Bir Sağlık Çalışanında COVID-19 Pandemisi ile İlişkili İntihar Düşüncesinin Eşlik Ettiği Majör Depresyon: Olgu Sunumu

Year 2021, Volume: 23 Issue: 1, 116 - 118, 30.04.2021

Gizem Pala Buket Cinemre , Ali Erdoğan

https://doi.org/10.18678/dtfd.823953

Cited By: 2

Abstract

Yeni koronavirüs hastalığı (COVID-19) pandemisi Aralık 2019'dan bu yana tüm dünyayı etkilemektedir. Pandemi sürecinde sağlık çalışanları COVID-19 ile mücadelede en önde savaşmaktadır ve birçok sağlık çalışanı bu mücadele sırasında hayatını kaybetmiştir. Pandeminin ön saflarında yer alan sağlık çalışanları bu dönemde yoğun ruhsal ve fiziksel stres altındadır. Pandemi dönemlerinde genel popülasyonda ve özellikle sağlık çalışanlarında psikiyatrik belirtiler ve hastalıklar artmaktadır. Özellikle tükenmişlik, depresyon ve anksiyete belirtileri önemli ölçüde artar. Bu olgu sunumunda, COVID-19 pandemisi sırasında semptomları başlayan, intihar düşüncelerinin eşlik ettiği depresyonu olan ve elektrokonvülsif terapi ile tam remisyona giren bir hekim sunulmaktadır. COVID-19 pandemisinin sağlık çalışanlarının ruh sağlığı üzerindeki etkileri bu olgu sunumu çerçevesinde tartışılmaktadır.

Keywords

Sağlık çalışanları, COVID-19, pandemi, depresyon, intihar düşüncesi

Suicidal Major Depression in a Healthcare Worker Associated with the COVID-19 Pandemic: A Case Report

Abstract

Novel coronavirus disease (COVID-19) pandemic has been affecting the whole world since December 2019. During the pandemic, healthcare professionals are at the forefront of the fight against COVID-19, and many healthcare workers died during this fight. Healthcare workers, who are at the forefront of the pandemic, are under intense mental and physical stress along this period. This disease makes increase psychiatric symptoms for general population and especially in health professionals at pandemic conditions. In particular, the symptoms of burnout, depression, and anxiety have rised significantly. With this case report, we present a physician who had symptoms that started during the COVID-19 pandemic, had depression accompanied by suicidal thoughts, and went into complete remission with electroconvulsive therapy. The mental health effects of healthcare workers who have had COVID-19 are discussed within the frame of this case report.

Keywords

Healthcare workers, COVID-19, pandemic, depression, suicidal thoughts

References

• Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71-6. Erratum in: Int J Surg. 2020;77:217.
• Verma S, Mythily S, Chan YH, Deslypere JP, Teo EK, Chong SA. Post-SARS psychological morbidity and stigma among general practitioners and traditional Chinese medicine practitioners in Singapore. Ann Acad Med Singap. 2004;33(6):743-8.
• Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976.
• Hocaoğlu Ç, Erdoğan A. COVID-19 and suicide. In: Coşar B, editor. Psychiatry and COVID-19. 1st ed. Ankara: Türkiye Klinikleri; 2020. p.35-42.
• Devitt P. Can we expect an increased suicide rate due to Covid-19? Ir J Psychol Med. 2020;37(4):264-8.
• Liu X, Kakade M, Fuller CJ, Fan B, Fang Y, Kong J, et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry. 2012;53(1):15-23.
• Cheung T, Fong TKH, Bressington D. COVID-19 under the SARS Cloud: Mental Health Nursing during the Pandemic in Hong Kong. J Psychiatr Ment Health Nurs. 2020;[Epub ahead of print]. doi: 10.1111/jpm.12639.
• Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-7.
• Dutheil F, Aubert C, Pereira B, Dambrun M, Moustafa F, Mermillod M, et al. Suicide among physicians and health-care workers: A systematic review and meta-analysis. PLoS One. 2019;14(12):e0226361.
• Zangeneh M. Heroes should not die by suicide: The tragic life of Dr. Lorna Breen. INYI Journal. 2020;10(1-2):29.
• Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom. 2020;89(4):242-50.
• Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PLoS One. 2020;15(4):e0231924.
• Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020;288:112936.