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[10月7日恐怖袭击和“铁剑”战争后以色列民众对门诊精神科服务的使用情况]

[THE USE OF AMBULATORY PSYCHIATRIC SERVICES AMONG THE ISRAELI POPULATION FOLLOWING THE OCTOBER 7 TERROR ATTACKS AND IRON SWORDS WAR].

作者信息

Beri Drezner Naama, Tilbor Einat, Menkes-Caspi Noa, Krivoy Amir, Lurie Ido

机构信息

Shalvata Mental Health Center, Hod Hasharon, Israel.

Research Center, Clalit Health Services, Petach Tikva, Israel.

出版信息

Harefuah. 2024 Aug;163(8):484-487.

PMID:39114997
Abstract

BACKGROUND

On October 7, 2023, operation "Iron Swords" erupted following a barbaric terror attack, resulting in over 1,200 casualties, with more than 250 individuals, abducted. The aftermath of this slaughter led to the evacuation of hundreds of thousands from their homes in both the south and north of Israel. This situation triggered an unprecedented surge in the request for mental health support as reported by health funds and helplines. Global observations of large-scale traumatic events indicate increased usage of mental health services. The question then arises regarding the scope of services required in response to the mega-atrocity of October 7.

OBJECTIVES

To chart the utilization of psychiatric clinical treatment services in Israel in the aftermath of the October 7 attack.

METHODS

This is a retrospective cohort analysis using the electronic database from the research division of Clalit Health Services. We performed a comparative charting of mental health clinic treatments among individuals aged 15 and above, focusing on October-December 2023. These data were then compared to corresponding months over the previous five years (2018-2022).

RESULTS

From October to December 2023, there was a 23.2% increase in the requests for mental health clinic treatments, compared to the same period in 2022. This surge extends a continuing upward trend in the utilization of mental health services observed since 2018.

CONCLUSIONS

The study results emphasize the necessity for a responsive and flexible mental health system, to address immediate and long-term psychiatric care needs. The insights derived from these data are crucial for policymakers and clinicians to restructure mental health services, aiming to enhance the quality and accessibility of care for the Israeli population.

DISCUSSION

The consistent rise in utilization of clinical mental health services significantly intensified following October 7, 2023. This echoes trends observed in global studies, underscoring the profound and enduring effects of traumatic experiences on mental health. These insights highlight the necessity for ongoing, high-quality therapeutic services and underscores the critical need for strategic policy development and increased investment in mental health services.

摘要

背景

2023年10月7日,在一场野蛮的恐怖袭击后,“铁剑行动”爆发,造成1200多人伤亡,250多人被绑架。这场屠杀的后果导致以色列南北数十万人撤离家园。正如医疗基金和热线所报告的那样,这种情况引发了对心理健康支持需求的前所未有的激增。对大规模创伤性事件的全球观察表明,心理健康服务的使用有所增加。那么问题就来了,针对10月7日的重大暴行,所需的服务范围是什么。

目的

绘制2023年10月7日袭击事件后以色列精神科临床治疗服务的使用情况。

方法

这是一项回顾性队列分析,使用了克拉利特医疗服务研究部门的电子数据库。我们对15岁及以上人群的心理健康诊所治疗进行了比较制图,重点关注2023年10月至12月。然后将这些数据与前五年(2018 - 2022年)的相应月份进行比较。

结果

与2022年同期相比,2023年10月至12月心理健康诊所治疗的请求增加了23.2%。这种激增延续了自2018年以来观察到的心理健康服务使用持续上升的趋势。

结论

研究结果强调了建立一个响应迅速且灵活的心理健康系统的必要性,以满足即时和长期的精神科护理需求。从这些数据中得出的见解对于政策制定者和临床医生重组心理健康服务至关重要,旨在提高为以色列民众提供护理的质量和可及性。

讨论

2023年10月7日之后,临床心理健康服务的使用持续上升且显著加剧。这与全球研究中观察到的趋势相呼应,强调了创伤经历对心理健康的深刻和持久影响。这些见解突出了持续提供高质量治疗服务的必要性,并强调了战略政策制定和增加心理健康服务投资的迫切需求。

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