Objective To analyze stress-related disorders and the effect of crisis prevention in 54 females admitted to the Female Psychiatry Department of The Third Hospital of Mianyang City after the Wenchuan earthquake. Methods The patients were assessed with BPRS, HAMD, HAMA, and BPMS scales. According to their clinical manifestations, antipsychiatric, antidepressive, anxiolytic, and antimanic treatment were administered to them. All patients received cognitive-behavior and psychological therapy and were assessed after one month. Results Although all patients were earthquake sufferers, their clinical manifestations varied. Strengthened crisis prevention combined with appropriate drug treatment alleviated their symptoms. Conclusion In terms of alleviating symptoms, curtailing disease course, and facilitating mental rehabilitation, post-catastrophe crisis prevention is extremely important for female patients with stress-related disorders.
Shortly after the Wenchuan earthquake, we established headquarter of crisis intervention, which was responsible for reporting earthquake situation and training personnel to carry out psychological intervention and publicize earthquake-related knowledge. Then, urgent psychological intervention was provided to the target populations. We offered crisis intervention more than 100 times (40,000 person-times), provided individualized psychological services or therapies over 3,000 person-times and treated more than 200 patients with posttraumatic stress disorder. Meanwhile, we established relevant administration systems including registration, reporting, rapid screening and personnel work logs. Our preliminary survey conducted 1 month after the earthquake showed that the prevalence of posttraumatic stress disorder reached 43%. After the earthquake, the victims’ emotions of depression and anxiety were raised and the prevalence of posttraumatic stress disorder had a sharp increase. The victims’ requirements for psychological crisis intervention after earthquake were immense.
Objective To identify the high risk factors related to postpartum suicide. Methods A total of 40 women with postpartum depression who had suicidal act or ideation were included in the study. They were evaluated by the Edinburgh Postpartum Depression Scale (EPDS), the Life Events Scale (LES) and the Social Support Rate Scale (SSRS), and compared with healthy postpartum women. The multi-element gradual regression analysis was performed to identify the high risk factors. Results Such factors as prior history of depression, negative life events within the previous half year, absence of social support, disease of mothers or infants, and conjugal relationship were significantly correlated with postpartum suicide. Conclusion It might be helpful to reduce the incidence of postpartum suicide by prenatal mental intervention and postpartum crisis intervention.