Pinchuk Irina, Goto Ryunosuke, Kolodezhny Oleksiy, Pimenova Nataliia, Skokauskas Norbert
Institute of Psychiatry, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Department of Pediatrics, The University of Tokyo Hospital, Tokyo, Japan.
Int J Ment Health Syst. 2023 Jun 24;17(1):20. doi: 10.1186/s13033-023-00589-4.
Since February 2022, the people of Ukraine have experienced devastating losses due to the Russian invasion, increasing the demand for mental healthcare across the nation. Using longitudinal data on mental health facilities across the nation up to summer 2022, we aimed to provide an updated picture of Ukrainian mental health services during the 2022 Russian invasion.
We conducted a nationwide longitudinal study on Ukrainian inpatient mental health facilities during the Russian invasion since February 2022. We obtained responses from the heads of 30 inpatient mental health facilities, which represent 49.2% of all psychiatric hospitals in Ukraine. Information on hospitalizations and the number, displacement, and injuries of staff in April and July-September 2022 was obtained from each facility.
Facilities across Ukraine reported similar staff shortages in both April and August-September 2022, despite an increase in the number of hospitalizations in July 2022 and a similar percentage of hospitalizations related to war trauma (11.6% in July vs. 10.2% in April, Wilcoxon signed-rank test P = 0.10). Hospitalizations related to war trauma became more dispersed across the nation in July 2022, likely reflecting the return of internally and externally displaced persons to their original locations.
The mental health needs and services changed drastically in the first half-year of the Russian invasion of Ukraine, with those in need more dispersed across the country over time. International aid may need to be scaled up to stably provide mental healthcare, given the displacement of the mental healthcare workforce.
自2022年2月以来，乌克兰人民因俄罗斯的入侵遭受了毁灭性损失，全国对精神卫生保健的需求不断增加。利用截至2022年夏季全国精神卫生设施的纵向数据，我们旨在呈现2022年俄罗斯入侵期间乌克兰精神卫生服务的最新情况。
我们对2022年2月俄罗斯入侵期间乌克兰的住院精神卫生设施进行了一项全国性纵向研究。我们获得了30家住院精神卫生设施负责人的回复，这些设施占乌克兰所有精神病医院的49.2%。从每个设施获取了2022年4月以及7月至9月的住院信息、工作人员数量、流离失所情况和受伤情况。
乌克兰各地的设施在2022年4月和8月至9月报告了类似的人员短缺情况，尽管2022年7月住院人数有所增加，且与战争创伤相关的住院比例相似（7月为11.6%，4月为10.2%，Wilcoxon符号秩检验P = 0.10）。2022年7月，与战争创伤相关的住院病例在全国范围内分布得更加分散，这可能反映了境内外流离失所者返回原住地的情况。
在俄罗斯入侵乌克兰的上半年，精神卫生需求和服务发生了巨大变化，随着时间的推移，有需求的人群在全国分布得更加分散。鉴于精神卫生保健工作人员的流离失所，可能需要扩大国际援助，以稳定地提供精神卫生保健服务。
