Acute stress and substance use as predictors of suicidal behaviour in acute and transient psychotic disorders

A Case Report of Suicide Attempt Caused by Acute and Transient Psychotic Disorder during the COVID-19 Outbreak

“…The patient in this case had a normal mental state in the past, because of the history of contact with epidemic areas, acute onset after the outbreak of the epidemic and fever symptoms, delusions, hallucinations, selflaughter, running abroad, and self-abandonment behavior, which met the diagnostic criteria of ATPD [6]. It has been reported that acute stress events often lead to selfabandonment in patients with ATPD [7]. In this case, patients have jumped from the sixth floor.…”

Reactive psychoses in the context of the COVID-19 pandemic: Clinical perspectives from a case series

“…With regard to the description above, it should be noted that the increased emotional reactivity observed in individuals with brief reactive psychosis could also render them more vulnerable to impulsive behavior and lead to suicidal ideation when they must deal with highly stressful events such as the COVID-19 pandemic. In this vein, acute stress has been significantly associated with an increase in risk of suicide in persons with short-lived psychotic disorders, 13 and suicidal behavior has also been reported under forced quarantine similar to what we are now experiencing. 9 Therefore, it is paramount to assess suicidal symptoms in this population with brief reactive psychosis, especially in emergency settings where this task can often be passed over because of the rapidly changing psychopathology in such clinical cases.…”

Are healthcare workers during the COVID-19 pandemic at risk of psychosis? Findings from a scoping review

“…The high risk of contagion, excessive workload, longer shifts, and ethical dilemmas in decision-making due to limited medical resources are exposing HCWs to unprecedented psychological distress, to the point where such individuals should be considered to be at risk of psychosis. Along this line, although within the psychosis spectrum, brief stress-related psychoses are self-limited syndromes with a generally good prognosis, they are also associated with a high risk of suicidal behaviour, high relapse rate, and increased risk of developing severe mental disorders in the long-term [8][9][10]. Therefore, in light of these concerns, we advocate preventive intervention and psychological support initiatives, such as the Covid-Psy Hotline [7], aimed at reducing the burden and distress of the healthcare staff during the pandemic.…”