Reaction to Severe Stress and Adjustment Disorders After the September 2017 Earthquakes in a Psychiatric Emergency Department in Mexico City

2019 ◽  
Vol 13 (4) ◽  
pp. 686-690 ◽  
Author(s):  
Ana Fresán ◽  
Rebeca Robles-García ◽  
Claudia Becerra-Palars ◽  
Manuel Alejandro Muñoz-Suárez ◽  
Omar Rangel-Cupa ◽  
...  

ABSTRACTObjectiveEarthquakes may lead to a reaction to severe stress and adjustment disorders (RSSAD). On September 7, 19, and 23, 2017, Mexico was struck by many severe earthquakes. The aim of this study was to examine whether there was an increase in the number of consultations and RSSAD in a psychiatric emergency department in Mexico City after these earthquakes.MethodsWe studied retrospectively the diagnosis and triage assessment from a Mexican psychiatric emergency department database from September 1 to November 30, 2017, and analyzed RSSAD and the number of consultations after the earthquakes.ResultsA total of 1,811 psychiatric emergency consultations were registered from the period of study. A total of 141 consultations represented RSSAD. There was a significant increase of RSSAD after the September 23, 2017, earthquake. The triage assessment revealed that the urgency of the consultations was higher immediately after the earthquakes.ConclusionNatural disasters, such as earthquakes, may trigger diverse RSSAD leading to increased emergency consultations, especially when those disasters are repetitive. Mental health professionals should be adequately trained and sensitized for possible acute disaster victims. (Disaster Med Public Health Preparedness. 2019;13:686–690).

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Mugtaba Osman ◽  
Daniel Edwards ◽  
Mona Kilduff

Angioedema is a serious adverse drug reaction that can rarely be associated with trifluoperazine treatment. We present the case of a 44-year-old male with an established diagnosis of schizoaffective disorder, for which trifluoperazine therapy was considered. He presented to the emergency department with bilateral lower limb oedematous painful erythematous swelling that eased off completely when trifluoperazine was stopped. The possibility of allergic reaction, such as angioedema, should always be kept in mind by psychiatrists and mental health professionals when prescribing trifluoperazine antipsychotic.


1993 ◽  
Vol 14 (10) ◽  
pp. 380-388
Author(s):  
David A. Brent

Depression, suicide, and suicidal behavior in the pediatric population are serious public health problems. Pediatricians in collaboration with psychiatrists and other mental health professionals can make an important contribution to the mental health of children and adolescents through the identification, referral, and management of depressed and suicidal youth.


2011 ◽  
Vol 25 (4) ◽  
pp. 235-239 ◽  
Author(s):  
Robert E. Bartholomew ◽  
M. Chandra Sekaran Muniratnam

The management of episodes of mass psychogenic illness poses a challenge for mental health professionals who have a history of inadvertently exacerbating episodes. This article identifies the two major presentation types (anxiety vs. motor), discusses their significance as a public health issue, and offers guidelines for responding to outbreaks and addressing the media.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244573
Author(s):  
Hoang-Minh Dang ◽  
Trung T. Lam ◽  
Anh Dao ◽  
Bahr Weiss

Purpose Mental health literacy (MHL) is key for mental health development, particularly in low-and-middle-income countries (LMIC) where mental health resources are limited. MHL development can be thought of as occurring at two levels: the individual person level (via direct contact, with specifically-targeted individuals), and the public health level (via indirect contact through public media, targeting the general public). Each approach has advantages and disadvantages. Methods The present mixed methods study assessed the status of and best approaches for development of mental health literacy in the Southeast Asian LMIC Vietnam. Because there has been relatively little discussion of MHL development at the public health level, this assessment focused on the public health level, although not exclusively. Because mental health professionals generally have the most in-depth understanding of their mental health system, study participants were 82 Vietnamese mental health professionals who completed a quantitative survey, with 48 participating in focus groups. Results Most of the professionals viewed MHL in Vietnam as low or very low, and that it was difficult or very difficult for the general public to find effective mental health services. Main barriers underlying these problems and more generally for developing MHL in Vietnam identified in the focus groups were: (a) misinformation in the media regarding mental health and mental illness; (b) lack of licensure for non-medical mental health professionals (e.g., psychologists; social workers); (c) lack of interest in mental health from upper-level leadership. Conclusions To the best of our knowledge, this is the first study assessing professionals’ perceptions regarding mental health literacy at both the public health and individual-person levels. Although sampling was restricted to Vietnamese professionals, results may provide initial preliminary guidance for other LMIC considering mental health literacy development at multiple levels.


Sign in / Sign up

Export Citation Format

Share Document