The COVID-19 pandemic had a major impact on mental health across populations, especially young and precarious people. Furthermore, COVID-19 diagnosis itself has been associated with psychiatric symptoms. However, only a few studies have assessed the mental health of precarious youth, and examined a possible association with food insecurity, while including COVID-19 diagnosis in their analyses. We aimed to determine the prevalence of poor mental health in precarious youth during the COVID-19 pandemic, and to investigate its possible association with food insecurity, independently of COVID-19 diagnosis. In a cross-sectional study conducted in the context of an employment program for precarious youth (18–25 years) living in Paris, France, 823 individuals were assessed for depression, anxiety, subjective distress and food insecurity during the second lockdown of 2020. A directed acyclic graph (DAG)-based approach was used to identify confounders for inclusion in a multivariate regression model. Of the 823 precarious youth, 45.93% reported significant symptoms of depression, 36.69% anxiety, 39% distress and 25.39% suicidal ideation. In the multivariate analysis based on DAG, food insecurity (less than one meal per day) was associated with depression (OR = 2.30; CI%: 1.19–4.51), anxiety (OR = 2.51; CI%: 1.29–4.88), distress (OR = 2.36; CI%: 1.23–4.57) and suicidal ideation (OR = 4.81; CI%: 2.46–9.44), independently of age, gender, education, COVID-19 contact and COVID-19 diagnosis. This study highlights the importance of food insecurity on mental health among young precarious people during the COVID-19 pandemic. Reducing food insecurity is essential to help reduce psychological distress.
À partir de ma pratique dans un centre de réadaptation fonctionnelle pour adultes souffrant de psychopathologies, j’interroge le décalage entre les observations cliniques et la littérature scientifique, entre le taux d’échec et les exigences de réinsertion professionnelle. La présente réflexion analyse la définition de la santé mentale prônée par l’OMS, conçue dans ses rétroactions avec les facteurs socio-économiques, son articulation aux politiques d’activation ainsi que leurs effets sur le travail psychique de réélaboration identificatoire imposé aux patients.
Finally, the kind of relationship those people have to others is quite paradoxical: physical closeness results in emotional distance, and conversely emotional closeness is only possible in physical distance. The others cannot really exist in the relationship; they are a horizon towards which those people yearn without ever being able to reach it. This kind of paradox, of relational deadlock, may be the ground on which psychosis thrives: it is impossible to be close to the nonself, while it is also deeply wished for. Even the logic of imaginary space - in which everything should be possible - cannot help overcome this paradox. And - a paradox within the paradox - this logic still comes upon a deadline in the potentially infinite and indefinite space it produces. This boundary could be the deadlock that cannot and yet must be overcome, a deadlock that would endlessly fuel the patients' delirium.
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