Level and associated factors of literacy and stigma of suicide among Bangladeshi physicians: A cross-sectional assessment

Objectives. Literacy and stigma of suicide among doctors affect health-service delivery for persons with suicidal behavior. However, no attempt has been identified to assess those among physicians in Bangladesh. We aimed to determine the level and associated factors of suicide literacy and stigma toward suicide among physicians in Bangladesh. Methods. We collected data from 203 physicians in February […]

Working hours, side work, and depressive symptoms in physicians: A nationwide cross-sectional study in Japan

Objectives Long working hours in Japan is a social concern. This is also true for the working hours of physicians, who often do side work in addition to working at their main hospital. New physician work regulations to be implemented in Japan require work-hour management, including side work. This study examined the association between physicians’ […]

Raising suicide in medical appointments–Barriers and facilitators experienced by young adults and GPs: A mixed-methods systematic review

The aim of this review was to understand the barriers and facilitators facing GPs and young adults in raising and addressing suicide in medical appointments. A mixed-methods systematic review was conducted of qualitative and quantitative studies. The focus was papers that explored barriers and facilitators experienced by young adults aged 18 to 26, and GPs […]

Prevalence of suicide-related behaviors among physicians: A systematic review and meta-analysis

Objective Suicide is a major cause of premature death among physicians, but the prevalence of suicide-related behaviors (including suicidal ideation, SI and suicide attempt, SA) is inconsistent across studies. This meta-analysis aimed to estimate the prevalence of suicide-related behaviors among physicians and its associated factors. Methods PubMed, EMBASE, PsycINFO, and Cochrane library databases were systematically […]

Thematic analysis and natural language processing of job-related problems prior to physician suicide in 2003–2018

Introduction Although previous studies have consistently demonstrated that physicians are more likely than non-physicians to experience work-related stressors prior to suicide, the specific nature of these stressors remains unknown. The current study aimed to better characterize job-related problems prior to physician suicide. Methods The study utilized a mixed methods approach combining thematic analysis and natural […]

Representing physician suicide claims as nanopublications: Proof-of-concept study creating claim networks

Background: In the poorly studied field of physician suicide, various factors can contribute to misinformation or information distortion, which in turn can influence evidence-based policies and prevention of suicide in this  unique population. Objective: The aim of this paper is to use nanopublications as a scientific publishing approach to establish a citation network of claims […]

Suicide and suicide risk in physicians. (IN: Depression, Burnout and Suicide in Physicians, edited by L. Grassi, D. McFarland & M.B. Riba)

Burnout and compassion fatigue have been observed in physicians, nurses, social workers, therapists, and a variety of other healthcare workers. Burnout tends to be more connected to environmental factors like mismatches in expected workload, autonomy, rewards, values, and fairness, while compassion fatigue seems more connected to interpersonal stresses related to observing continuous suffering. The worst […]

Responding to a tragedy: Evaluation of a postvention protocol among adult psychiatry residents

Objective In a time of “zero suicide” initiatives and rising suicide rates, resident physicians are particularly susceptible to the psychological and professional ramifications of patient suicide. An adult psychiatry residency program developed and implemented a postvention protocol to address the impact of patient suicide among resident physicians. The current study is a formal evaluation of […]

Association of US nurse and physician occupation with risk of suicide

Importance  Nurses are the largest component of the US health care workforce. Recent research suggests that nurses may be at high risk for suicide; however, few studies on this topic exist. Objectives  To estimate the national incidence of suicide among nurses and examine characteristics of nurse suicides compared with physicians and the general population. Design, Setting, and […]

The suicide prevention, depression awareness, and clinical engagement program for faculty and residents at the University of California, Davis Health

Objective: The objective of the study is to present results of a depression and suicide screening and treatment referral program for physicians at an academic medical center. Methods: An anonymous web-based screening questionnaire was sent to all physicians at a large academic center. Responses were classified as indicating either high, moderate, or low risk for depression and […]

Physician death by suicide in the United States: 2012-2016

Reports of incidence of physician suicide in the United States (US) are outdated. The aims of this research were to assess incidence, methods, and associated risk factors of physicians compared to non-physicians in the general US population. Retrospective suicide data (victim age 25 and over) from the 2012-2016 National Violent Death Reporting System were analyzed […]

Frequency of suicide attempts and attitudes toward suicidal behaviour among doctors and nurses in Lagos, Nigeria

Background: Competence and attitudes toward suicidal behaviour affect practice. These attitudes may influence the consideration of suicide during personal crisis among doctors and nurses. Aim: The attitudes of doctors and nurses towards suicidal behaviour was assessed using the Attitudes Toward Suicide Scale (ATTS), which was validated in another study by the authors, evaluated for the possible factors […]

Suicide among doctors: A narrative review

Doctors across the world work in stressful conditions, often making life or death decisions under considerable pressure. With changes in patient and societal expectations, these pressures continue to rise. For several decades, it has been illustrated that rates of psychiatric disorders, especially suicide, are considerably higher in doctors than the general population. We performed a […]

Male and female physician suicidality: A systematic review and meta-analysis

Objective  To evaluate male and female physician suicide risks compared with the general population from 1980 to date and test whether there is a reduction of SMR in cohorts after 1980 compared with before 1980 via a meta-analysis, modeling studies, and a systematic review emphasizing physician suicide risk factors. Data Sources  This study uses studies retrieved from […]

Burnout, drop out, suicide: Physician loss in emergency medicine, part 1

Each year more than 400 physicians take their lives, likely related to increasing depression and burnout. Burnout—a psychological syndrome featuring emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment—is a disturbingly and increasingly prevalent phenomenon in healthcare, and emergency medicine (EM) in particular. As self-care based solutions have proven unsuccessful, more system-based causes, beyond […]

Relationships between anhedonia, suicidal ideation and suicide attempts in a large sample of physicians

BACKGROUND: The relationships between anhedonia and suicidal ideation or suicide attempts were explored in a large sample of physicians using the interpersonal psychological theory of suicide. We tested two hypotheses: firstly, that there is a significant relationship between anhedonia and suicidality and, secondly, that anhedonia could mediate the relationships between suicidal ideation or suicide attempts […]

Addressing depression, burnout, and suicide in oncology physicians

The best practice of oncology relies heavily on a mentally and physically healthy oncology clinician workforce. Historically, the mental health of physicians and clinicians has largely been ignored, perhaps in the spirit of a collective collusion to maintain the illusion of Oslerian equanimity. With exceedingly high and unacceptable rates of burnout and suicide in the […]

Improving suicide risk assessment in the emergency department through physician education and a suicide risk assessment prompt

OBJECTIVE: To determine the efficacy of two interventions on suicide risk assessment within emergency departments (EDs) on improving the documentation of suicide risk factors by emergency medicine and psychiatric physicians during suicide risk assessment. METHOD: An educational intervention on suicide was provided to all emergency medicine and psychiatry physicians and was followed by the placement […]

The effectiveness of suicide prevention delivered by GPs: A systematic review and meta-analysis

Background The aim of this review was to assess whether suicide prevention provided in the primary health care setting and delivered by GPs results in fewer suicide deaths, episodes of self-harm, attempts and lower frequency of thoughts about suicide. Methods We conducted a systematic review and meta-analysis using PRIMSA guidelines. Eligible studies: 1) evaluated an […]

When doctors struggle: Current stressors and evaluation recommendations for physicians contemplating suicide

The objective of this study was to document current risk factors associated with physicians’ suicide ideation among a group of doctors enrolled in a Physician Health Program. A retrospective cohort study was drawn from administrative data. The study compared intake information between doctors who reported recent thoughts of suicide (n = 70) and those who did not […]

Why don’t academic physicians seek needed professional help for psychological distress?

PURPOSE: Suicidal thoughts, burnout and other signs of psychological distress are prevalent among physicians. There are no studies concerning help-seeking for psychological distress among university hospital physicians, who face a particularly challenging, competitive work environment. We compare psychologically-distressed university hospital physicians who have not sought needed help with those who have sought such help. We […]

Suicide in physicians and veterinarians: Risk factors and theories.

Highlights • Risk for suicide is elevated in physicians and veterinarians. Job stress, personality, access to means, and work experiences are risk factors. The IPTS has garnered support in explaining physician and veterinarian suicide. Continued barriers may prevent physicians and veterinarians from seeking therapy.

Why physicians die by suicide.

Physicians are known to be a group of professionals who are at risk of taking their own lives. In this easy-to-read book, Dr. Michael Myers, a psychiatrist and specialist in physician health, attempts to explain the mystery of why some doctors, despite their calling and the adoration of their families, patients, students and colleagues, perish […]