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Il est largement reconnu que les catastrophes naturelles engendrent des conséquences importantes pour les populations exposées. Les jeunes sont particulièrement vulnérables à développer des problèmes de santé mentale après un désastre, notamment des pensées suicidaires. Or, dans le contexte de la pandémie de la COVID-19, il s’avère important de documenter ce phénomène afin d’intervenir efficacement, d’autant plus que les catastrophes et les risques de pandémie tendent à augmenter. Cette revue systématique des écrits vise à identifier les facteurs associés positivement ou négativement à la présence de pensées suicidaires chez les jeunes à la suite d’une catastrophe. Au total, 24 articles scientifiques ont été retenus pour l’analyse et ont permis de dégager plusieurs facteurs associés aux pensées suicidaires, tels que la dépression, le stress post-traumatique, l’âge, l’exposition au désastre, ainsi que les traumatismes antérieurs. Des pistes concrètes découlent de la présente analyse afin d’orienter l’intervention auprès des jeunes dans ce contexte. , It is widely recognized that natural disasters have significant consequences for exposed populations. Teenagers are particularly vulnerable to develop mental health problems after a disaster, including suicidal thoughts. However, in the context of the COVID-19 pandemic, it is important to document this reality in order to prevent suicidal thoughts, especially as disasters and pandemic risks tend to increase. This systematic review of the literature aims to identify factors associated positively or negatively with the presence of suicidal thoughts in teenagers following a disaster. 24 scientific articles were selected for analysis and have allowed to identify several associated factors, such as depression, post-traumatic stress, age, exposure to disaster, and previous trauma. Concrete avenues emerge from this analysis to guide intervention with teenagers in this context.
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Background: Although floods may have important respiratory health impacts, few studies have examined this issue. This study aims to document the long-term impacts of the spring floods of 2019 in Quebec by (1) describing the population affected by the floods; (2) assessing the impacts on the respiratory system according to levels of exposure; and (3) determining the association between stressors and respiratory health. Methods: A population health survey was carried out across the six most affected regions 8–10 months post-floods. Data were collected on self-reported otolaryngology (ENT) and respiratory symptoms, along with primary and secondary stressors. Three levels of exposure were examined: flooded, disrupted and unaffected. Results: One in ten respondents declared being flooded and 31.4% being disrupted by the floods. Flooded and disrupted participants reported significantly more ENT symptoms (adjusted odds ratio (aOR): 3.18; 95% CI: 2.45–4.14; aOR: 1.76; 95% CI: 1.45–2.14) and respiratory symptoms (aOR: 3.41; 95% CI: 2.45–4.75; aOR: 1.45; 95% CI: 1.10–1.91) than the unaffected participants. All primary stressors and certain secondary stressors assessed were significantly associated with both ENT and respiratory symptoms, but no “dose–response” gradient could be observed. Conclusion: This study highlights the long-term adverse effects of flood exposure on respiratory health.
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Purpose The current pandemic and ongoing climate risks highlight the limited capacity of various systems, including health and social ones, to respond to population-scale and long-term threats. Practices to reduce the impacts on the health and well-being of populations must evolve from a reactive mode to preventive, proactive and concerted actions beginning at individual and community levels. Experiences and lessons learned from the pandemic will help to better prevent and reduce the psychosocial impacts of floods, or other hydroclimatic risks, in a climate change context. Design/methodology/approach The present paper first describes the complexity and the challenges associated with climate change and systemic risks. It also presents some systemic frameworks of mental health determinants, and provides an overview of the different types of psychosocial impacts of disasters. Through various Quebec case studies and using lessons learned from past and recent flood-related events, recommendations are made on how to better integrate individual and community factors in disaster response. Findings Results highlight the fact that people who have been affected by the events are significantly more likely to have mental health problems than those not exposed to flooding. They further demonstrate the adverse and long-term effects of floods on psychological health, notably stemming from indirect stressors at the community and institutional levels. Different strategies are proposed from individual-centered to systemic approaches, in putting forward the advantages from intersectoral and multirisk researches and interventions. Originality/value The establishment of an intersectoral flood network, namely the InterSectoral Flood Network of Québec (RIISQ), is presented as an interesting avenue to foster interdisciplinary collaboration and a systemic view of flood risks. Intersectoral work is proving to be a major issue in the management of systemic risks, and should concern communities, health and mental health professionals, and the various levels of governance. As climate change is called upon to lead to more and more systemic risks, close collaboration between all the areas concerned with the management of the factors of vulnerability and exposure of populations will be necessary to respond effectively to damages and impacts (direct and indirect) linked to new meteorological and compound hazards. This means as well to better integrate the communication managers into the risk management team.