Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data

AbstractBackground.The pandemic caused by coronavirus disease 2019 (COVID-19) has forced governments to implement strict social mitigation strategies to reduce the morbidity and mortality from acute infections. These strategies, however, carry a significant risk for mental health, which can lead to...

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Main Authors: Dominik A. Moser, Jennifer Glaus, Sophia Frangou, Daniel S. Schechter
Format: Article
Language:English
Published: Cambridge University Press 2020-01-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933820000565/type/journal_article
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author Dominik A. Moser
Jennifer Glaus
Sophia Frangou
Daniel S. Schechter
author_facet Dominik A. Moser
Jennifer Glaus
Sophia Frangou
Daniel S. Schechter
author_sort Dominik A. Moser
collection DOAJ
description AbstractBackground.The pandemic caused by coronavirus disease 2019 (COVID-19) has forced governments to implement strict social mitigation strategies to reduce the morbidity and mortality from acute infections. These strategies, however, carry a significant risk for mental health, which can lead to increased short-term and long-term mortality and is currently not included in modeling the impact of the pandemic.Methods.We used years of life lost (YLL) as the main outcome measure, applied to Switzerland as an example. We focused on suicide, depression, alcohol use disorder, childhood trauma due to domestic violence, changes in marital status, and social isolation, as these are known to increase YLL in the context of imposed restriction in social contact and freedom of movement. We stipulated a minimum duration of mitigation of 3 months based on current public health plans.Results.The study projects that the average person would suffer 0.205 YLL due to psychosocial consequence of COVID-19 mitigation measures. However, this loss would be entirely borne by 2.1% of the population, who will suffer an average of 9.79 YLL.Conclusions.The results presented here are likely to underestimate the true impact of the mitigation strategies on YLL. However, they highlight the need for public health models to expand their scope in order to provide better estimates of the risks and benefits of mitigation.
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spelling doaj.art-25b8ac7ea46a4fa08c8b4d671df4ec062023-03-09T12:33:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852020-01-016310.1192/j.eurpsy.2020.56Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss dataDominik A. Moser0https://orcid.org/0000-0001-7119-1033Jennifer Glaus1https://orcid.org/0000-0001-8883-9473Sophia Frangou2Daniel S. Schechter3https://orcid.org/0000-0003-1663-6305Institute of Psychology, University of Bern, Bern, Switzerland Department of Psychiatry, Child and Adolescent Psychiatry Service, Lausanne University Hospital, Lausanne, SwitzerlandDepartment of Psychiatry, Child and Adolescent Psychiatry Service, Lausanne University Hospital, Lausanne, SwitzerlandDjavad Mowafaghian Center for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, USADepartment of Psychiatry, Child and Adolescent Psychiatry Service, Lausanne University Hospital, Lausanne, Switzerland Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland Department of Child and Adolescent Psychiatry, New York University Grossman School of Medicine, New York, New YorkUSAAbstractBackground.The pandemic caused by coronavirus disease 2019 (COVID-19) has forced governments to implement strict social mitigation strategies to reduce the morbidity and mortality from acute infections. These strategies, however, carry a significant risk for mental health, which can lead to increased short-term and long-term mortality and is currently not included in modeling the impact of the pandemic.Methods.We used years of life lost (YLL) as the main outcome measure, applied to Switzerland as an example. We focused on suicide, depression, alcohol use disorder, childhood trauma due to domestic violence, changes in marital status, and social isolation, as these are known to increase YLL in the context of imposed restriction in social contact and freedom of movement. We stipulated a minimum duration of mitigation of 3 months based on current public health plans.Results.The study projects that the average person would suffer 0.205 YLL due to psychosocial consequence of COVID-19 mitigation measures. However, this loss would be entirely borne by 2.1% of the population, who will suffer an average of 9.79 YLL.Conclusions.The results presented here are likely to underestimate the true impact of the mitigation strategies on YLL. However, they highlight the need for public health models to expand their scope in order to provide better estimates of the risks and benefits of mitigation.https://www.cambridge.org/core/product/identifier/S0924933820000565/type/journal_articleAlcohol use disorderCOVID-19depressionlongevitypsychosocial stresssuicide
spellingShingle Dominik A. Moser
Jennifer Glaus
Sophia Frangou
Daniel S. Schechter
Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data
European Psychiatry
Alcohol use disorder
COVID-19
depression
longevity
psychosocial stress
suicide
title Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data
title_full Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data
title_fullStr Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data
title_full_unstemmed Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data
title_short Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data
title_sort years of life lost due to the psychosocial consequences of covid 19 mitigation strategies based on swiss data
topic Alcohol use disorder
COVID-19
depression
longevity
psychosocial stress
suicide
url https://www.cambridge.org/core/product/identifier/S0924933820000565/type/journal_article
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