In recent weeks, Rambam Health Care Campus (Rambam) in Haifa, Israel has reported an increase in the number of referrals to its Emergency Psychiatric Service, with case numbers doubling. This has been accompanied by a rise in severe mental health crises, including suicidal situations, psychotic episodes, and substance use.
As tensions escalate in the North of Israel amid ongoing threats from Iran and its affiliates, notably Hezbollah, the psychological impact is being acutely felt by residents of the region. Data from the Green-Wagner Department of Emergency Medicine at Rambam indicates that since the onset of this heightened state of alert, there has been nearly a 100% increase in individuals presenting with anxiety and mental stress. Dr. Irit Meretyk, director of the Emergency Psychiatry Service in the Division of Psychiatry at Rambam, notes, “While we usually see an average of 12 to 14 referrals daily under normal circumstances, we are now receiving between 20 to 25 cases daily. This surge is primarily attributed to heightened anxiety and stress, but we are also observing an increased incidence of suicidal ideations, psychotic episodes, and post-traumatic stress symptoms.”
This month has also seen a troubling uptick in cases involving substance use. Dr. Meretyk explains, “Many individuals are turning to drugs and alcohol, which exacerbate their symptoms and necessitate medical attention. This change is quite noticeable within our facility.”
Further illustrating the escalating crisis, Dr. Ofer Shamgar, Director of the Psychiatric Outpatient Clinic in the Division of Psychiatry at Rambam, reveals, “Not only has the volume of emergency room referrals surged, but there has also been a notable increase in requests for hospitalization. Historically, most patients sought emergency room care electively; however, we are now witnessing a three-fold increase in acute cases requiring immediate hospitalization.”
Dr. Shamgar emphasizes the relationship between community stressors and surges in mental health needs. “Every incident or escalation raises anxiety levels significantly,” says Shamgar. “Families and close networks are increasingly overwhelmed and unable to provide the necessary support, leading individuals to seek emergency care as a last resort.”
Rambam remains dedicated to safeguarding the well-being of the residents of Northern Israel during this time of crisis. Early intervention is critical and can be lifesaving. The hospital encourages everyone in the community to seek help when needed, as early intervention is crucial and can be lifesaving.