Unspoken Truths: Mental Health Among Academic Surgeons.

Autor:	Collins RA; Department of Surgery, Massachusetts General Hospital, Boston, MA.; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA.; School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX., Herman T; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Snyder RA; Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX., Haines KL; Department of Surgery, Duke University, Durham, NC., Stey A; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL., Arora TK; Department of Surgery, Augusta University at the Medical College of Georgia, Augusta, GA., Geevarghese SK; Department of Surgery, Vanderbilt University Medical Center, Nashville, TN., Phillips JD; Thoracic Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH., Vicente D; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD., Griggs CL; Department of Pediatric Surgery, Massachusetts General Hospital, Boston, MA., McElroy IE; Department of Surgery, Massachusetts General Hospital, Boston, MA., Wall AE; Department of Surgery, Baylor University Medical Center, Dallas, TX., Hughes TM; Department of Surgery, University of Michigan, Ann Arbor, MI., Sen S; Department of Psychiatry, University of Michigan, Ann Arbor, MI., Valinejad J; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Alban A; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Swan JS; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Mercaldo N; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Jalali MS; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Chhatwal J; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Gazelle GS; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Rangel E; Department of Surgery, Massachusetts General Hospital, Boston, MA., Yang CJ; Division of Thoracic Surgery, Massachusetts General Hospital, Boston, MA., Donelan K; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA., Gold JA; Department of Psychiatry, Washington University in St Louis, St Louis, MO., West CP; Department of Medicine, Mayo Clinic, Rochester, MN., Cunningham C; Department of Surgery, Massachusetts General Hospital, Boston, MA.; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA.
Jazyk:	angličtina
Zdroj:	Annals of surgery [Ann Surg] 2024 Mar 01; Vol. 279 (3), pp. 429-436. Date of Electronic Publication: 2023 Nov 23.
DOI:	10.1097/SLA.0000000000006159
Abstrakt:	Objective: To characterize the current state of mental health within the surgical workforce in the United States. Background: Mental illness and suicide is a growing concern in the medical community; however, the current state is largely unknown. Methods: Cross-sectional survey of the academic surgery community assessing mental health, medical error, and suicidal ideation. The odds of suicidal ideation adjusting for sex, prior mental health diagnosis, and validated scales screening for depression, anxiety, post-traumatic stress disorder (PTSD), and alcohol use disorder were assessed. Results: Of 622 participating medical students, trainees, and surgeons (estimated response rate=11.4%-14.0%), 26.1% (141/539) reported a previous mental health diagnosis. In all, 15.9% (83/523) of respondents screened positive for current depression, 18.4% (98/533) for anxiety, 11.0% (56/510) for alcohol use disorder, and 17.3% (36/208) for PTSD. Medical error was associated with depression (30.7% vs. 13.3%, P <0.001), anxiety (31.6% vs. 16.2%, P =0.001), PTSD (12.8% vs. 5.6%, P =0.018), and hazardous alcohol consumption (18.7% vs. 9.7%, P =0.022). Overall, 13.2% (73/551) of respondents reported suicidal ideation in the past year and 9.6% (51/533) in the past 2 weeks. On adjusted analysis, a previous history of a mental health disorder (aOR: 1.97, 95% CI: 1.04-3.65, P =0.033) and screening positive for depression (aOR: 4.30, 95% CI: 2.21-8.29, P <0.001) or PTSD (aOR: 3.93, 95% CI: 1.61-9.44, P =0.002) were associated with increased odds of suicidal ideation over the past 12 months. Conclusions: Nearly 1 in 7 respondents reported suicidal ideation in the past year. Mental illness and suicidal ideation are significant problems among the surgical workforce in the United States. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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