Depression and suicide among medical practitioners in Australia

Bailey, Eleanor; Robinson, Jo; McGorry, Patrick D.

doi:10.1111/imj.13717

Cited by 60 publications

(66 citation statements)

References 20 publications

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“…responsibility, rapid change within healthcare, institutional constraints such as discrimination and intimidation, lack of autonomy, low levels of support, loss of job satisfaction, low morale and the inability to attend to their personal lives. 4,7,10 Causes of work stress may vary with medical discipline: family practitioners may face increased demands on primary care coupled with shrinking resources, 7 while emergency care doctors and oncologists may suffer elements of posttraumatic stress. Furthermore, doctors facing complaints, often perceived as shameful catastrophic personal events, are at significantly increased risk of depression, anxiety and suicidal ideation.…”

Section: Depression In Doctors: a Bitter Pill To Swallow K Outhoffmentioning

confidence: 99%

“…3 Recent meta-analyses of global studies estimate an overall prevalence of 27% in medical students, 29% in registrars and up to 60% in practising doctors. 4 These figures differ widely between countries and specialties. For instance, a Cape Town study using a self-administered Beck's Depression Inventory revealed clinically relevant moderate to severe depression in 30% of public primary healthcare doctors, 5 while an Australian study found that 18% of medical students and 21% of doctors had previously been diagnosed with depression.…”

Section: Introductionmentioning

confidence: 99%

“…Medical students, younger doctors and women reported higher rates of psychological distress and mental health problems than men and older doctors. 4 Meanwhile in America, there is some evidence that the prevalence of depression in doctors is similar to the general population. A cohort of male medical graduates from Johns Hopkins self-reported a lifetime prevalence of 12.8%, similar to the 12% lifetime prevalence of major depression in American men, although their mean age of onset was significantly older.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Depression in doctors: A bitter pill to swallow

Outhoff

2019

South African Family Practice

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Section: Depression In Doctors: a Bitter Pill To Swallow K Outhoffmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Depression in doctors: A bitter pill to swallow

Outhoff

2019

South African Family Practice

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“…2 Additionally, research suggests that doctors are at elevated risk of depression and suicide compared to the general population and other professions. 3 Doctors working in rural areas also face further risks in the form of a lack of access to appropriate mental health support within their geographic area, and low availability of professionals and support services that would be confidential or sufficiently removed from their professional network. 4 Fortunately, there is evidence that burnout can be reduced by providing health professionals with skills to help manage emotional responses at work.…”

Section: Introductionmentioning

confidence: 99%

Pilot study of the effectiveness of a Mindful Self‐Care and Resiliency program for rural doctors in Australia

Rees

Craigie

Slatyer

et al. 2020

Australian J Rural Health

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Objective Rural doctors are difficult to recruit and retain. Burnout and stress in the medical workforce fluctuates according to location. Overall, doctors have an elevated risk of depression and suicide compared to the general population and other professionals. Higher levels of occupational stress also effect patient care, levels of work satisfaction and relationships with others. This study evaluated the effectiveness, acceptability, feasibility and sustainability of the Mindful Self‐Care and Resiliency Program. Design This was a sequential mixed‐method study involving the collection of both quantitative and qualitative data. Setting The study was conducted in Emerald, Queensland. Participants Thirteen doctors took part in the program with seven providing pre and post survey responses. Qualitative data were collected via semi‐structured telephone interviews with an additional four rural doctors. InterventionThe Mindful Self‐Care and Resiliency program consisted of a 4‐hour face‐to‐face session and three 1‐hour video‐conference follow up sessions.Main outcome measuresBurnout, negative affect, well‐being and psychological strain were assessed using self‐report measures before and after taking part in the program.ResultsThe majority (six out of seven) of the doctors showed reductions in burnout, psychological strain and negative affect following participation in the program. The qualitative data indicated that all doctors gained new skills: self‐awareness, reflection and self‐care. They also reported improved interaction with colleagues and patients, to whom they passed on their new learning.ConclusionThis preliminary investigation of the effectiveness and feasibility of Mindful Self‐Care and Resiliency for rural doctors indicates that the program has promise in improving the emotional well‐being of this occupational group. Although this study captured approximately one‐third of the Emerald workforce, further research with a larger sample is required to confirm these findings.

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“…However physicians have access to prescription medications, and they tend to auto-medicate themselves. Drug overdose is the most common suicide method, and is used signi cantly more often by physicians than the general population [22]. Physicians have a greater risk for suicide, and depression is one of the major risk factors [23].…”

Section: Discussionmentioning

confidence: 99%

Depression among Physicians that are Mothers in Mexico: A Cross Sectional Study

López-Léon¹,

Mariscal²,

Valle³

et al. 2019

Preprint

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OBJECTIVE : Common mental disorders are prevalent in medical doctors, especially in female. In Mexico, there are many studies showing that medical students and residents present a higher frequency of depression compared to the general population, however there are no studies in medical doctors at a later stage. A questionnaire was sent in an online forum for physicians that are mothers based in Mexico with the objective of estimating the point prevalence of depression among this group. The questionnaire included the Hospital and Anxiety Scale (HAD-S) which assess symptoms of depression. A cut-off score of ≥8 or use of antidepressants was used to define depression. RESULTS : A total of 1170 physicians that are mothers were included in this study. The point prevalence of depression was 10.9%. The group that had depression smoked more and took more sleeping pills that the group that did not present symptoms of depression. The point prevalence of symptoms of depression in this group of physician in Mexico was estimated to be of 10.9%, which is similar to what is seen in the general population but lower than the estimates for medical interns and residents.

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Depression and suicide among medical practitioners in Australia

Abstract: This review will provide an overview of the prevalence of, and risk factors for, depression and suicide in medical practitioners. It will also discuss the barriers to accessing appropriate care and potential interventions for this population.

Cited by 60 publications

References 20 publications

Depression in doctors: A bitter pill to swallow

Depression in doctors: A bitter pill to swallow

Pilot study of the effectiveness of a Mindful Self‐Care and Resiliency program for rural doctors in Australia

Depression among Physicians that are Mothers in Mexico: A Cross Sectional Study

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