Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Charité Campus Mitte, Corporate Member of Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
German Center for Mental Health (DZPG), Germany.
Eur Psychiatry. 2024 May 23;67(1):e41. doi: 10.1192/j.eurpsy.2024.1754.
Climate change is one of the greatest threats to health that societies face and can adversely affect mental health. Given the current lack of a European consensus paper on the interplay between climate change and mental health, we signal a need for a pan-European position paper about this topic, written by stakeholders working in mental health care.
On behalf of the European Psychiatric Association (EPA), we give recommendations to make mental health care, research, and education more sustainable based on a narrative review of the literature.
Examples of sustainable mental healthcare comprise preventive strategies, interdisciplinary collaborations, evidence-based patient care, addressing social determinants of mental health, maintaining health services during extreme weather events, optimising use of resources, and sustainable facility management. In mental health research, sustainable strategies include investigating the impact of climate change on mental health, promoting research on climate change interventions, strengthening the evidence base for mental health-care recommendations, evaluating the allocation of research funding, and establishing evidence-based definitions and clinical approaches for emerging issues such as 'eco-distress'. Regarding mental health education, planetary health, which refers to human health and how it is intertwined with ecosystems, may be integrated into educational courses.
The EPA is committed to combat climate change as the latter poses a threat to the future of mental health care. The current EPA position paper on climate change and mental health may be of interest to a diverse readership of stakeholders, including clinicians, researchers, educators, patients, and policymakers.
气候变化是社会面临的最大健康威胁之一，会对心理健康产生不利影响。鉴于目前缺乏关于气候变化与心理健康之间相互作用的欧洲共识文件，我们发出信号表明需要由从事精神卫生保健工作的利益攸关方撰写一份关于这一主题的泛欧立场文件。
代表欧洲精神病学协会（EPA），我们根据对文献的叙述性回顾，提出了使精神卫生保健、研究和教育更加可持续的建议。
可持续精神卫生保健的例子包括预防策略、跨学科合作、基于证据的患者护理、解决心理健康的社会决定因素、在极端天气事件期间维持卫生服务、优化资源利用以及可持续设施管理。在精神卫生研究中，可持续策略包括调查气候变化对精神健康的影响、促进气候变化干预措施的研究、加强精神卫生保健建议的证据基础、评估研究资金的分配，以及为新兴问题（如“生态困境”）建立基于证据的定义和临床方法。关于精神卫生教育，行星健康，即人类健康及其与生态系统的相互关系，可纳入教育课程。
EPA 致力于应对气候变化，因为后者对未来的精神卫生保健构成威胁。目前关于气候变化和心理健康的 EPA 立场文件可能会引起包括临床医生、研究人员、教育工作者、患者和政策制定者在内的利益攸关方的广泛关注。
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