Tinnitus and biopsychosocial ramifications of COVID-19 associated with severe suicide attempt-a case report

Anum Khan; Sara Heide; Andrew Flatley; Aliya Khan; Mitchell Nobler

doi:10.1016/j.psycr.2022.100067

Tinnitus and biopsychosocial ramifications of COVID-19 associated with severe suicide attempt-a case report

Psychiatry Res Case Rep. 2022 Dec;1(2):100067. doi: 10.1016/j.psycr.2022.100067. Epub 2022 Oct 4.

Authors

Anum Khan¹, Sara Heide², Andrew Flatley², Aliya Khan³, Mitchell Nobler⁴

Affiliations

¹ Columbia University Irving Medical Center, Department of Psychiatry, NY, United States.
² New York Medical College, Department of Psychiatry, NY, United States.
³ Broward Health, Department of Internal Medicine, Fort Lauderdale, FL, United States.
⁴ Westchester Medical Center Health System-System-New York Medical College, Department of Psychiatry, NY, United States.

Abstract

The COVID-19 disease has been linked to multiple physical and mental health consequences which may be partially attributed to multi-system modulation by inflammatory cytokines. Post-acute sequelae (PASC) of SARS-CoV-2 infection, colloquially known as "Long Covid", has become an established entity. However, screening guidelines and interventions for COVID-19 survivors remain elusive. The neuropsychiatric sequelae of COVID-19 seem to originate from a cumulation of biopsychosocial factors which may predispose individuals to acute psychiatric decompensation irrespective of a previously diagnosed mental illness. We present a case report which illustrates how cognitive issues and medical complaints may negatively interact resulting in significant depression and a severe suicide attempt.

Keywords: COVID-19; Major depressive disorder; Post-acute sequelae of COVID-19; Serotonin and norepinephrine re-uptake inhibitor; Vestibulo-cochlear sequelae of COVID-19.

Publication types

Case Reports