Planning for Mental Health Needs During COVID-19

Han, Rachel; Schmidt, Morgan N; Waits, Wendi; Bell, Alexa K C; Miller, Tashina Lynn

doi:10.1007/s11920-020-01189-6

Cited by 60 publications

(61 citation statements)

References 53 publications

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“…It is important to focus on the preventive dimension and early intervention. Survivor guilt, PTSD among survivors may put people at risk to addiction [ 124 ]. Evidence based policy changes, improving access to treatment for alcohol use disorders, liaison services, evidence-based prevention, and prioritising care of vulnerable population are urgently required [ 125 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 pandemic and lockdown on alcohol use disorders and complications

Murthy

Narasimha

2021

Current Opinion in Psychiatry

108

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Purpose of review To understand the effect of COVID-19 pandemic and lockdown on persons with alcohol use disorders. Recent findings From a total of 455 titles on COVID-19 and alcohol, 227 abstracts were screened, and 95 articles were reviewed (on November 25 th , 2020). The immediate effect was an increase in alcohol related emergencies including alcohol withdrawal, related suicides, and methanol toxicity. Although there are mixed findings with respect to changes in the quantity of drinking, there are reports of binge/heavy drinking during the lockdown as well as relapse postlockdown. Psychological, social, biological, economic and policy-related factors appear to influence the changes in drinking. Although preliminary data suggest no change in alcohol use among persons with comorbid mental illness, findings in this population are presently limited. Among patients with alcohol related liver disease, outcomes appear worse and caution is warranted with the use of medications. Alcohol also appears to increases the risk of COVID-19 infection and complicates its course. Although some nations banned alcohol sales completely during lockdown, others declared it as an essential commodity, resulting in different problems across countries. Alcohol use has added to the burden of the problem particularly among vulnerable groups like the adolescents, elderly, patients with cancer, as well as health professionals. Services for patients with alcohol use disorders have been affected. Summary The COVID-19 pandemic has had considerable impact on alcohol use, with an increase in alcohol related emergencies, changes in alcohol use patterns, increased risk of contracting COVID-19, effect on alcohol policies and sales, and an effect on vulnerable groups. It is essential to understand and respond to the current situation, intervene early, and prevent further repercussions of the pandemic. Video abstract link: https://drive.google.com/file/d/1IJWtIs6e554PryKWhdma4VB--mjSZq1C/view?usp=sharing .

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Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 pandemic and lockdown on alcohol use disorders and complications

Murthy

Narasimha

2021

Current Opinion in Psychiatry

108

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“…Of note is the fact that the proximal risk factor may play an important role in the precipitation of suicide (38). Traumatic experiences, as in the case of natural disaster and health emergency as in the case of pandemics, may act as a major stress in the vulnerable individual and contribute to a higher risk of attempting suicide (39,40).…”

Section: Discussionmentioning

confidence: 99%

Clinical Differences Between Single and Multiple Suicide Attempters, Suicide Ideators, and Non-suicidal Inpatients

et al. 2020

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Single suicide attempters (SSAs) and multiple suicide attempters (MSAs) represent distinct subgroups of individuals with specific risk factors and clinical characteristics. This retrospective study on a sample of 397 adult psychiatric inpatients analyzed the main sociodemographic and clinical differences between SSAs and MSAs and the possible differences between SSAs, MSAs, and psychiatric patients with and without suicidal ideation (SI). Clinical variables collected included psychiatric diagnoses (Mini International Neuropsychiatric Interview), presence of substance use, current suicide risk status (Columbia Suicide Severity Rating Scale), Clinical Global Impression at admission, Global Assessment of Functioning improvement between admission and discharge, age at onset of psychiatric illness, duration of untreated illness in years, number of hospitalizations in psychiatric settings, and lethality of the most severe suicide attempt. A multinomial logistic regression model with groups showed that MSAs had a higher lethality of their last suicide attempt as compared to SSAs. In addition, MSAs had distinct sociodemographic characteristics compared to both SSAs and patients with SI. Although the study was limited by the relatively small sample size and retrospective nature, the present results suggest that identifying MSAs could be useful in predicting suicide risk and designing ad hoc prevention strategies.

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“…Although COVID-19 pandemic initially resulted in approximately 1,000 new COVID-19-related listings per week on the PubMed.gov website ( 47 ), very few studies have addressed the practical matter of how psychiatric care should change as a consequence of the ongoing mental health tsunami ( 4 , 18 ). WHO has recently published operational guidances in order to maintain essential health services with specific focus on the younger, the elderly and those suffering from MNS disorders ( 48 ).…”

Section: Future Perspectivesmentioning

confidence: 99%

COVID‑19 and its consequences on mental health (Review)

et al. 2021

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As one year is approaching since the beginning of the Coronavirus disease 2019 (COVID-19) pandemic, it is important to acknowledge the detrimental effect that it is having on mental health at the individual, societal and public health levels. The current review presents the direct and indirect psychological impact of COVID-19 on the general public, as well as on vulnerable groups, including the elderly, the young, healthcare professionals, people with pre-existing mental health issues, those infected by COVID-19, homeless people and refugees. Important findings are discussed in the present review, including the social stigma in older people associated with portraying COVID-19 as the disease of the elderly, and the limited psychological impact of COVID-19 in the severely mentally ill, alongside the response of the mental healthcare systems globally to this unparalleled public health crisis. The important lessons to be learnt so far can help formulate individual mental health recommendations, as well as improved intervention and prevention public health strategies.

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Planning for Mental Health Needs During COVID-19

Cited by 60 publications

References 53 publications

Effects of the COVID-19 pandemic and lockdown on alcohol use disorders and complications

Effects of the COVID-19 pandemic and lockdown on alcohol use disorders and complications

Clinical Differences Between Single and Multiple Suicide Attempters, Suicide Ideators, and Non-suicidal Inpatients

COVID‑19 and its consequences on mental health (Review)

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