Department of Pediatrics, The University of Tokyo Hospital, Japan.
Institute of Psychiatry, Taras Shevchenko National University of Kyiv, Ukraine.
Br J Psychiatry. 2023 Feb;222(2):82-87. doi: 10.1192/bjp.2022.170.
In February 2022, Russia began its invasion of Ukraine. War increases the demand for mental healthcare among affected populations, but with devastating losses across the nation, it is unclear if Ukrainian mental health services are able to meet the needs of the people.
We aimed to evaluate the state of Ukrainian in-patient mental health services, which remains the backbone of the nation's psychiatric services, early in the 2022 Russian invasion.
We conducted a nationwide cross-sectional study on Ukrainian in-patient mental health facilities during the 2022 Russian invasion. Using an online questionnaire, we obtained responses from the heads of 32 in-patient mental health facilities across Ukraine, representing 52.5% of all in-patient mental health facilities in the nation. We gathered information on hospital admissions, staff, humanitarian aid received and the additional needs of each facility.
Hospital admissions were reduced by 23.5% during the war (April 2022) compared with before the war (January 2022). Across facilities, 9.6% of hospital admissions in April 2022 were related to war trauma, with facilities reporting percentages as high as 30.0%. Facilities reported reductions in staff, with 9.1% of total medical workers displaced and 0.5% injured across facilities. One facility reported that 45.6% of their total medical workers were injured. Although facilities across Ukraine have received humanitarian aid (such as medical supplies, food, volunteers), they reported additionally needing equipment as well as more staff.
The mental health service structure in Ukraine has been severely damaged during the 2022 invasion, with staff shortages despite a significant number of hospital admissions related to war trauma.
2022 年 2 月，俄罗斯开始入侵乌克兰。战争增加了受影响人群对心理健康保健的需求，但由于国家遭受了毁灭性的损失，目前尚不清楚乌克兰的心理健康服务是否能够满足民众的需求。
我们旨在评估乌克兰住院心理健康服务的状况，这仍然是该国精神科服务的支柱，在 2022 年俄罗斯入侵早期进行评估。
我们在 2022 年俄罗斯入侵期间对乌克兰住院心理健康设施进行了一项全国性的横断面研究。使用在线问卷，我们从乌克兰 32 家住院心理健康设施的负责人那里获得了答复，这些设施代表了全国所有住院心理健康设施的 52.5%。我们收集了有关医院入院、工作人员、人道主义援助以及每个设施的额外需求的信息。
与战前（2022 年 1 月）相比，战争期间（2022 年 4 月）医院入院人数减少了 23.5%。在各个设施中，2022 年 4 月有 9.6%的医院入院与战争创伤有关，有设施报告的百分比高达 30.0%。各设施报告工作人员减少，总医务人员中有 9.1%流离失所，总医务人员中有 0.5%受伤。一家设施报告称，其总医务人员中有 45.6%受伤。尽管乌克兰各地的设施都收到了人道主义援助（如医疗用品、食物、志愿者），但他们报告说还需要设备和更多的工作人员。
在 2022 年的入侵中，乌克兰的心理健康服务结构受到了严重破坏，尽管与战争创伤相关的医院入院人数众多，但工作人员短缺。
