Suicide among physicians in the state of São Paulo, Brazil, across one decade

Palhares-Alves, Hamer Nastasy; Palhares, Daniel Moore Freitas; Laranjeira, Ronaldo; Nogueira-Martins, Luiz Antônio; Sanchez, Zila M.

doi:10.1590/1516-4446-2014-1534

Cited by 14 publications

(27 citation statements)

References 13 publications

(25 reference statements)

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“…Women comprised around 13.2% of the total sample and 24% of the suicide death group; thus, they are represented in the suicide group (p = 0.02). This result does not reflect the suicide rate of the Brazilian population, in which males are 2.3 to 4.0 times at higher risk [5].…”

Section: Epidemiologymentioning

confidence: 67%

“…In general, inappropriate handling, increase of work-related issues and stress seem to be risk factors, which can be the key to decrease deaths by suicide among physicians when dealt correctly [5]. This can also be done through the positive influence on the job environment, with leaders able to teach and ask correctly for such physicians, since these influences were considered to have a positive impact on the resident's professional and personal lives [8] (Figure 3 …”

Section: Risk Factorsmentioning

confidence: 99%

“…Several analyzed studies indicate that suicide among physicians, as well as actions that resulted in this condition, was harmful not only to the career of the professional facing this situation, but also to the provision of health to the general population [5] [28].…”

Section: Impact On Public Health and On The Individual's Professionalmentioning

confidence: 99%

“…However, the rate of suicide is not homogenous in all countries [4] [5]. Physicians usually commit suicide in higher frequency compared to the general population [6] [7] [8].…”

Section: Introductionmentioning

confidence: 99%

“…Hence, these professionals have 2.5 times higher chances of committing suicide than the active population [5] [9]. Since suicidal ideation is another risk factor for suicide, prevention actions aiming to avoid these thoughts and suicide itself have great importance not only for these physicians, but also for the entire workgroup [8] [10] [11] [12].…”

Section: Introductionmentioning

confidence: 99%

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Suicide among Physicians and Methodological Similarities of MEDLINE/PubMED and BVS/BIREME Open Access Bibliographic Databases: A Systematic Review with Metanalysis

Damasceno¹,

Barbosa²,

Pimentel³

et al. 2017

Health

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Background: Suicide among physicians is a serious public health issue, with an extremely complex and multifactorial behavior. Aim: The aim of this study was to use the theme "Suicide among Physicians" to exemplify the analysis of methodological similarities between the scientific content available at MEDLINE and BVS databases, as scientific research tools. Methods: This is a systematic review with metanalysis. The following combinations of keywords were used for data search in the referred databases: "suicide" AND "physicians" AND "public heath". Results: Three hundred and thirteen publications were identified, but only 16 studies were chosen. Great association was found between MEDLINE and BVS databases and the Odds Ratio regarding the theme: "Suicide among physicians". Conclusions: Considering the similarities found in the utilization of the two analyzed databases, it was possible to identify that suicide among physicians is associated with the exercise of an important professional role in the society and in the workplace. With regard to scientific information, the p-value-obtained value (<0.05) seems to be staHow to cite this paper: Damasceno, K.S., de Sousa Barbosa, É., Pimentel, J.V.C., Teixeira Júnior, A.G., de Meneses, A.C.P., Gonçalves Júnior, J., de Sousa, D.F., da Costa Lima, P.S., Sales, I.B., Gouveia, A.S., Biruel, E.P., Neto, M.L.R. and do Nascimento, 353tistically significant for the association between the suggested theme and the methodological similarities of the scientific information available in the analyzed databases. Thus, these open-access research tools are considered scientific reliable tools.

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Section: Epidemiologymentioning

confidence: 67%

Section: Risk Factorsmentioning

confidence: 99%

Section: Impact On Public Health and On The Individual's Professionalmentioning

confidence: 99%

“…However, the rate of suicide is not homogenous in all countries [4] [5]. Physicians usually commit suicide in higher frequency compared to the general population [6] [7] [8].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Suicide among Physicians and Methodological Similarities of MEDLINE/PubMED and BVS/BIREME Open Access Bibliographic Databases: A Systematic Review with Metanalysis

Damasceno¹,

Barbosa²,

Pimentel³

et al. 2017

Health

View full text Add to dashboard Cite

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Male and Female Physician Suicidality

et al. 2020

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IMPORTANCE Population-based findings on physician suicide are of great relevance because this is an important and understudied topic.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 PubMed, Scielo, PsycINFO, and Lilacs for human studies published by October 3, 2019, using the search term "(((suicide) OR (self-harm) OR (suicidality)) AND ((physicians) OR (doctors)))." Databases were also searched from countries listed in articles selected for review. Data were also extracted from an existing article by other authors to facilitate comparisons of the pre-1980 suicide rate with the post-1980 changes.STUDY SELECTION Original articles assessing male and/or female physician suicide were included; for the meta-analysis, only cohorts from 1980 to the present were included. DATA EXTRACTION AND SYNTHESISThe preregistered systematic review and meta-analysis followed Cochrane, PRISMA, and MOOSE guidelines. Data were extracted into standardized tables per a prespecified structured checklist, and quality scores were added. Heterogeneity was tested via Q test, I 2 , and τ 2 . For pooled effect estimates, we used random-effects models. The Begg and Egger tests, sensitivity analyses, and meta-regression were performed. Proportional mortality ratios were presented when SMR data could not be extracted. MAIN OUTCOMES AND MEASURESSuicide SMRs for male and female physicians from 1980 to the present and changes over time (before and after 1980). RESULTSOf 7877 search results, 32 articles were included in the systematic review and 9 articles and data sets in the meta-analysis. Meta-analysis showed a significantly higher suicide SMR in female physicians compared with women in general (1.46 [95% CI,) and a significantly lower suicide SMR in male physicians compared with men in general (0.67 [95% CI, 0.55-0.79]). Male and female physician SMRs significantly decreased after 1980 vs before 1980 (male physicians: SMR, −0.84 [95% CI, −1.26 to −0.42]; P < .001; female physicians: SMR, −1.96 [95% CI, −3.09 to −0.84]; P = .002). No evidence of publication bias was found.CONCLUSIONS AND RELEVANCE In this study, suicide SMR was found to be high in female physicians and low in male physicians since 1980 but also to have decreased over time in both groups. Physician suicides are multifactorial, and further research into these factors is critical.

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Assessment of Risk Factors for Suicide Among US Health Care Professionals

Robertson

Patel

et al. 2020

JAMA Surg

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IMPORTANCE Burnout among health care professionals has been increasingly associated with suicide risk. An examination of possible risk factors may help in the prevention of suicide among health care professionals.OBJECTIVE To assess suicide risk factors for 3 categories of health care professionals (surgeons, nonsurgeon physicians, and dentists) compared with non-health care professionals. DESIGN, SETTING, AND PARTICIPANTS Data from the National Violent Death Reporting System were reviewed to identify all individuals who died by suicide in the United States between January 1, 2003, and December 31, 2016. Individuals were divided into health care professionals and non-health care professionals (general population), with the health care professionals further categorized into surgeons, nonsurgeon physicians, and dentists. The covariates of suicide decedents included demographic characteristics (age, sex, race, and marital status), medical history (mental illness, substance use, and physical health), and documented factors associated with the suicide death (job, intimate partner, financial, legal, and other problems). Data were analyzed from October 2 to December 17, 2019. MAIN OUTCOMES AND MEASURES In this analysis, the outcome variable was occupation, with health care professionals overall and by category compared with the general population. Multiple logistic regression analyses with backward stepwise selection were performed. RESULTS A total of 170 030 individuals who died by suicide between 2003 and 2016 were identified. Of those, 767 individuals (0.5%) were health care professionals (mean [SD] age, 59.6 [15.6] years; 675 men [88.0%]; 688 white [89.7%]), with the remainder of the sample (95.5%) comprising the general population (mean [SD] age, 46.8 [31.5] years; 77.7% men; 87.8% white). A total of 485 health care professionals (63.2%) were nonsurgeon physicians, 179 professionals (23.3%) were dentists, and 103 professionals (13.4%) were surgeons.Compared with the general population, risk factors for suicide among health care professionals included having Asian or Pacific Islander ancestry (odds ratio [OR], 2.80; 95% CI, 1.96-3.99; P < .001), job problems (OR, 1.79; 95% CI, 1.49-2.17; P < .001), civil legal problems (OR, 1.61; 95% CI, 1.15-2.26; P = .006), and physical health problems (OR, 1.40; 95% CI, 1.19-1.64; P < .001) and currently receiving treatment for mental illness (OR, 1.45; 95% CI, 1.24-1.69; P < .001). Compared with the general population, health care professionals had a lower risk of suicide if they had black ancestry (OR, 0.55; 95% CI, 0.36-0.84; P < .001) or were female (OR, 0.44; 95% CI, 0.35-0.55; P < .001) or unmarried (OR, 0.36; 95% CI, 0.31-0.42; P < .001). Health care professionals who died by suicide were also less likely to have problems with intimate partners (OR, 0.71; 95% CI, 0.60-0.86; P < .001) or alcohol use (OR, 0.58; 95% CI, 0.45-0.73; P < .001) compared with the general population. Surgeons had a higher risk of suicide compared with the general population if they were older, male...

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Suicide among physicians in the state of São Paulo, Brazil, across one decade

Cited by 14 publications

References 13 publications

Suicide among Physicians and Methodological Similarities of MEDLINE/PubMED and BVS/BIREME Open Access Bibliographic Databases: A Systematic Review with Metanalysis

Suicide among Physicians and Methodological Similarities of MEDLINE/PubMED and BVS/BIREME Open Access Bibliographic Databases: A Systematic Review with Metanalysis

Male and Female Physician Suicidality

Assessment of Risk Factors for Suicide Among US Health Care Professionals

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