Abstract

The prevalence of mental health problems in the general population during a public calamity is high. In calamities, the number of patients who present with mental disorder outbreaks or crises may increase, but the necessary support systems to help them may be impaired if they have not been planned for. Although there are several models for addressing psychiatric emergencies, the general rules are the same, especially when it comes to making these services easily available to the affected population. In this article, we seek to review and present recommendations for the management of psychiatric emergencies in situations of public calamity, including disasters, physical and medical catastrophes, epidemics, and pandemics.

Highlights

  • The Management of Psychiatric Emergencies in Situations of Public CalamityLeonardo Baldaçara 1,2*, Antônio Geraldo da Silva 1,3, Lucas Alves Pereira 1,4, Leandro Malloy-Diniz 5,6 and Teng Chei Tung 1,7

  • To understand the effects of medical emergencies in public health, we can use various human calamities on a large scale as an example [1]

  • To reduce the risk of transmission of infectious diseases, such as H1N1, COVID-19, or tuberculosis, health professionals who care for patients in psychiatric emergencies must be prepared for protective measures, including the provision of isolation areas, containment protocols, and the availability of personal protective equipment, whether they are in an emergency room or not

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Summary

The Management of Psychiatric Emergencies in Situations of Public Calamity

Leonardo Baldaçara 1,2*, Antônio Geraldo da Silva 1,3, Lucas Alves Pereira 1,4, Leandro Malloy-Diniz 5,6 and Teng Chei Tung 1,7. Specialty section: This article was submitted to Public Mental Health, a section of the journal Frontiers in Psychiatry. The prevalence of mental health problems in the general population during a public calamity is high. The number of patients who present with mental disorder outbreaks or crises may increase, but the necessary support systems to help them may be impaired if they have not been planned for. There are several models for addressing psychiatric emergencies, the general rules are the same, especially when it comes to making these services available to the affected population. We seek to review and present recommendations for the management of psychiatric emergencies in situations of public calamity, including disasters, physical and medical catastrophes, epidemics, and pandemics

INTRODUCTION
SEARCH STRATEGY AND SELECTION CRITERIA
ASSURANCES TO THE AFFECTED POPULATION
Use rapid oral tranquilization
Use physical restraint with rapid tranquilization
STRUCTURE OF CARE
Trazodone Tricyclics
Diazepam Lorazepam
General Support for Stress
Suicide Risk
Disorders Due to Substance Use
Mood Disorders
Anxiety Disorders
Special Populations
FUTURE DIRECTIONS
CONCLUSION
Full Text
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