Gender differences among medical students, house staff, and faculty physicians at high risk for suicide: A HEAR report
| Autor: | Sarah Pospos, Nancy Downs, Ilanit Tal, Soo Yong Lee, Pamela Jong, Courtney Sanchez, Sidney Zisook, Alana Iglewicz, Isabel G. Newton, Emily V Ho, Daniel Lee, Judy E. Davidson, Caryn Kseniya Rubanovich, Ming Tai-Seale |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Suicide Prevention medicine.medical_specialty Students Medical media_common.quotation_subject Population Poison control Anger Suicide prevention Occupational safety and health Suicidal Ideation 03 medical and health sciences Help-Seeking Behavior Sex Factors 0302 clinical medicine Risk Factors Physicians Surveys and Questionnaires Injury prevention medicine Humans Medical prescription education media_common Sex Characteristics education.field_of_study business.industry Internship and Residency Faculty 030227 psychiatry Suicide Psychiatry and Mental health Clinical Psychology Family medicine Gender differences in suicide Female business 030217 neurology & neurosurgery |
| Zdroj: | Depression and Anxiety. 36:902-920 |
| ISSN: | 1520-6394 1091-4269 |
| DOI: | 10.1002/da.22909 |
| Popis: | Background In comparison with the general population, physicians, and physicians-in-training are at greater risk for suicide. Although key gender differences in suicide risk factors and behaviors have been identified in the general population, the extent to which these differences apply to physicians and physicians-in-training is unclear. Here, we aimed to identify gender differences in risk factors, clinical presentation, and help-seeking behaviors of medical students, house staff, and physician faculty at high risk for suicide. Methods We explored gender differences among 450 physicians and trainees meeting criteria for high suicide risk on anonymous online questionnaires completed between 2009 and 2017. Results High-risk female trainees and physicians had higher mean Patient Health Questionnaire-9 (PHQ-9) scores compared with the males (11.1, standard deviation [SD] 5.1 vs. 9.8, SD 4.7) and were more likely to endorse feeling worried (73.8% vs. 61.2%), irritable (60.4% vs. 49.4%), and stressed (79.6% vs. 70%). High-risk male trainees and physicians were more likely than females to endorse suicidal thoughts (31.2% vs. 22.1%), intense anger (24.3% vs. 16.1%), drinking too much (31.2% vs. 22.3%), and recreational drug or prescription medication use without clinically appropriate follow-up (9.4% vs. 4.3%). There were no gender differences in help-seeking behaviors. Conclusions This is the first study to report gender differences among risk factors, presentation, and help-seeking behaviors of physicians, and trainees at high risk for suicide. Our findings are mostly consistent with those of the general population and show that only a minority of at-risk men and women in healthcare sought treatment, highlighting the importance of intervention and suicide prevention in this population. |
| Databáze: | OpenAIRE |
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