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Psychiatry in a battle zone.

Izet Pajević¹, Mevludin Hasanović, Alina Koprić

¹School of Medicine, University of Tuzla - Psychiatry, Trnovac bb Tuzla 75000, Bosnia and Herzegovina.

|August 8, 2009

Summary

In 1992, 164 severely ill psychiatric patients displaced during the Bosnian War arrived at Tuzla Psychiatry Clinic. Most patients, predominantly Serb and diagnosed with schizophrenia, required extensive care, highlighting wartime impacts on vulnerable populations.

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Area of Science:

Psychiatry
Public Health
War Studies

Background:

Describes the urgent transfer and care of 164 severely chronic psychiatric patients displaced during the Bosnian War.
Patients were moved from the Jakes psychiatric hospital to the Psychiatry Clinic in Tuzla in May 1992.

Observation:

Analysis of incomplete medical records and post-war activities provided insights into patient demographics and conditions.
83 patients (50%) were male, and 147 (89.6%) were admitted to the Tuzla clinic.
86 patients (58.5%) were identified as Serbs, originating from all regions of Bosnia-Herzegovina.

Findings:

The majority of displaced psychiatric patients were incapable of independent living, necessitating continuous medical and social support.
A significant majority, 81.6%, were diagnosed with schizophrenia.
70 patients (47.6%) were over 50 years of age, indicating a vulnerable demographic.

Implications:

The Psychiatry Clinic in Tuzla's humanitarian efforts underscored the critical need for sustained care for displaced psychiatric patients during conflict.
The clinic's work contributed to peace and the maintenance of multi-ethnic Bosnia-Herzegovina, receiving international recognition.
This case highlights the profound impact of war on severe chronic psychiatric patients and the ethical imperative for humanitarian medical response.