BACKGROUND: During an epidemic of a novel infectious disease, frontline nurses suffer from unprecedented psychological stress . This study aimed to assess the immediate psychological impact on frontline nurses in China .
METHODS: A multicenter, cross-sectional survey of frontline nurses was conducted via online questionnaires . Symptoms of depression, anxiety, somatic disorders, and suicidal ideation were evaluated . Demographic, stress, and support variables were entered into logistic regression analysis to identify the impact factors . FINDINGS: Of the 4,692 nurses who completed the survey, 9.4% (n = 442) were considered to have depressive symptoms, 8.1% (n = 379) represented anxiety, and 42.7% (n = 2,005) had somatic symptom . About 6.5% (n = 306) respondents had suicidal ideation .
DISCUSSION: The study showed that the overall mental health of frontline nurses was generally poor during COVID-19 outbreak, and several impact factors associated with nurses' psychological health were identified . Further research is needed to ascertain whether training and support strategies are indeed able to mitigate psychological morbidities.