Table 2 Patient-related vulnerability to COVID19 pandemic in mental health population
From: Disaster management of the psychological impact of the COVID-19 pandemic
Vulnerability | Mechanism | Cause of reduced life expectancy |
|---|---|---|
Somatic | • Schizophrenia, bipolar disorder, depression, anxiety disorder, or autism | • Higher risk of pneumococcal infections |
|  | • Cross immuno-genetic vulnerability • Risk factors for severity of COVID-19 infection | • Lower capacity to defend themselves against infections • Comorbidities: cardiovascular, pulmonary pathologies, diabetes, obesity, smoking tobacco |
Cognitive and behavioral | • Compliance to follow mitigation and advices and treatment • Delusional interpretation | • Relapse with psychiatric symptoms • Exposition to virus increase • Lower response to treatment |
Psychosocial | • Social isolation • Precarious housing • Little solidarity network • Low income • Forensic | • Sub-optimal monitoring of health and mitigation • Vulnerability of prison psychiatric populations |