From the Inpatient Psychiatry, James J. Peters Veterans' Administration Medical Center, 130 W. Kingsbridge Road, Bronx, NY 10468, USA.
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, USA.
QJM. 2021 Apr 27;114(2):95-98. doi: 10.1093/qjmed/hcab007.
A significant number of coronavirus disease SARS-CoV-2 (COVID-19) patients continue to have symptoms related to COVID-19 after the acute phase of illness. This post-COVID condition is sometimes called 'post-COVID syndrome', 'long COVID' or 'post-acute COVID-19'. Persistent psychiatric symptoms among COVID-19 survivors such as depression, anxiety, post-traumatic symptoms and cognitive impairment may be related to psychological factors and neurobiological injury. COVID-19 related neurological symptoms including anosmia, ageusia, dizziness, headache and seizures may persist for a long time after the acute COVID-19 illness. Many COVID-19 survivors experience persistent physical symptoms such as cough, fatigue, dyspnea and pain after recovering from their initial illness. There is a high probability that symptoms of psychiatric, neurological and physical illnesses, as well as inflammatory damage to the brain in individuals with post-COVID syndrome increase suicidal ideation and behavior in this patient population. COVID-19 survivors without post-COVID syndrome may also be at elevated suicide risk. Studies of suicidality in COVID-19 survivors are urgently needed and will be a new area of suicide research. An appropriate management of psychiatric, neurological and medical conditions may reduce suicide risk among COVID-19 survivors with or without post-COVID syndrome.
相当数量的新型冠状病毒疾病 SARS-CoV-2(COVID-19)患者在疾病的急性期后仍有与 COVID-19 相关的症状。这种新冠后状况有时被称为“新冠后综合征”、“长期 COVID”或“急性 COVID-19 后”。COVID-19 幸存者中持续存在的精神症状,如抑郁、焦虑、创伤后症状和认知障碍,可能与心理因素和神经生物学损伤有关。COVID-19 相关的神经系统症状,包括嗅觉丧失、味觉丧失、头晕、头痛和癫痫发作,在急性 COVID-19 疾病后可能会持续很长时间。许多 COVID-19 幸存者在从最初的疾病中康复后,会持续出现咳嗽、疲劳、呼吸困难和疼痛等身体症状。患有新冠后综合征的个体,其精神、神经和身体疾病的症状以及大脑的炎症损伤,很可能会增加自杀意念和行为。没有新冠后综合征的 COVID-19 幸存者也可能有更高的自杀风险。迫切需要对 COVID-19 幸存者的自杀意念进行研究,这将是自杀研究的一个新领域。适当管理精神、神经和医疗状况可能会降低有或没有新冠后综合征的 COVID-19 幸存者的自杀风险。