The Suicide Prevention, Depression Awareness, and Clinical Engagement Program for Faculty and Residents at the University of California, Davis Health System

Haskins, Lyn; Carson, John G.; Chang, Celia H.; Kirshnit, Carol; Link, Daniel P.; Navarra, Leslie; Scher, Lorin; Sciolla, Andrés F; Uppington, Jeffrey; Yellowlees, Peter Mackinlay

doi:10.1007/s40596-015-0359-0

Cited by 34 publications

(19 citation statements)

References 23 publications

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“…The concepts of the HEAR Program are relatively easy to adapt, as has been reported by the UC Davis Health System. 34 Wellness models are being considered and implemented on medical campuses nationwide. 35 While we believe the HEAR program is effective, we also know it is targeted to people who are experiencing moderate to high degrees of distress.…”

Section: Resultsmentioning

confidence: 99%

Update on the UC San Diego Healer Education Assessment and Referral (HEAR) Program

Norcross

Moutier

Tiamson-Kassab

et al. 2018

Journal of Medical Regulation

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Burnout, depression and suicide are rampant amongst health care professionals. Current evidence shows the problem is worsening. In the aftermath of physician suicides, the Physician Wellbeing Committee created the UC San Diego Healer Education Assessment and Referral (HEAR) Program in 2009 in collaboration with the American Foundation for Suicide Prevention (AFSP). This article chronicles the HEAR program from inception through June 2017. Initially created to address medical students, residents and faculty physician duress, HEAR has now expanded to embrace pharmacists, nurses and clinical staff within UC San Diego Health. HEAR operates through two mechanisms: 1) a program of ongoing education and outreach, and 2) encouragement of all personnel to annually engage in the online, anonymous, interactive screening program, created by the AFSP (known as SDSQ at UC San Diego Health). Since inception in May 2009 through June 2017, 1,537 UC San Diego health care personnel have been screened, 320 individuals have dialogued with a counselor either in person, by phone or electronically, and more than 300 have been referred confidentially for evaluation and treatment by a mental health professional, usually a community psychiatrist. While tracking death by suicide remains challenging, we have reason to believe that the prevalence of suicide has diminished during this time. The UC San Diego HEAR Program is one cost-effective model for addressing this current crisis in U.S. health care. This AFSP model has been adopted by many other schools of medicine and is now ready for use with clinicians of all disciplines.And whoever saves a life, it is considered as if he saved an entire world.— Mishnah Sanhedrin 4:5; Babylonian Talmud Tractate Sanhedrin 37a

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Section: Resultsmentioning

confidence: 99%

Update on the UC San Diego Healer Education Assessment and Referral (HEAR) Program

Norcross

Moutier

Tiamson-Kassab

et al. 2018

Journal of Medical Regulation

View full text Add to dashboard Cite

show abstract

“…The results of this current study bolster JAMA recommendations and provide reasoning as to why Colorado should lead the way in improving the prevention, detection, and management of mental health disorders in health care professionals (Skegg et al., ). The Healer Education Assessment and Referral (HEAR) program, which was created and successfully implemented at two University of California campuses in 2009 and 2013, is an innovative program that utilizes upstream suicide prevention for future medical professionals (Downs et al., ; Haskins et al., ). This program focuses on at‐risk medical students and includes educational outreach to destigmatize mental disorders and remove barriers to treatment, screening, assessing, and referring students to treatment when appropriate (Goldman et al., ).…”

Section: Discussionmentioning

confidence: 99%

Suicide Among Health Care Practitioners and Technicians in Colorado: An Epidemiological Study

Mintz

Jamison

Bol

2018

Suicide & Life Threat Behav

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Suicide is a public health concern with risks that vary between occupation groups. Many suicide victims with a health care occupation die by poisoning, but few studies have epidemiologically studied this association. The objective of this study was to quantify the increased risk of suicide death by poisoning among health care professionals in Colorado. Eleven years (2004-2014, N = 8,753) of suicide deaths in Colorado were compiled from the Colorado Violent Death Reporting System. A retrospective cohort study using multivariate logistic regression was conducted to examine the risk associated with having a health care occupation and eventual suicide death by poisoning, compared independently to firearm and hanging methods. Suicide victims with a health care occupation were more likely to die by poisoning rather than by hanging (RR 1.54, 95% CI: 1.41-1.68) or firearm (RR 1.79, 95% CI: 1.60-2.01), when compared to suicide victims without a health care occupation. The association between health care occupation and suicide method was significantly (p = .032) modified by gender. The results show that health care workers who die by suicide have an increased risk of eventual suicide death by poisoning rather than by firearm or hanging. These results can be used to inform tailored suicide prevention efforts in health care professionals.

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“…que aproximadamente 15% dos médicos irão desenvolver algum abuso de substâncias químicas como álcool, tabaco, drogas ou medicamentos e/ou alguma condição relacionada à sua saúde mental ao longo de sua carreira (HASKINS et al, 2016).…”

Section: Abstract: Burnout; Innovation;unclassified

“…Entretanto, com exceção do artigo desenvolvido por Lipkin et al (2008), todos os outros trabalhos destacam que as inovações apresentadas possuem potencial de mitigação da síndrome de Burnout, sendo necessários estudos futuros para comprovar os impactos redutores. O artigo de Lipkin et al (2008) teve a eficácia na redução da síndrome de Burnout comprovada, pois, diferente dos demais trabalhos encontrados, havia horizonte de tempo para que fosse possível a investigação dos impactos promovidos pela inovação implementada.…”

Section: Figura 1: Síntese Da Revisão Sistemáticaunclassified

Inovação para redução da síndrome de burnout em estudantes e profissionais da medicina: uma revisão sistemática da literatura

Nassar

Júnior

Porto

2018

RACEF

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Resumo A síndrome de Burnout é uma reação patológica associada ao desgaste do trabalho que pode ocasionar o aumento da probabilidade de ideação suicida. Dentre todos os profissionais das mais diversas áreas de atuação, os médicos são os mais propensos para a manifestação desta síndrome. Além dos médicos, estudantes de medicina e médicos residentes também estão suscetíveis ao seu desenvolvimento. Por essa razão, o presente estudo tem como objetivo mapear as inovações propostas pela ciência para a redução da ocorrência do Burnout em estudantes e profissionais da medicina. Para tanto, foi realizada uma revisão sistemática da literatura nas bases de dados Scopus, Web of Science, Scielo e Lilacs. Dentre os selecionados, 4 trabalhos foram sobre inovações presentes no processo da formação do profissional, com 2 inovações para a graduação e 2 para os programas de residência, e 1 para a área de cuidados primários. Entretanto, dos 5 artigos encontrados, apenas 1 possuía inovações com impactos para a redução da ocorrência da síndrome de Burnout realmente comprovados, sendo um possível reflexo das inovações propostas pelos demais artigos científicos terem sido implementadas ainda de forma recente, dificultando a mensuração de impactos consistentes. Há a possibilidade de replicar as inovações realizadas pelos artigos encontrados pela presente revisão no contexto dos hospitais, clínicas, postos de saúde e cursos de medicina brasileiros.

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The Suicide Prevention, Depression Awareness, and Clinical Engagement Program for Faculty and Residents at the University of California, Davis Health System

Cited by 34 publications

References 23 publications

Update on the UC San Diego Healer Education Assessment and Referral (HEAR) Program

Update on the UC San Diego Healer Education Assessment and Referral (HEAR) Program

Suicide Among Health Care Practitioners and Technicians in Colorado: An Epidemiological Study

Inovação para redução da síndrome de burnout em estudantes e profissionais da medicina: uma revisão sistemática da literatura

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