Skip to main content

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