ABSTRACT
Introduction: The COVID-19 pandemic and social and mobility restriction measures have had a negative impact on the mental health of the population. Objective(s): The objective is to demonstrate the impact of the pandemic on mental disorders. Method(s): 64-year-old man who is taken to the emergency room after a suicide attempt, by hanging with a belt out of concern and measuring the contagion of the COVID-19 virus in the context of long-standing delirious ideas of contamination and hypochondriacal neurosis. Adaptive disorder in relation to previous divorce. Psychopathologically, the patient is anxious and restless, conscious, inattentive and poorly oriented in space and time. Accelerated language with monothematic discourse about the possibility of contagion that has caused isolation behavior to the point of shredding organic waste and throwing it down the toilet so as not to have to go out to throw it out for fear of contagion. Faced with a neighbor's wake-up call due to a blocked pipe, he suffers a crisis of guilt and anxiety and attempts to commit suicide. COVID-19 PCR=negative. Beck's Depression Inventory 24=moderate depression. IPDE accentuated obsessive and avoidant personality traits. Result(s): Diagnosis: Moderate depressive episode with psychotic symptoms. Hypochondriacal disorder. Ananchastic personality disorder. Treatment: Paliperidone 3mg/24h. Sertraline 100mg/24h Conclusion(s): In obsessive personalities and hypochondriacal neuroses, the COVID-19 pandemic has posed an increased risk of decompensation for affective disorders and even suicide attempts. Isolation, lack of treatment and prior monitoring, as well as the difficulty of identifying vital stressors, must be taken into account if an early intervention is to be carried out.
ABSTRACT
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.