急诊部门在森林火灾、洪水、风暴、干旱和covid -19影响地区的心理健康报告：2017年至2021年增长模型分析

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI:10.1016/j.anzjph.2025.100251

Samineh Sanatkar , Samuel B. Harvey , Andrew Mackinnon , Richard Bryant , Grant Sara

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引用次数: 0

摘要

目的反复暴露于不良事件会增加不良情绪后果的可能性和创伤后应激障碍的发展。与受影响较轻的地区相比，遭受多次极端天气事件和与大流行有关的中断的社区可能更需要因精神健康原因提供紧急护理。方法本研究调查了居住在火灾、洪水、风暴、干旱、COVID-19感染和与大流行相关的裁员风险高、中、低地区的成年人的精神健康相关急诊科表现的线性时间趋势。急诊科的数据是从2017年到2021年收集的。结果在“黑夏山火”之前，受灾社区的急诊率较高，这可能是由于区域地区的医院护理选择较少。暴露于多重灾害与因心理健康原因减少急诊就诊有关。在观察期间，没有注意到提交报告的人数增加。结论这种模式的可能原因与社区特征有关，包括恢复力、症状严重程度的重新评估，以及对那些非急性心理健康问题的人可能存在的服务差距。对公共健康的影响心理健康服务的使用情况需要在多个服务领域持续观察，目的是明确解释灾害如何影响支助需求。

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Emergency department mental health presentations in bushfire-, flood-, storm-, drought-, and COVID-19-affected areas: Analysis of growth models between 2017 and 2021

Objective

Repeated exposure to adverse events increases the possibility of negative emotional consequences and the development of post-traumatic stress disorders. Communities who have faced several extreme weather events and pandemic-related disruptions may require emergency care for mental health-related reasons to a greater extent than less affected regions.

Methods

This study investigated linear time trends of mental health-related emergency department presentations of adults residing in regions with high, medium, and lesser exposure to fires, floods, storms, droughts, COVID-19 infections and pandemic-related layoffs. Emergency department data were captured from 2017 to 2021.

Results

Disaster-affected communities presented to emergency departments at a higher rate well before ‘the Black Summer bushfires’, possibly due to fewer alternatives to hospital care in regional areas. Exposure to multiple disasters was associated with reduced emergency department presentations for mental health reasons. No increase in presentations was noted during the observation period.

Conclusions

Possible reasons for this pattern relate to community characteristics, including resilience, reappraisal of symptom severity, and a possible service gap for those with less acute mental health problems.

Implications for public health

Mental health service usage needs to be observed across multiple service areas and on an ongoing basis with the clear intention to explain how disasters shape support needs.

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.