Home > National Psychiatric Inpatient Reporting System (NPIRS) annual report on the activities of Irish psychiatric units and hospitals, 2022.

Daly, Antoinette ORCID: https://orcid.org/0000-0003-3691-6777 and Lynn, Ena (2023) National Psychiatric Inpatient Reporting System (NPIRS) annual report on the activities of Irish psychiatric units and hospitals, 2022. Dublin: Health Research Board.

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External website: https://www.hrb.ie/publications/publication/activi...


There were 15,790 admissions to adult psychiatric units and hospitals in 2022, an increase of 67 admissions, from 15,723 in 2021. As noted in the 2021 report, activity levels appear to be returning to ‘pre-COVID’ levels with small increases noted over the last two years. The rate  of admissions increased from 330.2 in 2021 to 331.6 per 100,000 total population in 2022.  An additional 19 persons presented for admission, however, following review, admission was not deemed appropriate. 

In keeping with the trend of previous years, depressive disorders had the highest proportion of all and first admissions, at 23% of all and 26% of first admissions. Schizophrenia accounted for 22% of all and 18% of first admissions and neuroses accounted for 10% of all and 14% of first admissions.

P.15 Forty-seven per cent of all admissions with no fixed abode had a primary admission diagnosis of schizophrenia, 11% had a diagnosis of other drug disorders 9% had a diagnosis of personality and behavioural disorders, 8% had a diagnosis of depressive disorders with a further almost 8% having a diagnosis of mania.

P.18 Over half (53%) of all discharges for behavioural and emotional disorders of childhood and adolescence, 49% of discharges for personality and behavioural disorders, 46% of discharges for intellectual disability and 45% of discharges for other drug disorders occurred within one week of admission. Over one-third (35%) of all discharges for alcoholic disorders and for neuroses (34%) also occurred within one week of admission. Over 90% of discharges for most disorders occurred within three months of admission, with the exception of organic mental disorders (almost 74%), eating disorders (almost 78%) and intellectual disorders (76%). Discharges for other drug disorders had the shortest average length of stay, at 16.3 days (median 8 days).

P.21 Leitrim had the highest rate of all admissions for alcoholic disorders, at 46.8 per 100,000, followed by Donegal, at 42.7, Sligo, at 35.1, and Clare, at 32.8. Kilkenny had the lowest rate of all admissions for alcoholic disorders, at 6.0 per 100,000. 
Leitrim had the highest rate of first admissions for alcoholic disorders, at 15.6 per 100,000, followed by Donegal, at 15.1, Clare, at 11.8 and Sligo, at 10.7. Kilkenny had no first admissions for alcoholic disorders, while Westmeath had the lowest rate, at 1.1 per 100,000. 

P.31 Males accounted for 53% of admissions with schizophrenia (similar to 52% in 2021 and 54% in 2020), while the proportion of males with a diagnosis of other drug disorders dropped from 92% in 2021 to 50% in 2022.

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