno D, Fuentes X. Descripción clínica y socio-demográfica de pacientes psiquiátricos internados involuntariamente bajo el régimen de hospitalización administrativa en Chile. Revista médica de Neuro-Psiquiatría [Internet]. 2011 [citado el 10 de abril de 2025]. Disponible en: http://dx.doi.org/10.4067/S0717-92272011000200005
[9] Holmes E, O’Connor R, Hugh V, Tracey I, Wessely S, Arseneault L, Ballard C, Christensen H, Cohen R, Everall I, Ford T, John A, Kabir T, King K, Madan I, Michie S, Przybylski A, Shafran R, Sweeney A, Worthman C, Yardley L, Cowan K, Cope C, Hotopf M, Bullmore E. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry [Internet]. 2020 [citado el 16 de febrero de 2025]. Disponible en: https://doi.org/10.1016/S2215-0366(20)30168-1
[10] Pierce M, Hope H, Ford T, Hatch S, Hotopf M, John A, Kontopantelis E, Webb R, Wessely S, McManus S, Abel K. Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. The Lancet Psychiatry [Internet]. 2020 [citado el 16 de febrero de 2025]. Disponible en: https://doi.org/10.1016/S2215-0366(20)30308-4
[11] Kessler R, Berglund P, Demler O, Jin R, Merikangas K, Walters E. The prevalence and correlates of untreated serious mental illnes. Health Serv Res [Internet]. 2001 [citado el 16 de febrero de 2025]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/11775672/
[12] Seedat S, Scott K, Angermeyer M, Berglund P, Bromet E, Brugha T, Demyttenaere K, de Girolamo G, Haro J, Jin R, Karam E, Kovess-Masfety V, Levinson D, Medina M, Ono Y, Ormel J, Pennel BE, Posada-Villa J, Sampson N, Williams D, Kessler R. Cross-National Associations Between Gender and Mental Disorders in the World Health Organization World Mental Surveys. Jama Psychiatry [Internet]. 2009 [citado el 16 de febrero de 2025]. Disponible en: https://doi.org/10.1001/archgenpsychiatry.2009.36
[13] World health Organization. Mental health: responding to the call for action. WHO [Internet]. 2002 [citado el 16 de febrero de 2025]. Disponible en: https://apps.who.int/gb/ebwha/pdf_files/WHA55/ea5518.pdf
[14] Avenevoli S, Swendsen J, He J, Burstein M, Merikangas K. Major Depression in the National Comorbidity Survey-Adolescent Supplement: Prevalence, Correlates, and Treatment. Journal of the American Academy of Child & Adolescent Psychiatry [Internet]. 2015 [citado el 16 de febrero de 2025]. Disponible en: https://doi.org/10.1016/j.jaac.2014.10.010
[15] Merikangas K, He J, Burstein M, Swendsen J, Avenevoli S, Cui B, Benjet C, Georgiades K, Swendsen J. Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry [Internet]. 2010 [citado el 16 de febrero de 2025]. Disponible en: https://doi.org/10.1016/j.jaac.2010.05.017
[16] Irarrazaval M, Norambuena P, Montenegro C, Toro-Devia O, Vargas B, Caqueo-Urízar A. Public Policy Responses to Address the Mental Health Consequences of the COVID-19 Pandemic: Evidence From Chile. Frontiers [Internet]. 2021 [citado el 16 de febrero de 2025]. Disponible en: https://doi.org/10.3389/fpubh.2021.590335
[17] MINSAL. Guía Clínica: Tratamiento de Personas con Depresión. Ministerio de Salud de Chile [Internet]. 2008 [citado el 16 de febrero de 2025]. Disponible en: http://www.repositoriodigital.minsal.cl/bitstream/handle/2015/583/4244.pdf?sequence=1&isAllowed=y
Downloads
Published
Versions
- 2025-05-15 (2)
- 2025-05-15 (1)
Issue
Section
License
Copyright (c) 2025 Revista Andes

This work is licensed under a Creative Commons Attribution 4.0 International License.