Highlights A multicenter, cross-sectional survey was conducted to assess the immediate psychological impact of COVID-19 on frontline nurses. Psychological morbidities as depression, anxiety, somatization, as well as suicidal ideation were measured. The risk and protective factors of the psychological morbidities and suicidal ideation were identified. Effective risk communication and mental health interventions for targeted segments should be implemented since the initial phase of the outbreak.

Highlights Depression, anxiety, and somatic symptoms in hospital workers were 30.2%, 20.7%, and 46.2%. 6.5% hospital workers reported suicidal or self-harm ideation. Female, single, and low-level educational background were risk factors of psychological impact. Epidemic-related attitudes and behaviors are associated with stress, support, and SSI. County hospital workers suffered more psychological effects, stress, and SSI.

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