Tachikawa Hirokazu, Kubo Tatsuhiko, Gomei Sayaka, Takahashi Sho, Kawashima Yuzuru, Manaka Kazunori, Mori Akira, Kondo Hisayoshi, Koido Yuichi, Ishikawa Hiromi, Otsuru Taku, Nogi Wataru
Department of Disaster and Community Psychiatry, University of Tsukuba, Japan.
Department of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan.
Int J Disaster Risk Reduct. 2022 Oct 15;81:103250. doi: 10.1016/j.ijdrr.2022.103250. Epub 2022 Aug 20.
Coronavirus disease 2019 (COVID-19) infection prevention measures have led to a variety of mental health issues. Although several self-care methods have been recommended for those quarantined, evidence regarding how best to support quarantined people experiencing a mental health crisis is limited. In February 2020, the Diamond Princess cruise ship was quarantined in Yokohama port, Japan following a passenger testing positive for COVID-19. We were sent to address the mental health issues as the Disaster Psychiatric Assistance Team (DPAT). In the present study, we examined the acute mental health needs of the passengers and crew collected by the DPAT using the standard Emergency Medical Team daily reporting system. We assessed 206 cases (99 men and 107 women) with generic health issues and 127 cases (39 men and 88 women) with mental health issues. Mental health issues including disaster stress-related symptoms were as frequent as physical health events associated with COVID-19. The most significant mental health issue was anxiety, as an acute psychological reaction to the quarantine situation. Women and crews most frequently needed mental health support. Mental health improved in most clients after brief counseling. Although several passengers experienced suicidal ideation, there were no cases of actual suicide attempts during the quarantine period. This case has been regarded as a well-known public health event at the beginning of the COVID-19 era. In addition to physical health support, disaster mental health support was essential to save lives. Our findings may facilitate responses to future quarantines, accidents, and mental health crises.
2019冠状病毒病（COVID-19）的感染预防措施引发了各种心理健康问题。尽管已为那些被隔离者推荐了几种自我护理方法，但关于如何最好地支持处于心理健康危机中的被隔离者的证据有限。2020年2月，一名乘客COVID-19检测呈阳性后，“钻石公主”号游轮在日本横滨港被隔离。作为灾难精神科援助团队（DPAT），我们被派去处理心理健康问题。在本研究中，我们使用标准的紧急医疗队每日报告系统，检查了DPAT收集的乘客和船员的急性心理健康需求。我们评估了206例有一般健康问题的病例（99名男性和107名女性）和127例有心理健康问题的病例（39名男性和88名女性）。与灾难应激相关症状的心理健康问题与COVID-19相关的身体健康事件一样频繁。最显著的心理健康问题是焦虑，这是对隔离情况的一种急性心理反应。女性和船员最常需要心理健康支持。经过简短的咨询，大多数客户的心理健康状况有所改善。尽管有几名乘客出现了自杀念头，但在隔离期间没有实际自杀未遂的案例。该病例被视为COVID-19时代初期一个广为人知的公共卫生事件。除了身体健康支持外，灾难心理健康支持对于挽救生命也至关重要。我们的研究结果可能有助于应对未来的隔离、事故和心理健康危机。
