Physician Health Care Visits for Mental Health and Substance Use During the COVID-19 Pandemic in Ontario, Canada

Myran, Daniel T.; Cantor, Nathan; Rhodes, Emily; Pugliese, Michael; Hensel, Jennifer; Taljaard, Monica; Talarico, Robert; Garg, Amit X.; McArthur, Eric; Li, Chengwei; Jeyakumar, Nivethika; Simon, Christopher; McFadden, Taylor; Gérin‐Lajoie, Caroline; Sood, Manish M.; Tanuseputro, Peter

doi:10.1001/jamanetworkopen.2021.43160

Cited by 43 publications

(49 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The consequences of moral distress include experiences of anger, guilt, depersonalization and, for health care professionals, a desire to leave the workforce entirely 113 . If persistent, moral distress can result in moral injury, resulting in long-term social and psychological trauma 114 , 115 .…”

Section: Psychosocial Aspects Of Covid-19mentioning

confidence: 99%

Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

et al. 2022

View full text Add to dashboard Cite

The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease management, kidney research and trainee education. For patients, increased infection risk and disease severity, often complicated by acute kidney injury, have contributed to high mortality. Clinicians were faced with high clinical demands, resource shortages and novel ethical dilemmas in providing patient care. In this review, we address the impact of COVID-19 on the entire spectrum of kidney care, including acute kidney injury, chronic kidney disease, dialysis and transplantation, trainee education, disparities in health care, changes in health care policies, moral distress and the patient perspective. Based on current evidence, we provide a framework for the management and support of patients with kidney disease, infection mitigation strategies, resource allocation and support systems for the nephrology workforce.

show abstract

Section: Psychosocial Aspects Of Covid-19mentioning

confidence: 99%

Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Second, given the substantial increase in SUD among patients without prior psychiatric disorders, public health practitioners and policymakers should investigate rising issues of substance misuse, including alcohol and opioids, and widen access to bene ts from alternative modes of mental health care (i.e., telehealth or virtual care). 37 Lastly, COVID-19 infections disproportionately impacted populations already facing health disparities. Continuous efforts to address the impact of changes in the social determinants of health on new and emerging psychiatric disorders are needed.…”

Section: Policy Implicationsmentioning

confidence: 99%

Trends in Psychiatric Disorders by COVID-19 Infection and Hospitalization in 62 Counties in New York City from March 2020, to August 2021

Xiao

Sharma

Thiruvalluru

et al. 2022

Preprint

View full text Add to dashboard Cite

Determining emerging trends of different psychiatric disorders among patients with SARS-CoV-2 infection and subsequent hospitalization by psychiatric disorder history is important to guide targeted public health priorities. This study used electronic health records among patients in New York derived from the largest health information exchange in the US and estimated the prevalence of psychiatric between March 2020 to August 2021. During the beginning of the COVID-19 pandemic, mood disorders were the most prevalent among hospitalized COVID-19 patients, whereas substance use disorders increased significantly among patients without prior psychiatric diseases. Mood disorders, anxiety disorders and psychosis increased by 488.0% (from 2.5–14.7%), 373.2% (from 2.6–12.3%) 232.4% (from 3.7–12.3%) from February to August 2021 among COVID-19 negative patients. This study is the first to address the differential trends in psychiatric disorders over COVID-19 pandemic. Tailored treatment and policies should be developed that account for psychiatry history.

show abstract

“…14,[19][20][21] This is especially pertinent with recent reported high levels of emotional distress and elevations in mental health services among physicians with the recent coronavirus disease 2019 (COVID-19) pandemic. 22 Many studies reporting a higher risk of suicide among physicians predate 2000, with more recent evidence suggesting that physician suicide occurs at comparable rates to the nonphysician population. 16 The objective of this study was to evaluate the risk of suicide and self-harm among physicians and nonphysicians in Ontario, Canada, using administrative data sources.…”

Section: Introductionmentioning

confidence: 99%

“…14, 19–21 This is especially pertinent with recent reported high levels of emotional distress and elevations in mental health services among physicians with the recent coronavirus disease 2019 (COVID-19) pandemic. 22…”

Section: Introductionmentioning

confidence: 99%

Suicide and Self-Harm Among Physicians in Ontario, Canada

Sood,

Rhodes,

Talarico

et al. 2022

Can J Psychiatry

Self Cite

View full text Add to dashboard Cite

Background Studies of occupation-associated suicide suggest physicians may be at a higher risk of suicide compared to nonphysicians. We set out to assess the risk of suicide and self-harm among physicians and compare it to nonphysicians. Methods We conducted a population-based, retrospective cohort study using registration data from the College of Physicians and Surgeons of Ontario from 1990 to 2016 with a follow-up to 2017, linked to Ontario health administrative databases. Using age- and sex-standardized rates and inverse probability-weighted, cause-specific hazards regression models, we compared rates of suicide, self-harm, and a composite of either event among all newly registered physicians to nonphysician controls. Results Among 35,989 physicians and 6,585,197 nonphysicians, unadjusted suicide events (0.07% vs. 0.11%) and rates (9.44 vs. 11.55 per 100,000 person-years) were similar. Weighted analyses found a hazard ratio of 1.05 (95% confidence interval: 0.69 to 1.60). Self-harm requiring health care was lower among physicians (0.22% vs. 0.46%; hazard ratio: 0.65, 95% confidence interval: 0.52 to 0.82), as was the composite of suicide or self-harm (hazard ratio: 0.70, 95% confidence interval: 0.57 to 0.86). The composite of suicide or self-harm was associated with a history of a mood or anxiety disorder (odds ratio: 2.84, 95% confidence interval: 1.17 to 6.87), an outpatient mental health visit in the past year (odds ratio: 3.08, 95% confidence interval: 1.34 to 7.10) and psychiatry visit in the preceding year (odds ratio: 3.87, 95% confidence interval: 1.67 to 8.95). Interpretation Physicians in Ontario are at a similar risk of suicide deaths and a lower risk of self-harm requiring health care relative to nonphysicians. Risk factors associated with suicide or self-harm may help inform prevention programs.

show abstract

Physician Health Care Visits for Mental Health and Substance Use During the COVID-19 Pandemic in Ontario, Canada

Cited by 43 publications

References 21 publications

Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

Trends in Psychiatric Disorders by COVID-19 Infection and Hospitalization in 62 Counties in New York City from March 2020, to August 2021

Suicide and Self-Harm Among Physicians in Ontario, Canada

Contact Info

Product

Resources

About