scholarly journals SUICIDE RELATED RISK FACTORS DURING THE COVID-19 PANDEMIC.

2020 ◽  
pp. 1-2
Author(s):  
Anand Lingeswaran

In India, media and press report frequent suicidal death in the context of coronavirus disease 2019 (COVID-19) pandemic. Apart from known sociodemographic, psychological and mental health disorder related risk factors of suicide, a unique, different set of reasons seem to be noted among suicides during this pandemic. Notably, fear of being infected and infecting dear ones, lack of understanding about the disease, fear of isolation, distress from lockdown, boredom from excess time with self, uncertainty of cure, despair of being locked at home and socially isolated, all together compound emergence of preexisting new onset depression, panic, post-traumatic stress, psychoses and substance use. Complicated economic, social, and political instability due lockdown has worsened vulnerability to suicidal behaviours among general population and healthcare workers. Although the long-term evolution of the course of suicide and covid-19 disease is unpredictable, the first few months have identified few unique risk factors and research must work on specific tailored strategies that address these novel risk factors are needed to mitigate suicide now.

2020 ◽  
pp. 1-2
Author(s):  
Anand Lingeswaran

In India, media and press report frequent suicidal death in the context of coronavirus disease 2019 (COVID-19) pandemic. Apart from known sociodemographic, psychological and mental health disorder related risk factors of suicide, a unique, different set of reasons seem to be noted among suicides during this pandemic. Notably, fear of being infected and infecting dear ones, lack of understanding about the disease, fear of isolation, distress from lockdown, boredom from excess time with self, uncertainty of cure, despair of being locked at home and socially isolated, all together compound emergence of preexisting new onset depression, panic, post-traumatic stress, psychoses and substance use. Complicated economic, social, and political instability due lockdown has worsened vulnerability to suicidal behaviours among general population and healthcare workers. Although the long-term evolution of the course of suicide and covid-19 disease is unpredictable, the first few months have identified few unique risk factors and research must work on specific tailored strategies that address these novel risk factors are needed to mitigate suicide now.


2015 ◽  
Vol 81 (9) ◽  
pp. 904-908 ◽  
Author(s):  
Aaron Bolduc ◽  
Brice Hwang ◽  
Christopher Hogan ◽  
Varun K. Bhalla ◽  
Elizabeth Nesmith ◽  
...  

Post-traumatic stress disorder (PTSD) is a well-established psychological disorder after severe traumatic injury but remains poorly recognized. Recent changes in the “Resources for Optimal Care of the Injured Trauma Patient 2014” stress the need for comprehensive screening and referral for PTSD and depression after injury. Our purpose was to review the current PTSD literature and perform a retrospective chart review to evaluate screening at our institution. We hypothesized a lack of documentation and thus referral of these patients to mental health professionals. We performed a literature review of 43 publications of risk factors for PTSD in the civilian adult population followed by a retrospective review. Records were analyzed for basic demographics, risk factors found in the literature, and referrals to mental health providers. Risk factors included amputation, dissociative symptoms, female gender, history of mental health disorder, and peri-traumatic emotionality. Traumatic amputation status and gender were recorded in all patients. History of mental health disorder was present in 11.5 per cent patients, absent in 80.75 per cent, and not recorded in 7.75 per cent with an overall documentation of 91.75 per cent. Dissociative symptoms and peri-traumatic emotionality were recorded in 0.5 per cent and 1.0 per cent of patients, respectively. Only 13 patients of 400 (3.25%) were referred to mental health professionals. Despite extensive evidence and literature supporting risk factors for the development of PTSD, identification and treatment at our level 1 trauma center is lacking. There is a need for consistent screening among trauma centers to identify PTSD risk factors and protocols for risk reduction and referrals for patients at risk.


2017 ◽  
Vol 12 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Lauren Sylwanowicz ◽  
Merritt Schreiber ◽  
Craig Anderson ◽  
Carlos Primero D. Gundran ◽  
Emelie Santamaria ◽  
...  

AbstractObjectiveTo determine the ability of a novel responder mental health self-triage system to predict post-traumatic stress disorder (PTSD) in emergency medical responders after a disaster.MethodsParticipants in this study responded to Typhoon Haiyan, which struck the Philippines in November 2013. They completed the Psychological Simple Triage and Rapid Treatment (PsySTART) responder triage tool, the PTSD Checklist (PCL-5) and the Patient Health Questionnaire-8 (PHQ-8) shortly after responding to this disaster. The relationships between these 3 tools were compared to determine the association between different risk exposures while providing disaster medical care and subsequent levels of PTSD or depression.ResultsThe total number of PsySTART responder risk factors was closely related to PCL-5 scores ≥38, the threshold for clinical PTSD. Several of the PsySTART risk factors were predictive of clinical levels of PTSD as measured by the PCL-5 in this sample of deployed emergency medical responders.ConclusionsThe presence of a critical number and type of PsySTART responder self-triage risk factors predicted clinical levels of PTSD and subclinical depression in this sample of emergency medical workers. The ability to identify these disorders early can help categorize an at-risk subset for further timely “stepped care” interventions with the goals of both mitigating the long-term consequences and maximizing the return to resilience. (Disaster Med Public Health Preparedness. 2018;12:19–22)


BMJ Open ◽  
2013 ◽  
Vol 3 (10) ◽  
pp. e003323 ◽  
Author(s):  
Ida Kathrine Gravensteen ◽  
Linda Björk Helgadóttir ◽  
Eva-Marie Jacobsen ◽  
Ingela Rådestad ◽  
Per Morten Sandset ◽  
...  

2018 ◽  
pp. 141-160
Author(s):  
Bruce P. Dohrenwend ◽  
Thomas J. Yager ◽  
Melanie M. Wall ◽  
Ben G. Adams

This chapter examines the central assumption in the DSM-III, DSM-III-R, and DSM-IV that potentially traumatic stressors are more important than personal vulnerability in causing PTSD. This chapter tests this assumption with data from a rigorously diagnosed male subsample (n = 260) from the NVVRS. It concludes that, of the three risk factors, only combat exposure proved necessary for disorder onset. Although none of the three risk factors proved sufficient, estimated onset reached 97% for veterans high on all three, with harm to civilians or prisoners showing the largest independent contribution. Severity of combat exposure proved more important than pre-war vulnerability in onset; pre-war vulnerability was as least as important in long-term persistence. Implications for the primacy of the stressor assumption are discussed.


Author(s):  
Bingqing Lu ◽  
Wenqi Zeng ◽  
Zhuyue Li ◽  
Jin Wen

Abstract Aims To investigate the prevalence of post-traumatic stress disorder (PTSD) symptoms in the hard-hit areas 10 years after the Wenchuan earthquake, and explore the risk factors of long-term PTSD among Wenchuan earthquake survivors. Methods A matched case–control study was conducted. The involving participants were from the hard-hit areas 10 years after the Wenchuan earthquake. The collected information includes demographic characteristics, socioeconomic status, behaviour habits, earthquake exposure, perceived social support, physical health and mental health. Mental health status was measured using the PTSD Checklist-Civilian Version (PCL-C). Respondents with PCL-C score ⩾38 were classified as cases, and then the cases and controls were matched based on age (±3 years) and community location according to a ratio of 1:3. Results We obtained 86 cases and 258 controls. After controlling for confounding factors, it was found that lower income (OR 2.42; 95% CI 1.16–5.03), chronic diseases (OR 3.00; 95% CI 1.31–6.88) and death of immediate families in the earthquake (OR 7.30; 95% CI 2.36–22.57) were significantly associated with long-term PTSD symptoms. Conclusion Even 10 years after the Wenchuan earthquake, the survivors in the hard-hit areas still suffered from severe mental trauma. Low income, chronic diseases and death of immediate families in the earthquakes are significantly associated with long-term PTSD symptoms. Interventions by local governments and health institutions to address these risk factors should be undertaken to promote the health of survivors.


BMJ ◽  
2021 ◽  
pp. n1648
Author(s):  
Harry Crook ◽  
Sanara Raza ◽  
Joseph Nowell ◽  
Megan Young ◽  
Paul Edison

Abstract Since its emergence in Wuhan, China, covid-19 has spread and had a profound effect on the lives and health of people around the globe. As of 4 July 2021, more than 183 million confirmed cases of covid-19 had been recorded worldwide, and 3.97 million deaths. Recent evidence has shown that a range of persistent symptoms can remain long after the acute SARS-CoV-2 infection, and this condition is now coined long covid by recognized research institutes. Studies have shown that long covid can affect the whole spectrum of people with covid-19, from those with very mild acute disease to the most severe forms. Like acute covid-19, long covid can involve multiple organs and can affect many systems including, but not limited to, the respiratory, cardiovascular, neurological, gastrointestinal, and musculoskeletal systems. The symptoms of long covid include fatigue, dyspnea, cardiac abnormalities, cognitive impairment, sleep disturbances, symptoms of post-traumatic stress disorder, muscle pain, concentration problems, and headache. This review summarizes studies of the long term effects of covid-19 in hospitalized and non-hospitalized patients and describes the persistent symptoms they endure. Risk factors for acute covid-19 and long covid and possible therapeutic options are also discussed.


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