Attempted suicide and pregnancy in COVID-19s times

Introduction: Pregnancy is a special risk factor for suicide attempts among females (Andrew E. Czeizel et al. 2011). Situational factors such as the novel coronavirus (COVID-19) have also been reported to impact on individual's mental health. Objective(s): Examine the effect of COVID-19 and its association with mental health and attempt suicide risk in pregnant population. Method(s): Across-sectional study that includes 113 pregnantwomen from Spain, through an anonymous, voluntary and multiple response type online survey which included questions about socio demographic aspects, COVID-19's aspects and mental health. Result(s): Of the 112 pregnant patients surveyed, only 2 reported suicidal ideation. The age of the respondents was 32 and 33 years, both of whom were in the 2nd trimester of pregnancy. Both report that it was the first pregnancy and affirm a worsening of their economic situation since the beginning of the COVID-19 pandemic. One of them did not have a partner / marriage and was living with a relative, in turn this respondent was unemployed. Both responded that they were always worried about the possible outcome of the COVID-19 pandemic and that their fears had increased, being difficult to control and let them pass. It is very relevant that both agree that they never felt that the professionals who carried out the pregnancy controls asked or inquired about their current state of mental health. Conclusion(s): Antepartum suicidal ideation is an important and common complication of pregnancy, specially in COVID-19's times, healthcare professionalswho follow pregnancy should detect high-risk suicidal patients and be able to carry out a suicide prevention program.

Psychiatric symptoms and COVID-19, the importance of differential diagnosis. about two cases

IntroductionThe COVID-19 pandemic presents symptomatic heterogeneity, so the differential diagnosis is even more relevant and more in patients with mental disorders. COVID-19 is a new disease that is under study and affects people over 65 with the greatest severity worldwide. The most frequent psychiatric symptoms are behavioral disturbances and confusional syndrome among those affected.ObjectivesThe objective is to demonstrate the importance of differential diagnosis in patients with psychiatric symptoms and covid-19.MethodsPatients aged 71 and 77, admitted to psychiatry. They present drowsiness that alternates with episodes of psychomotor agitation in which they verbalize fear of the coronavirus. Personal history: bipolar disorder and schizoaffective disorder. Psychopathological exploration: Spatial-temporal disorientation, uncooperative, fluctuating state of consciousness, verborrheic, salty and incoherent speech at times. Dysphoric mood. Psychomotor restlessness predominantly at night, verbal heteroaggressiveness. Negative to ingestion due to odynophagia. Sensory-perceptual alterations and nihilistic delusions “the virus has killed me, I’m already dead.” Upon admission, they present a cough and fever and are treated with azithromycin and dexamethasone for suspected COVID-19. Complementary tests: chest X-ray bilateral pleural effusion. Cranial CT: Diffuse cortical and subcortical brain parenchyma retraction pattern. PCR positive coronavirus.ResultsAfter overcoming the infection and with psychopharmacological treatment the confusional syndrome remitted.ConclusionsConfusional syndrome can present with different psychiatric symptoms, so the differential diagnosis is very important and even more so in patients older than 65 years who present somatic pathologies or acute infections. The differential diagnosis of confusional syndrome is key to adequate treatment and favor the prognosis.

Pregnancy and mental health in times of COVID-19

IntroductionThe new coronavirus (COVID-19) is being a threat to global health. Pregnancy is considered a state of vulnerability to mental health and can be even greater if they are facing the current pandemia.ObjectivesWithin this framework, we wanted to inquire about the state of mental health, and more specifically, about depression, during pregnancy during pandemia COVID-19 and their opinion of the health team∙s professionals that controls pregnancy and how they are involved in the assessment of their mental health status. Also know her fears and uncertainties about the virus and its possible consequences (complications during pregnancy, childbirth or confinement at home, possible contact with COVID-19 positive patients).MethodsA cross-sectional study was carried out that includes 73 pregnant women from Spain, during September 2020, through an anonymous, voluntary and multiple response type online survey which included questions about socio demographic aspects and the Beck Depression Inventory.ResultsThe average age was 32 years. 90.41% were with a partner or married. The results of Beck’s questionnaire: 24.65% have moderate/severe depression. 25.65% had or had thought about consulting a mental health professional, 90.41% considered that professionals had not asked about their mental health during pregnancy. 98.89% reported fear of becoming infected and having to confine themselves at home and 97.26% reported fear of get COVID and affect the health of the unborn baby.ConclusionsCOVID-19 represents a huge challenge for pregnant women’s mental health. The Development and implementation of mental health service, skilled and aware of this area is crucial, for this vulnerable population.