Queensland Centre for Mental Health Research, Queensland Health, Wacol, QLD 4076, Australia.
School of Public Health, The University of Queensland, Herston, QLD 4006, Australia.
Int J Environ Res Public Health. 2021 Apr 23;18(9):4486. doi: 10.3390/ijerph18094486.
Climate change is negatively impacting the mental health of populations. This scoping review aims to assess the available literature related to climate change and mental health across the World Health Organisation's (WHO) five global research priorities for protecting human health from climate change. We conducted a scoping review to identify original research studies related to mental health and climate change using online academic databases. We assessed the quality of studies where appropriate assessment tools were available. We identified 120 original studies published between 2001 and 2020. Most studies were quantitative ( = 67), cross-sectional ( = 42), conducted in high-income countries ( = 87), and concerned with the first of the WHO global research priorities-assessing the mental health risks associated with climate change ( = 101). Several climate-related exposures, including heat, humidity, rainfall, drought, wildfires, and floods were associated with psychological distress, worsened mental health, and higher mortality among people with pre-existing mental health conditions, increased psychiatric hospitalisations, and heightened suicide rates. Few studies ( = 19) addressed the other four global research priorities of protecting health from climate change (effective interventions ( = 8); mitigation and adaptation ( = 7); improving decision-support ( = 3); and cost estimations ( = 1)). While climate change and mental health represents a rapidly growing area of research, it needs to accelerate and broaden in scope to respond with evidence-based mitigation and adaptation strategies.
气候变化正在对人口的心理健康产生负面影响。本范围综述旨在评估与世界卫生组织(WHO)保护人类健康免受气候变化影响的五个全球研究重点相关的气候变化与心理健康方面的现有文献。我们通过在线学术数据库进行了范围综述,以确定与心理健康和气候变化相关的原始研究。在适当的评估工具可用的情况下,我们评估了研究的质量。我们确定了 2001 年至 2020 年间发表的 120 项原始研究。大多数研究是定量的(n=67),横断面研究(n=42),在高收入国家进行(n=87),并关注 WHO 全球研究重点中的第一项——评估与气候变化相关的心理健康风险(n=101)。几种与气候相关的暴露因素,包括高温、湿度、降雨、干旱、野火和洪水,与心理困扰、心理健康恶化以及患有精神健康疾病的人群死亡率升高有关,这些人群的精神病院住院率增加,自杀率升高。少数研究(n=19)涉及保护人类健康免受气候变化影响的其他四个全球研究重点(有效干预措施(n=8);缓解和适应(n=7);改善决策支持(n=3);和成本估算(n=1))。虽然气候变化与心理健康是一个快速发展的研究领域,但它需要加快并扩大范围,以提出基于证据的缓解和适应策略。