Mental health of Brazilian physicians: a nationwide cross-sectional study to investigate factors associated with the prevalence of suicide plans and attempts

Autor: Leonardo Servio Luz, Alex Jones Flores Cassenote, Emanuelle Pessa Valente, Ilaria Mariani, Marzia Lazzerini, Carlos Vital Tavares Corrêa Lima, Donizetti Dimer Giamberardino Filho, Edmilson de Freitas Marques Filho, Hermann Alexandre Vivacqua von Tiesenhausen, Hideraldo Luis Souza Cabeça, Lia Cruz Vaz da Costa Damásio, Milton Aparecido de Souza Júnior, Paulo Henrique de Souza, Rosylane Nascimento das Mercês Rocha, Vera Lucia Zaher-Rutheford, Mauro Luiz de Britto Ribeiro, Antônio Geraldo da Silva, José Hiran da Silva Gallo
Jazyk: English<br />Portuguese
Rok vydání: 2024
Předmět:
Zdroj: Brazilian Journal of Psychiatry, Vol 46 (2024)
Druh dokumentu: article
ISSN: 1809-452X
1516-4446
DOI: 10.47626/1516-4446-2023-3393
Popis: Objective: To report on suicide plans and attempts among Brazilian physicians and to investigate the associated risk factors. Methods: From January 2018 to January 2019, a nationwide online survey was conducted among Brazilian physicians using the Tool for Assessment of Suicide Risk and the Satisfaction with Life Scale. Multivariate exploratory associations of demographic, psychological, and work-related factors were performed on reports of suicide plans and attempts. Results: Of the 4,148 participants, 1,946 (53.5%) were male, 2,527 (60.9%) were 30 to 60 years old, 2,675 (64.5%) had two to four jobs, and 1,725 (41.6%) worked 40 to 60 hours a week. The overall prevalence of suicide plans was 8.8% (n=364), and suicide attempts were reported by 3.2% (n=133) of participants. Daily emotional exhaustion (ORadj = 7.857; 95%CI 2.282-27.051, p = 0.002), weekly emotional exhaustion (ORadj = 7.953; 95%CI 2.403-26.324, p = 0.001), daily frustration at work (ORadj = 3.093; 95%CI 1.711-5.588, p < 0.001), and bisexuality (ORadj = 5.083; 95%CI 2.544-10.158, p < 0.001) were significantly associated with higher odds of suicide. Extremely dissatisfied physicians reported suicide plans and attempts in 38.3% of cases, whereas extremely satisfied physicians reported suicide plans and attempts in only 2.8% of cases (p < 0.001). Conclusion: Brazilian physicians with a history of suicide plans and attempts express emotional exhaustion and frustration at work. There is an urgent need for actions to promote professional safeguards and resilience.
Databáze: Directory of Open Access Journals
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