Suicidal ideation and burnout among psychiatric trainees in Japan

Tateno, Masaru; Jovanović, Nikolina; Beezhold, J.; Uehara-Aoyama, Kumi; Umene-Nakano, Wakako; Nakamae, Takashi; Uchida, Naoki; Hashimoto, Naoki; Kikuchi, Shinji; Wake, Yosuke; Fujisawa, Daisuke; Ikari, Keisuke; Otsuka, Kotaro; Takahashi, Katsuyoshi; Okugawa, Gaku; Watanabe, Norio; Shirasaka, Tomohiro; Kato, Takahiro A.

doi:10.1111/eip.12466

Cited by 24 publications

(29 citation statements)

References 9 publications

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“…Given that emotional difficulties may arise as a consequence of the challenges of the training environment [16,17], it is imperative that difficulties are addressed early to reduce the negative impact of burnout and depression as one progresses through their career. The training period can be therefore considered a critical time of intervention with regard to the overall well-being and satisfaction of this group.…”

mentioning

confidence: 99%

“…Stressful trainee experiences were further exacerbated by trainees feeling "underequipped, overwhelmed, or out of time," and importantly, the authors observed that the level of stress experienced by trainees was compounded by lack of supervision [16]. Worryingly, burnout in psychiatry trainees has also been associated with an increased risk of suicidal ideation [17]. It is essential that training bodies be vigilant to these areas to ensure negative trainee experiences are addressed.…”

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confidence: 99%

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Burnout, Work Satisfaction, and Well-being Among Non-consultant Psychiatrists in Ireland

et al. 2021

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confidence: 99%

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confidence: 99%

Burnout, Work Satisfaction, and Well-being Among Non-consultant Psychiatrists in Ireland

et al. 2021

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“…Studies on burnout and depressive have shown that their relationship is controversial and have provided convincing arguments for all sides of the issue [32][33][34][35]. Some scholars believe that burnout and depression are not isomorphic [32].…”

Section: Discussionmentioning

confidence: 99%

Overlap of burnout-depression symptoms among Chinese neurology graduate students in a national cross-sectional study

Wei

Zhong

et al. 2021

BMC Med Educ

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Background The overlap of burnout and depression is a phenomenon that can effectively reflect the psychological state of a group. However, whether burnout is a type of depression is still debated in current research. The high incidence of burnout and depressive symptoms among medical students indicates that it is urgent to provide appropriate health services for them. However, the proportion of burnout and depression in the overlapping symptoms experienced by medical students, and the characteristics of the relative influencing factors, remain unclear. Therefore, we addressed these issues for neurology graduate students in China. Methods Using data from a cross-sectional survey of Chinese neurology graduate students, a diagnostic model was established according to their burnout and/or depression symptoms. Burnout was assessed by using the Maslach Burnout Inventory. Depression symptoms were assessed with a two-item depression screening tool for primary care evaluation of mental disorders. Univariate analyses with chi-squared tests were conducted to assess associations between variables. Multinomial logistic regression models were used to analyze the effects of multiple factors on dependent variables. The factors included demographic information and three medical-study related problems. Results In total, 32.2% of surveyed students evidenced overlapping burnout and depression symptoms. Students with depressive symptoms tended to be included in the burnout students’ category. In the regression model, being unmarried, having children, and career choice regret were related to students who had only burnout, while the students with overlapping symptoms were affected by more factors such as family income, the consideration of dropping out once. Conclusions The symptoms and related factors of burnout and depression among Chinese neurology postgraduates have obvious overlap and show a significant trend. The occurrence of depressive symptoms among medical students is closely related to whether they are burned out. Students with only burnout were common, but students with only depressive symptoms were uncommon. Finally, burnout may be a pre-depression state.

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“…Remarkably, in our survey, program directors reported needs for lectures and funding, but the priority of protected time was low. Considering the high proportion of burnout in doctors, including residents (18), the Japanese Ministry of Health, Labour and Welfare is now attempting to reform doctors’ working practices in order to reduce their burden (19). Under pressure to lessen work hours, it is important for residents to make progress in their career while prioritizing their time wisely.…”

Section: Discussionmentioning

confidence: 99%

Scholarly Activity Support Systems in Internal Medicine Residency Programs: A National Representative Survey in Japan

et al. 2019

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Objective To describe the clinical research support systems in Japanese board certification programs of internal medicine and to assess the relationship between these support systems and the scholarly activities of residents. Methods In 2018, a 26-item web questionnaire was mailed to 542 points of contact of hospitals listed as certified residency programs of internal medicine in order to obtain information about the presence of a research support system and scholarly activity from 2016. We used hospital characteristic data from the Japanese Diagnostic Procedure Combination database, a national inpatient database, and the annual report of the Japanese Society of Internal Medicine. Results A total of 228 hospitals (42%) responded to the survey. There were regular research lectures in 129 hospitals (57%), protected time (time to perform research during working hours) in 53 hospitals (23%), research consultations in 175 hospitals (77%), regular journal clubs in 213 hospitals (77%), regular research conferences in 151 hospitals (66%), data warehouses in 139 hospitals (61%), and financial research support from the hospital budget in 140 hospitals (61%). A multivariate analysis showed that none of the research support systems were related to the number of conference presentations. In contrast, protected time [odds ratio (OR) 3.66, 95% confidence interval (CI) 1.43-9.39] and regular research conferences (OR 2.20, 95% CI 1.14-4.23) were related to the presence of clinical research presentations in scientific conferences hosted by residents. Conclusion Protected time and regular research conferences were related to the scholarly activity of residents in Japanese teaching hospitals.

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Suicidal ideation and burnout among psychiatric trainees in Japan

Abstract: Our results suggest a higher risk of suicide among Japanese residents. Japan has a higher suicide rate than other countries. Early detection of, and appropriate intervention for, suicidal ideation is important in preventing suicide in psychiatry residents.

Cited by 24 publications

References 9 publications

Burnout, Work Satisfaction, and Well-being Among Non-consultant Psychiatrists in Ireland

Burnout, Work Satisfaction, and Well-being Among Non-consultant Psychiatrists in Ireland

Overlap of burnout-depression symptoms among Chinese neurology graduate students in a national cross-sectional study

Scholarly Activity Support Systems in Internal Medicine Residency Programs: A National Representative Survey in Japan

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