According to data from more than 9,000 professionals in 18 medical centers in Spain, a new study shows that almost half of the respondents are actively screened for mental disorders, and 14.5% suffer from a mental disorder. That is, suffering from negative reactions. Their professional and social lives. The second survey showed that 3.5% of them had active suicidal thoughts in the past 30 days.
Almost half of Spanish health professionals high risk Metal disease After the first wave Pandemic. In addition, I accounted for 3.5%Active suicide (There are death wishes and stubborn thoughts of suicide).To draw the conclusions of the two studies 18 hospitals Andalusia, Basque Country, Castile and Leon, Catalonia, Madrid and Valencian Community.
by Survey of 9,138 professionals Researchers at the Hospital del Mar Medical Institute (work, family relations, personal influence or the environment of covid-19 during the first wave of influenza pandemic)Instant messaging), Epidemiology and Public Health Network Center (Siberia) And mental health (Sibesam), conducted a MINDCOVID study, and the results have been published in the journal Depression and anxiety.
” First wave It shows that the prevalence of mental health problems that cause disability in Spanish bathrooms is much higher than expected. He explained that it is necessary to monitor the continuing risks of these problems, while taking into account the identified factors to minimize such problems. Jody Alonso, The lead author of the study, the director of the IMIM-Hospital del Mar Epidemiology Program and the deputy scientific director of CIBERESP.
Although only 43% of people stayed in contact for almost the entire time, 80% of respondents were directly involved in the care of covid-19 patients. 17.4% of people contracted this disease, and 112 people needed to be hospitalized. In 13.4% of cases, immediate family members were infected; in a quarter of cases, professionals must be isolated or isolated. In addition, four out of ten people said they had some kind of mental illness before the pandemic.
The impact of the pandemic on mental health
Among all participants, 45.7% are at high risk of some type of mental disorder, that is, they need a professional assessment to confirm whether there is a mental disorder. At the same time, 14.5% of one in seven people suffer from a disabling mental disorder, which has a significant negative impact on their professional and social life.
From a pathological point of view, 28.1% of people suffer from depression, 22.5% of people suffer from anxiety, almost a quarter of people feel panic, 22.2% of post-traumatic stress, and slightly more drug abusers 6%. In addition, having a mental illness before the pandemic doubles the risk of suffering from a mental illness again due to the pandemic.
“The results are not surprising to us. They are very consistent with our clinical experience, but they worry us. We take care of many medical staff who are acutely stressed, exhausted and anxious. Especially those who have experienced mental health problems before. People,” he explained. Victor Perez, The last signatory of the work.
Among unborn and unmarried young women in Spain, the prevalence of mental disorders is higher. The nursing assistant group is the most influential group. Therefore, 2 out of every 3 assistants are at higher risk of mental disorders, and half of nurses are at higher risk. At the same time, the prevalence of professionals who have contact with COVID-19 patients and those who have the disease or infected relatives is higher.
In view of these results, the authors recommend monitoring medical professionals who have previously suffered from mental illness and highly exposed people who have been infected or in a closed state, and pay special attention to nursing assistants.
From left to right: Gemma Vilagut, Jordi Alonso, Philippe Mortier and Víctor Pérez. /IMIM
Active suicidal thoughts
The MINDCOVID study also found that during the first wave of pandemics, the incidence of active suicidal ideation was high at 3.5%, and the incidence of suicide attempts was 0.1%. This number is in sharp contrast to the 0.7-0.9% estimated by the general population before the pandemic.
“This is shocking, especially because the risk of suicide among health care professionals has increased before COVID-19. Studies have shown that this increased risk of suicidal ideation is partly caused by the health center during the first wave. It is caused by the pressure on coordination and personnel,” he pointed out. Philip Mortier, The signatory of the two works.
The data highlights the need for social efforts to prevent infections and prevent overwhelming health systems. Finally, another major pressure on suicidal ideation identified in the study is financial pressure, such as fear of loss of income or career due to the pandemic.
For the author, a series of simulations show that interventions that increase the level of hospital preparedness of medical staff and reduce financial insecurity can lead to a substantial reduction in suicidal ideation, even a 75% reduction.
Jordi Alonso and others: MINDCOVID working group. The impact of the first wave of COVID-19 pandemic on the mental health of medical workers in Spain: a large cross-sectional survey. Psiq Pastor Public Health. doi: https://doi.org/10.1016/j.rpsm.2020.12.001
Mortier P, Vilagut G, Ferrer M, etc. During the first wave of the COVID-19 outbreak in Spain, hospital staff had 30 days of suicidal thoughts and behavior. Depression and anxiety. 2020; 1-17. https://doi.org/10.1002/da.23129
These studies have been funded from Carlos III Health Institute (Ministry of Science and Innovation)/FEDER COV20/00711, Sara Borrell (Sara Borrell, CD18/00049) and Catalonia General Hospital (2017SGR452).