Department of Psychiatry and Behavioral Sciences (Espinel), and Center for Disaster and Extreme Event Preparedness (Shultz), University of Miami Miller School of Medicine, Miami; Center for Weather and Climate, National Oceanic and Atmospheric Association, National Centers for Environmental Information, Madison, Wisconsin (Kossin); School of Public Health, Boston University, Boston (Galea); Atrium Health, Charlotte, North Carolina; Climate Psychiatry Caucus, American Psychiatric Association, Washington, D.C. (Richardson).
Psychiatr Serv. 2019 Dec 1;70(12):1165-1167. doi: 10.1176/appi.ps.201900273. Epub 2019 Aug 12.
Global environmental climate change is altering the behavior of hurricanes. Hurricane seasons are becoming more active, generating storms that are ever more damaging to coastal and island communities. Exposure to hurricane hazards and experiencing resultant losses and life changes can lead to new-onset mental disorders among previously healthy survivors and jeopardize the health of persons with preexisting mental illness. High rates of common mental disorders have been documented after recent hurricanes. As hurricanes become increasingly severe, health care systems may expect to see more mental illness related to these extreme storms. Psychiatrists and allied health professionals can play vital roles in several areas: educating and preparing current caseloads of patients for possible storm impacts; intervening with persons who develop new-onset disorders after storm exposure; providing consultation to public health and community preparedness leadership about the mental health consequences of hurricanes; participating actively in community emergency response; and championing the integration of psychiatry with climate science and advocacy.
全球环境气候变化正在改变飓风的行为。飓风季节变得更加活跃,产生的风暴对沿海和岛屿社区的破坏性越来越大。暴露在飓风灾害下,经历由此带来的损失和生活变化,可能会导致以前健康的幸存者新出现精神障碍,并危及已有精神疾病患者的健康。最近的飓风过后,记录到常见精神障碍的发病率很高。随着飓风变得越来越严重,医疗保健系统可能会看到更多与这些极端风暴相关的精神疾病。精神科医生和相关健康专业人员可以在几个方面发挥重要作用:教育和准备当前的患者群体应对可能的风暴影响;对风暴暴露后出现新发病的人进行干预;就飓风对心理健康的影响向公共卫生和社区准备领导提供咨询;积极参与社区应急响应;倡导精神病学与气候科学和宣传的整合。