General hospital psychiatry
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Gen Hosp Psychiatry · Jan 2021
Anxiety among front-line health-care workers supporting patients with COVID-19: A global survey.
We aimed to explore anxiety status across a broad range of HCWs supporting patients with COVID-19 in different global regions. ⋯ Front-line HCWs, regardless of the levels of COVID-19 transmission in their country, are anxious when they do not feel protected. Our findings suggest that anxiety could be mitigated ensuring sufficient levels of protective personal equipment alongside greater education and information.
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Gen Hosp Psychiatry · Jan 2021
Premature mortality associated with severe mental illness or substance use disorder in an integrated health care system.
Research has reported shortened lifespans (by 15-30 years) for those with severe mental illness (SMI) or substance use disorder (SUD), particularly among public mental health treatment consumers. We assessed SMI- and SUD-associated mortality in the understudied setting of a large, nonprofit integrated health care system. ⋯ Some indicators of premature mortality were lower than those reported for U.S. public mental health consumers, but risk level varied widely by diagnosis. While patients' having insurance and broad access to care may lower risk, access to care may be insufficient to overcome the many patient-, provider-, and system-level factors contributing to poor physical health in SMI and SUD.