Telephone counselling in coping with the COVID-19 lockdown consequences: preliminary data

Main Article Content

Elena Macchiarulo
Francesco Branca
Antonio Mallardi
Alessandra Costanza https://orcid.org/0000-0001-6387-6462
Andrea Amerio
Andrea Aguglia
Gianluca Serafini
Mario Amore
Roberto Merli

Keywords

COVID-19, Lockdown, Telephone counseling, mental health

Abstract

The direct and indirect stressful effects of COVID-19 lockdown measures adopted to restrict population movements to help curb the epidemic impacted on people’s daily lives. Biella is a small Northern Italy province, historically characterized by the presence of an important and once flourishing textile industry. For decades this province has had suicide rates higher than the Piedmonts and Italian average. In two most recent decades a positive correlation between financial stressors, 2008 economic crisis related, and suicide has been found. As the current economic crisis COVID-19 related is expected to exacerbate again the vulnerability to suicide of this province, during the first lockdown the Crisis Center for Suicide Prevention of Biella set up a telephone counselling service. We aimed to evaluate whether it represented a suitable and useful tool for suicidal crisis prevention. Each phone intervention consisted of four phases: (i) psychoeducation, (ii) emotional stabilization, (iii) personal resources identification/reinforcement, (iv) session ending. This service provided a rapid therapeutic response to urgent requests for care, psychological support, and reassurance. It was able to mitigate stress and reinforce resilience in particularly vulnerable populations. The most innovative element of this project was that it proposed interventions for the emotional stabilization, something that is usually used in face-to-face sessions. Using the right protocols, it proved to offer continuity care and reduce pressure on hospital emergency departments while delivering good outcomes and patient satisfaction. Therefore, the COVID-19 pandemic provided an opportunity to overcome normative, technological, and cultural barriers regarding the use of remote healthcare services.

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References

1. Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020; 395(10227): 912-20. Doi:10.1016/S0140-6736(20)30460-8
2. Amerio A, Aguglia A, Odone A, et al. Covid-19 pandemic impact on mental health of vulnerable populations. Acta Biomed 2020; 91(9-S): 95-96. Doi:10.23750/abm.v91i9-S.10112
3. Odone A, Lugo A, Amerio A, et al. COVID-19 lockdown impact on lifestyle habits of Italian adults. Acta Biomed 2020; 91(9-S): 87-89. Doi:10.23750/abm.v91i9-S.10122
4. Giallonardo V, Sampogna G, Del Vecchio V, et al. The Impact of Quarantine and Physical Distancing Following COVID-19 on Mental Health: Study Protocol of a Multicentric Italian Population Trial. Front Psychiatry 2020; 11: 533. Doi:10.3389/fpsyt.2020.00533
5. Fiorillo A, Sampogna G, Giallonardo V, et al. Effects of the lockdown on the mental health of the general population during the COVID-19 pandemic in Italy: Results from the COMET collaborative network. Eur Psychiatry 2020; 63(1): e87. Doi:10.1192/j.eurpsy.2020.89
6. Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur Psychiatry 2020; 63(1): e32. Doi:10.1192/j.eurpsy.2020.35
7. Costanza A, Di Marco S, Burroni M, et al. Meaning in life and demoralization: a mental-health reading perspective of suicidality in the time of COVID-19. Acta Biomed 2020; 91(4): e2020163. Doi:10.23750/abm.v91i4.10515.
8. Odone A, Salvati S, Bellini L et al. The runaway science: a bibliometric analysis of the COVID-19 scientific literature. Acta Biomed 2020; 91(9-S): 34-39.
9. Salmoiraghi A, Hussain S. A Systematic Review of the Use of Telepsychiatry in Acute Settings. J Psychiatr Pract 2015; 21(5): 389-93. Doi:10.1097/PRA.0000000000000103
10. Bhugra D, Tasman A, Pathare S, et al. The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. Lancet Psychiatry 2017; 4(10): 775-818. Doi:10.1016/S2215-0366(17)30333-4
11. Favaretto GaZ, E. Telepsychiatry in Italy, from premises to experiences. Evidence-based Psychiatric Care 2018; 4: 25-32.
12. Costanza A, Ambrosetti J, Wyss K, Bondolfi G, Sarasin F, Khan R. [Prevention of suicide at Emergency Room: from the "Interpersonal Theory of Suicide" to the connectedness]. Rev Med Suisse 2018; 14(593): 335-38.
13. Butterfield A. Telepsychiatric Evaluation and Consultation in Emergency Care Settings. Child Adolesc Psychiatr Clin N Am 2018; 27(3): 467-78. Doi:10.1016/j.chc.2018.03.001
14. Hilty DM, Sunderji N, Suo S, Chan S, Mccarron RM. Telepsychiatry and other technologies for integrated care: evidence base, best practice models and competencies. Int Rev Psychiatry 2018; 30(6): 292-309. Doi:10.1080/09540261.2019.1571483
15. Costanza A, Mazzola V, Radomska M, et al. Who Consult an Adult Psychiatric Emergency Department? Pertinence of Admissions and Opportunities for Telepsychiatry. Medicina (Kaunas) 2020; 56(6): Doi:10.3390/medicina56060295
16. Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry 2020; 7(4): e17-e18. Doi:10.1016/S2215-0366(20)30077-8
17. Amerio A, Odone A, Marzano L, et al. Covid-19: The last call for telepsychiatry. Acta Biomed 2020; 91(3): ahead of print. Doi:10.23750/abm.v91i3.10337
18. Feldman R. What is resilience: an affiliative neuroscience approach. World Psychiatry 2020; 19(2): 132-50. Doi:10.1002/wps.20729
19. Kar N, Kar B, Kar S. Stress and coping during COVID-19 pandemic: Result of an online survey. Psychiatry Res 2021; 295: 113598. Doi:10.1016/j.psychres.2020.113598
20. Costanza A, Amerio A, Radomska M et al. Suicidality Assessment of the Elderly with Physical Illness in the Emergency Department. Front Psychiatry 2020; 11: 558974. Doi: 10.3389/fpsyt.2020.558974
21. Giannantonio M. Psicotraumatologia: fondamenti e strumenti operativi. Centro scientifico editore; 2009: 300.
22. Guidano V, Liotti G. Processi cognitivi e disregolazione emotiva. Un approccio strutturale alla psicoterapia. Apartementeweb; 2018: 350.
23. Kabat-Zinn J. Mindfulness per principianti. Mimesis; 2017: 160.
24. Pagani M, Carletto S. Il cervello che cambia: Neuroimaging: il contributo alle neuroscienze. Mimesis; 2019: 414.

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