scholarly journals COVID-19 Suicide Survivors—A Hidden Grieving Population

2020 ◽  
Vol 11 ◽  
Author(s):  
Sara Pinto ◽  
Joana Soares ◽  
Alzira Silva ◽  
Rosário Curral ◽  
Rui Coelho

Present time has been dominated by the COVID-19 pandemic. People are grieving several non-death related situations: the loss of a job, of a status, of a role, of their life. Restrictive measures and uncertainty about the future makes individuals vulnerable to feelings of hopelessness and helplessness. Mental health support has been hindered and teams are reinventing themselves to reach people in need. Nevertheless, decompensation of previous psychiatric disorders, increasing levels of depression and anxiety, economical handicaps and fear of the infection, are prompting several cases of COVID-19 related suicides worldwide. Every suicide affects between 5 and 80 individuals, which are known as suicide survivors. Suicide grief is particularly challenging, with rates of complicated grief as high as 40%. Suicide survivors are at increased risk of developing depression, anxiety disorders and of suicidal behaviors. Moreover, feelings of guilt and shame, as well as social stigma, are major obstacles for them to reach form help. This article aims to review the existing literature on COVID-19 related suicides, complicated grief in suicide survivors and highlight modifiable risk factors for both conditions, as well as propose some public health measures to reduce the impact of the pandemic context on self-inflicted harm and its consequences on families, friends and the community. Obstacles to access to mental health support need to be overcome through the use of technology. Technicians should actively approach populations more vulnerable to develop suicidal ideation. Social media have the obligation to provide accurate an non-sensationalistic information. Families and friends should maintain social proximity, despite the need for physical distancing. When a suicide death occurs, police forces and health staff should be prepared to share the news with the family using an empathic and humane approach and providing psychological support. Funerals, memorials and other services should be held as much as possible. Closer contacts should be signalized and closely followed in order to detect the need for specific interventions. Help seeking behaviors should be promoted. Additionally, people should be educated on suicide and its impacts, in order to reduce stigma.

2021 ◽  
Author(s):  
Ilyas Sagar-Ouriaghli ◽  
Emma Godfrey ◽  
Vinay Tailor ◽  
June Brown

Abstract Background: Up to a third of students experience a common mental health condition which is associated with decreased academic functioning and an increased risk of dropping out. While the prevalence of common mental health difficulties is lower amongst male students, worryingly, they are twice as likely to die by suicide. The importance of developing interventions that are gender-sensitive for male students to improve their uptake of mental health initiatives has been recently emphasised. However, acceptable, feasible and effective methods for male students are unexplored. The current study conducted three gender-sensitive pilot interventions for male students to evaluate acceptability (including uptake), changes to help-seeking and mental health status.Methods:Three gender-sensitive interventions were delivered to 24 male students. The interventions consisted of: Intervention 1 – a formal mental health intervention targeting male students (“psycho-educational model”), Intervention 2 - a second formal intervention that adopted more gender-sensitive language and promoted positive masculine traits (“positive masculinity model”), and Intervention 3 - an informal drop-in offering a social space for male students to receive general health information and connect with other students (“informal drop-in Man Cave model”). These were evaluated for acceptability (including uptake), attitudes to help-seeking and mental health outcomes.Results:In terms of acceptability, Intervention 3 - the informal drop-in (Man Cave) appeared better at engaging male students who have greater conformity to maladaptive masculine traits, more negative attitudes to help-seeking, higher levels of self-stigma, who were less likely to have used mental health support before and belonged to an ethnic minority. No significant changes to help-seeking attitudes, behaviours, or mental health status were observed across the interventions at feasibility stage. All interventions were deemed equally acceptable with minimal opportunity costs and perceived burden. Conclusions:These findings indicate differences in acceptability, particularly uptake, for male students who may be seen as more difficult to engage. Using informal strategies may help reach male students who would otherwise not engage with mental health support, familiarise them with the idea of help-seeking, and connect them with pre-existing mental health interventions. While no differences in outcomes measured were found in these small studies, more work needs to be carried out using larger samples to investigate the efficacy of informal interventions to engage male students.


2018 ◽  
Author(s):  
Tyler S. Jones ◽  
Deborah Rupert

Medical student wellbeing is a topic of growing concern. Medical students experience high levels of stress and burnout and are at increased risk for depression and suicidal ideation compared to the general population. Even more concerning, medical students are disproportionately less likely to seek help for their mental health issues. Identifying and preventing these problems early can have lasting positive consequences over the course of a physician’s lifetime. We implemented a wellness program at our medical school in the spring of 2016 with the goals of decreasing burnout and depression, heightening awareness of mental health issues, and encouraging help-seeking behaviors. To analyze the impact of our program, we have implemented a quality assurance survey. Here we report lifestyle factors associated with positive screens for depression from that data and propose institutional initiatives that can be spearheaded by medical students for medical students to impact positive change.


Author(s):  
Matthew Joseph Russell ◽  
Natasha Lifeso ◽  
Jordan Fazio ◽  
Carley Piatt ◽  
Frank Kelton ◽  
...  

We investigated the relationship between membership in an accredited Clubhouse for mental health support and psychiatric hospitalization in Canada using linked administrative data. Results show that Clubhouse members were less likely to be hospitalized after enrollment and after longer-term enrollment, and younger members diagnosed with schizophrenia and/or bipolar disorders were at increased risk of hospitalization compared to older members without such diagnoses. These findings provide evidence of the possible benefits of Clubhouses in Canada and the characteristics of members who may benefit from support.


2021 ◽  
pp. 114675
Author(s):  
Jonathan Gruber ◽  
Grace Lordan ◽  
Stephen Pilling ◽  
Carol Propper ◽  
Rob Saunders

Author(s):  
Muhammad Irfan ◽  
Faizah Shahudin ◽  
Vincent J. Hooper ◽  
Waqar Akram ◽  
Rosmaiza B. Abdul Ghani

The objective of this article is to examine the impact of coronavirus disease 2019 (COVID-19) upon university students’ anxiety level and to find the factors associated with the anxiety level in Malaysia. We collected data from 958 students from 16 different universities using an originally designed questionnaire. The Generalized Anxiety Disorder Scale 7-item (GAD-7) was used to estimate the anxiety. Then we applied the ordered logit model to calculate the odds ratios (OR) and factors associated with the anxiety level. We find that 12.3% of students were normal, whereas 30.5% were experiencing mild anxiety, 31.1% moderate anxiety, and 26.1% severe anxiety. Surprisingly, only 37.2% of students were aware of mental health support that was provided by their universities. However, age above 20 years (OR = 1.30), ethnicity Chinese (OR = 1.72), having any other disease (OR = 2.0), decreased family income (OR = 1.71), more time spent on watching COVID-19-related news (OR = 1.52), and infected relative or friends (OR = 1.62) were risk factors for anxiety among students. We conclude that the government of Malaysia should monitor the mental health of the universities’ students more closely and universities should open online mental health support clinics to avoid the adverse impacts of anxiety.


2020 ◽  
Author(s):  
Muhammad Irfan ◽  
Faizah Shahudin ◽  
Vincent James Hooper ◽  
Waqar Akram ◽  
Rosmaiza Binti Abdul Ghani

AbstractThis article examines the impact of coronavirus disease 2019 (COVID-19) upon university students’ anxiety level and finds the factors associated with the anxiety disorder in Malaysia. We collected data from 958 students from 16 different universities using an originally designed questionnaire. The Generalized Anxiety Disorder Scale 7-item (GAD-7) was used to estimate the anxiety. We find that 12.3% students were normal, whereas 30.5% were experiencing mild, 31.1% moderate, and 26.1% severe anxiety. Surprisingly, only 37.2% of students were aware of mental health support which was provided by their universities. Moreover, it was found that gender as male (Odds Ratio (OR= 0.798, 95% Confidence Interval (CI)= 0.61 - 1.04)) and having internet access (OR = 0.44, 95% CI= 0.24 - 0.80) were alleviating factors for the anxiety. Whereas, age above than 20 years (OR= 1.30, 95% CI= 0.96 - 1.75), ethnicity Chinese (OR=1.72, 95% CI= 0.95 - 3.1), any other disease (OR=2.0, 95% CI=1.44 - 2.79), decreased family income (OR=1.71, 95% CI=1.34 - 2.17), more time spent on watching COVID-19 related news (OR=1.52, 95% CI=1.17 - 1.97), and infected relative or friends (OR=1.62, 95% CI=1.06 - 2.50) were risk factors for anxiety among students. We suggest that the government of Malaysia should monitor the mental health of the universities’ students more closely and universities should open online mental health support clinics to avoid the adverse impacts of the anxiety disorder.


2020 ◽  
Author(s):  
Jennifer Runkle ◽  
Kurt Michael ◽  
Scott Stevens ◽  
Maggie Sugg

IMPORTANCE Crisis text lines have proven to be an effective and low-cost means for delivering texting-based mental health support to youth. Yet there has been limited research examining the use of these services in capturing the psychological impact of youth affected by a weather-related disaster. OBJECTIVE This ecologic study examined changes in help-seeking behavior for youth in North and South Carolina, USA, before and after Hurricane Florence (2018). DESIGN AND MAIN OUTCOMES A retrospective, interrupted time-series design was used to examine pre- and post-hurricane changes in crisis text volume among youth help seekers in the Carolinas for the following outcomes: (1) text for any reason; (2) stress & anxiety; (3) depression; and (4) suicidal thoughts. RESULTS Results showed an immediate and sustained increase in crisis texts for stress/anxiety and suicidal thoughts in the six weeks following Florence. Overall, an immediate 15% increase in crisis texts for anxiety/stress (SE=.05, p=0.005) and a 17% increase in suicidal thoughts (SE=.07, p=0.02) occurred during the week of the storm. Text volume for anxiety/stress increased 17% (SE=.08, p=0.005) and 23% for suicidal ideation (SE=.08, p=0.01) in the 6-week post-intervention period. Finally, forecast models revealed observed text volume for all mental health outcomes was higher than expected in the 6 weeks post-Florence. CONCLUSIONS AND RELEVANCE A low-cost, crisis texting intervention platform provided 24/7 mental health support available to young people in the Carolinas impacted by Hurricane Florence. These findings highlight a new application for text-based crisis support services to address the mental health consequences among individuals following a weather-related disaster.


Author(s):  
Joanna Smolarczyk-Kosowska ◽  
Anna Szczegielniak ◽  
Mateusz Legutko ◽  
Adam Zaczek ◽  
Łukasz Kunert ◽  
...  

Community psychiatry is a modern and effective form of care for patients with mental disorders. The aim of the study was to assess the impact of a rehabilitation program at the Mental Health Support Centre in Tarnowskie Góry (Poland) on reducing severity of anxiety and depression symptoms, as well as improving overall quality of life during the COVID-19 pandemic. The study involved 35 patients, examined with an authors’ questionnaire on sociodemographic data, the Hospital Scale of Anxiety and Depression (HADS) and the Short Form Health Survey (SF-36). Data was obtained during the first national lockdown and compared to data gathered before the pandemic on the same study group. Imposed restrictions, negative emotional state during lockdown, subjectively assessed higher health risk and a low level of knowledge about the COVID-19 pandemic did not significantly correlate with a severity of depression and anxiety, as well as general quality of life. However, the comparison of the results obtained in HADS and SF-36 scales show a significant improvement in both categories. Rehabilitation activities, including physical training, cognitive exercise and social therapy, reduce the severity of the symptoms and have a positive effect on the overall quality of life in patients suffering from schizophrenia and affective disorders. Therefore, holistic mental health support services may positively affect building an individual resilience. The severity of anxiety symptoms during the COVID-19 pandemic shows a negative correlation with the patient’s age.


2020 ◽  
Vol 17 ◽  
Author(s):  
Kelly Mackinnon ◽  
Timothy Everett ◽  
Lisa Holmes ◽  
Erin Smith ◽  
Brennen Mills

IntroductionParamedics are exposed to significant and cumulative stressors that contribute to poor mental health. The provision of effective and engaging mental health support is essential in improving overall wellbeing. Many ambulance services have adapted their available support services to reflect this need. However, there remains limited research into the perceived efficacy of these services and barriers that limit uptake from paramedics.MethodsParamedics and ambulance volunteers from Australia and New Zealand were invited to complete an online survey consisting of a series of Likert-scale and open-ended response questions. The well-validated Kessler Psychological Distress Scale was also incorporated into the online survey.ResultsA total of 184 participants completed the survey. A total of 50 (27%) participants reported high/very high levels of psychological distress. Participants exposed to at least one adverse event while working reported higher psychological distress scores than those that had not. Just over half (51%) of all participants disagreed/strongly disagreed there was no stigma associated with seeking mental health support from paramedic colleagues and 54% of participants disagreed/strongly disagreed there was no stigma from managerial staff.ConclusionThese findings suggest paramedics are at a greater risk of psychological distress than the general population. This is particularly problematic given there is a clear perception of ongoing stigma among paramedics associated with the utilisation of mental health support services. Future research should explore methods for reducing stigma and encouraging help-seeking behaviours in this vulnerable population throughout all phases of an emergency service workers career.


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