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Background and Aim: The aim of this study was to investigate the effect of Covid-19 on anxiety, quality of work life and fatigue of health center staff in southwestern Iran. Materials and Methods: The present study was a descriptive comparative study and the statistical population of the study included the staff of health centers of Shahrekord University of Medical Sciences. Using random sampling method, 181 people who had direct involvement with patients with Covid-19 were selected and compared with 261 staff in other wards who had no direct contact with patients with Covid-19. For data collection, demographic information (demographic characteristics questionnaire) , Covid-19 Anxiety Questionnaire, quality of work life and Rhoten fatigue questionnaires were used.Results: The results showed that the quality of life in both groups decreased and fatigue and anxiety caused by Covid-19 increased, but there was no statistically significant difference between anxiety derived fatigues of personnel involved with Covid-19 with personnel of other wards which were no directly faced Covid-19 patients. Regarding the quality of work life, no significant difference was observed in other components except in the component of human resource development. The results also showed that there was a statistically significant relationship between the level of anxiety caused by Covid-19 with quality of work life and fatigue.Conclusion: According to the results of the present study, Covid-19 had a negative effect on physical, mental and various aspects of quality of life of health care staff and led to increased fatigue and burnout, resulting in absence from work and its consequences.

PURPOSE. This study was conducted to examine the effect of quarantine caused by COVID-19 on people’s mental health and social trust. METHOD. In this study, the sample size covers 2919 people in the southwest of Iran that was selected cluster sample method and was evaluated online using tools of social trust and a checklist of mental disorder syndrome. RESULTS. Due to the results, COVID-19 affected all people’s mental health negatively, but there was a significant difference between the rates of COVID-19 caused anxiety and the dimensions of the psychological problems and social trust different between men and women and married and single people, and also the education level. There was no significant relationship between any of the demographic variables and social trust variables, corona anxiety, and dimensions of psychological problems. And there was a negative and significant relationship between the dimensions of social trust and the dimensions of psychological problems. Moreover, the social trust rate in the subjects was desirable. Based on the results and the cutoff point of 2.5 as a border of healthy and unhealthy psychological dimensions, 4.5% had pathological anxiety, 7.3% had pathological depression, 5% had aggression, and 5.9 % had pathological obsessive-compulsive disorder. Depression had the highest scores, and aggression had the lowest scores. CONCLUSION. Due to this study’s results, policymakers should consider measures that should be taken in crisis to support all people, especially vulnerable people in psychological, economic, social, spiritual, and psychological fields. On the other hand, the government must train the public through the mass media to cope with COVID-19

Objectives: The present study aimed to discover the lived experiences of the older adults from quarantine during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods & Materials: This qualitative study employed a content analysis method. Sampling was performed in 10 subjects using a purposive sampling method and continued until data saturation. Semi-Structured face-to-face interviews were used to collect the necessary data. The texts of the interviews were analyzed by qualitative method. Results: As a result of the interviews, the two main themes of negative outcomes with the sub-themes of illness anxiety, low mood, death anxiety, interpersonal conflicts, social isolation, treatment limitations, and reduced physical activity as well as the main themes of positive outcomes with the sub-theme of lifestyle improvements were discovered. Each of the above-mentioned themes had several supporting semantic units. Conclusion: The themes discovered based on lived experience provided useful information about the effects of quarantine on biopsychological health and quality of life of the elderly; these characteristics can be considered in treatment planning and measures for this group.

Background Suicide is a painful consequence of many psychiatric disorders and one of the most frequent psychiatric emergencies. Generally, pre-hospital technician is the first person in the treatment chain who attends the situation; hence, his/her sound clinical judgment and professional behavior can play an important role in preventing or stopping the suicide process. We tried to develop a concise, evidence-based, and step-by-step guide for dealing with a suicidal patient, which could be quickly reviewed by technicians before confronting a suicide situation. Method We reviewed the literature for suicide management plans and protocols, to extract the evidence-based interventions and instructions for dealing with a suicide situation. Then, we discussed the extracted material in an expert panel, and developed the initial version of the protocol considering the local socio-cultural issues and available facilities. Subsequently, we reviewed the protocol in a meeting with pre-hospital technicians and emergency physicians, to receive their feedback and address any possible executive problems. Finally, we revised the protocol to its final version considering the feedbacks. Results The basic principles of dealing with a suicidal patient are similar to other psychiatric emergencies and include: Patient Safety; Patient evaluation and diagnosis; and Patient (behavioral and pharmacological) management. However, specific considerations should be taken into account and special arrangements are necessary for suicidal patients. Whether the patient has attempted suicide or not, would guide the management to one of the two major paths. In addition, the needs of the family should be considered. Conclusion A locally adapted protocol considering existing facilities in the emergency system and cultural issues in Iranian society is provided for pre-hospital emergency technicians.