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Published on: November 11, 2022
Anxiety and Suicidality in a Hospitalized Patient with COVID-19 Infection
Danny Epstein1, Wisam Andrawis1, Ari M Lipsky2
1Department of Internal Medicine 'B', Rambam Health Care Campus, Haifa, Israel.
Insights
The COVID-19 pandemic can trigger severe mental health issues, including anxiety and insomnia, even in patients with mild infections. This case highlights the critical need for mental health support during isolation to prevent tragic outcomes.
Area of Science:
- Medicine
- Psychiatry
- Public Health
Background:
- The COVID-19 pandemic necessitates isolation and quarantine measures.
- These measures can precipitate new psychiatric symptoms or worsen existing mental health conditions.
Purpose of the Study:
- To highlight the critical importance of mental health support for patients during COVID-19 isolation.
- To underscore the potential psychological impact of pandemic-related restrictions.
Main Methods:
- Case report of a young male patient admitted for mild COVID-19.
- Observation of psychological symptoms (anxiety, insomnia) during isolation.
- Documentation of a suicide attempt and subsequent trauma care.
Main Results:
- A patient with mild COVID-19 developed severe anxiety and insomnia during isolation.
- The patient attempted suicide, requiring urgent surgical intervention.
- The case underscores the psychological toll of isolation.
Conclusions:
- COVID-19 isolation can lead to new or aggravated psychiatric symptoms.
- Mental health services are essential in facilities treating COVID-19 patients.
- Healthcare workers must recognize and address patient distress during the pandemic.
Abstract:
We describe the case of a young man admitted due to mild COVID-19 infection. During his hospitalization in an isolation ward, he had no respiratory distress or fever but developed symptoms consistent with anxiety and insomnia. Despite the appropriate supportive intervention, on hospital day 7, he attempted suicide by jumping from the third-floor ward. The patient underwent urgent surgery and was transferred to a level I trauma center under strict isolation. Our findings emphasize the importance of the mental health aspects of patients treated during the COVID-19 pandemic.
Learning Points:
The COVID-19 pandemic requires social distancing, quarantine and isolation, which may precipitate new psychiatric symptoms in people without mental illness or aggravate existing conditions.Mental health service providers, including psychiatrists, clinical psychologists and social workers, should be available in every facility taking care of COVID-19 patients.Health workers treating patients during the COVID-19 pandemic should be aware of symptoms of depression, anxiety, insomnia and/or distress developing in their patients and colleagues.
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