Assessing high risk of suicide amongst physicians and nurses in treatment

Braquehais, María Dolores; González-Irizar, Olga; Nieva, Gemma; Mozo, Xulián; Llavayol, Enric; Pujol, Tània; Cruz, Cristo M.; Heredia, Meritxell; Valero, Sergi; Casas, Miquel; Bruguera, Eugeni

doi:10.1016/j.psychres.2020.113237

Cited by 9 publications

(10 citation statements)

References 31 publications

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“…Previous studies found that medical staff were in higher risk of suicide than general population ( 37 ), and the suicide rates among medical staff have been on the rise in the recent years ( 38 ). When we compared our results with prior studies, the prevalence of suicidal ideation in our study was roughly similar with other studies that were conducted among medical staff ( 39 ). Possible reasons may be that medical staff are at an increased occupational-specific risk about workplace violence, burnout, and medical errors, which can heighten the suicidal ideation among medical staff ( 40 , 41 ).…”

Section: Discussionsupporting

confidence: 86%

Association Between Perceived Medical Errors and Suicidal Ideation Among Chinese Medical Staff: The Mediating Effect of Depressive Symptoms

et al. 2022

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Both medical errors and suicidal behaviors are important problems for medical staff. Although the association between them was implied in previous studies, their association has not been built until now. In this study, the first aim was to build the association between perceived medical errors and suicidal ideation, and we also want to explore the mediating role of depression in the association between perceived medical errors and suicidal ideation among Chinese medical staff. In this study, we interviewed 3,338 medical staff in Chinese general hospitals. Questions about suicidal ideation (SI) and perceived medical errors were interviewed for medical staff. Depressive symptoms were evaluated by the Chinese version of Center for Epidemiologic Studies Depression Scale (CES-D). Social-demographic and occupation-related variables were also assessed in the data collection. This study found that the prevalence of suicidal ideation among medical staff was 9%. After the adjustment for controlling variables, suicidal ideation was significantly associated with a higher level of depression (OR = 1.10, p < 0.001) and perceived medical errors (OR = 2.41, p < 0.001). The other associated factors were female (OR = 2.21, p < 0.001), religious belief (OR = 2.66, p < 0.001), and weekly work hours (OR = 1.02 p < 0.001). The mediating effect of depressive symptoms on the association between perceived medical errors and suicidal ideation was also supported in this study, and it can explain the 38.73% of the total effects of the perceived medical errors on suicidal ideation. The medical staff, with perceived medical errors, were in higher risk of suicidal ideation, and depressive symptoms can partially mediate the association between perceived medical errors and suicidal ideation. For the medical staff who are experiencing medical errors, some scanning on their suicidal ideation and depressive symptoms are necessary to promote their mental health.

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Section: Discussionsupporting

confidence: 86%

Association Between Perceived Medical Errors and Suicidal Ideation Among Chinese Medical Staff: The Mediating Effect of Depressive Symptoms

et al. 2022

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“…Multiple studies included using population-based data capture, linkage of multiple data sources across health care and work disability systems, incorporated long follow-up periods beyond the period of work disability, utilised healthy community or other comparison groups, or adjusted statistical estimates for multiple potential confounding factors including health status prior to work disability. There are also quality issues in some studies, for example studies reporting only descriptive statistics (29), cross-sectional studies (49,51,60,61) and small sample sizes (29,47,51,61). Studies used a range of different outcome measures, and applied variety of statistical analysis techniques.…”

Section: Discussionmentioning

confidence: 99%

“…Three studies were conducted in specific occupational cohorts. These identified that physicians and nurses with a high risk of suicide were more frequently on sick leave when admitted to an inpatient treatment program (47); that government employees with more than one sickness absence spell exceeding 3 days had more than 7 times higher mortality from suicide, while employees with more than 15 days sickness absence per annum had 3 times the odds of suicide (48); and that employees of a healthcare organisation with sick leave during 2017 or 2018 had seven times the odds of recording a composite outcome encompassing suicide, self-harm or suicidal ideation, than employees with no sick leave spells (49).…”

Section: Intentional Self-harmmentioning

confidence: 99%

The relationship between work disability and subsequent suicide or self-harm: A systematic scoping review

Collie

Gray

2022

Preprint

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Background: Work disability occurs when an injury, illness or other health condition limits the ability of a worker to participate in paid employment. Several lines of evidence suggest that people with work disability are also at increased risk of suicide and intentional self-harm, however the evidence on this relationship has not previously been the subject of systematic review. Objective: This systematic scoping review aims to assess and summarise the research literature regarding the relationship between work disability and subsequent suicide or intentional self-harm. Methods: Peer-reviewed quantitative and qualitative studies published in English from 1st January 2000 were included if they reported suicide or self-harm outcomes in people aged 15 years or older with work disability. Narrative synthesis summarised findings according to the system of work disability income support. Results: Literature search yielded 859 records of which 47 eligible studies were included, including nine set in workers compensation, 20 in sickness absence, 13 in disability pension systems, and five from mixed cohorts. Of 44 quantitative studies, 41 reported a positive relationship between work disability and suicidal behaviour. The relationship is observed consistently across nations, work disability income support systems and in people with a range of health conditions. Several factors elevate risk of suicidal behaviour, including presence of mental health conditions and longer work disability duration. There were few quality studies in some nations and no suicide prevention interventions. Conclusion: The risk of suicide and intentional self-harm is elevated in people experiencing work disability. While further observational research is required to fill evidence gaps, this review suggests the need for governments, employers and those involved in the delivery of care and support to people with work disability to focus on identification and monitoring of those at greatest risk of suicidal behaviour, as well as suicide prevention.

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“…Three studies were conducted in specific occupational cohorts. These identified that physicians and nurses with a high risk of suicide were more frequently on sick leave when admitted to an inpatient treatment program [48]; that government employees with more than one sickness absence spell exceeding 3 days had more than 7 times higher mortality from suicide, while employees with more than 15 days sickness absence per annum had 3 times the odds of suicide [49]; and that employees of a healthcare organisation with sick leave during 2017 or 2018 had seven times the odds of recording a composite outcome encompassing suicide, self-harm or suicidal ideation, than employees with no sick leave spells [50].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

The relationship between work disability and subsequent suicide or self-harm: A scoping review

Collie

Gray

2022

PLOS Glob Public Health

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Work disability occurs when an injury or illness limits the ability of a worker to participate in employment. While evidence suggests that people with work disability are at increased risk of suicide and intentional self-harm, this relationship has not been the subject of systematic review. This scoping review aims to assess and summarise the research literature regarding the relationship between work disability and subsequent suicide or intentional self-harm. Review protocol was published on the Open Science Foundation and is reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Peer-reviewed studies published in English from 1st January 2000 were included if they reported suicide or self-harm outcomes in people aged 15 years or older with work disability. Studies were identified via systematic search of Medline, Scopus and Pubmed databases, via recommendation from topic experts, and citation searching of included articles. A narrative synthesis was undertaken. Literature search yielded 859 records of which 47 eligible studies were included, nine set in workers’ compensation, 20 in sickness absence, 13 in disability pension systems, and five from mixed cohorts. Of 44 quantitative studies, 41 reported a positive relationship between work disability and suicidal behaviour. The relationship is observed consistently across nations, work disability income support systems and health conditions. Several factors elevate risk of suicidal behaviour, including presence of mental health conditions and longer work disability duration. There were few studies in some nations and no suicide prevention interventions. The risk of suicide and self-harm is elevated in people experiencing work disability. Further observational research is required to fill evidence gaps. This review suggests the need for governments, employers and those involved in the care of people with work disability to focus on identification and monitoring of those at greatest risk of suicidal behaviour, and suicide prevention.

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Assessing high risk of suicide amongst physicians and nurses in treatment

Cited by 9 publications

References 31 publications

Association Between Perceived Medical Errors and Suicidal Ideation Among Chinese Medical Staff: The Mediating Effect of Depressive Symptoms

Association Between Perceived Medical Errors and Suicidal Ideation Among Chinese Medical Staff: The Mediating Effect of Depressive Symptoms

The relationship between work disability and subsequent suicide or self-harm: A systematic scoping review

The relationship between work disability and subsequent suicide or self-harm: A scoping review

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