Pinchuk Irina, Yachnik Yulia, Goto Ryunosuke, Skokauskas Norbert
Institute of Psychiatry, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Ukrainian Psychiatric Association, Kyiv, Ukraine.
Int J Ment Health Syst. 2025 Mar 28;19(1):11. doi: 10.1186/s13033-025-00667-9.
Chronic war exposure causes resource shortages, disrupts care for existing health issues, and heavily impacts mental health, increasing the risk of trauma-related psychiatric disorders. Using longitudinal data collected from psychiatric hospitals across Ukraine between January 2022 and May 2024, we aimed to evaluate the functioning and role of these institutions in delivering mental health care during the ongoing war.
We conducted a second follow-up nationwide longitudinal study of Ukrainian inpatient mental health facilities during the Russian invasion that began in February 2022. Responses were obtained from the heads of 34 inpatient mental health facilities. This paper focuses on 25 facilities that participated in all three consecutive surveys, representing 41% of all psychiatric hospitals in Ukraine. Information on hospitalizations, as well as data on the number, displacement, and injuries of staff as of April 2024, was gathered and compared with findings from previous surveys.
The number of psychiatric hospitalizations increased two years after the onset of the full-scale war in Ukraine compared to both the pre-war period and six months after the invasion began (433.4 in January 2022, 397.5 in April 2022, and 552.0 in April 2024 per month, respectively). The average proportions of hospitalizations attributed to psychological war trauma across the study waves were 12.2% (January 2022), 13.5% (April 2022), and 17.3% (April 2024), with the differences not reaching statistical significance. The average number of psychiatrists, social workers, and junior nurses per facility declined steadily over the study period. As of April 2024, 21.7% of medical workers in the surveyed facilities had been displaced, and 0.5% had sustained injuries.
The number of psychiatric hospitalizations two years into the full-scale war in Ukraine has risen, exceeding both pre-war levels and those recorded six months after the invasion. While hospitalizations related to war trauma have increased, their proportion has remained relatively stable, indicating a sustained demand for trauma-related care.
长期遭受战争影响会导致资源短缺，扰乱对现有健康问题的护理，并严重影响心理健康，增加创伤相关精神障碍的风险。利用2022年1月至2024年5月期间从乌克兰各地精神病院收集的纵向数据，我们旨在评估这些机构在当前战争期间提供心理健康护理方面的运作情况和作用。
我们对2022年2月开始的俄罗斯入侵期间乌克兰住院心理健康设施进行了第二次全国性纵向随访研究。从34家住院心理健康设施的负责人那里获得了回复。本文重点关注连续参与了所有三次调查的25家设施，它们占乌克兰所有精神病院的41%。收集了截至2024年4月的住院信息以及工作人员数量、流离失所情况和受伤情况的数据，并与之前调查的结果进行了比较。
与战前时期和入侵开始六个月后相比，乌克兰全面战争爆发两年后精神病住院人数有所增加（2022年1月每月433.4人，2022年4月397.5人，2024年4月每月552.0人）。在各研究阶段，归因于战争心理创伤的住院平均比例分别为12.2%（2022年1月）、13.5%（2022年4月）和17.3%（2024年4月），差异未达到统计学显著性。在研究期间，每个设施的精神科医生、社会工作者和初级护士的平均人数稳步下降。截至2024年4月，接受调查设施中的21.7%的医务人员流离失所，0.5%的医务人员受伤。
乌克兰全面战争两年后，精神病住院人数有所上升，超过了战前水平和入侵六个月后的记录。虽然与战争创伤相关的住院人数有所增加，但其比例相对稳定，表明对创伤相关护理的需求持续存在。
