Details on suicide among US physicians: data from the National Violent Death Reporting System
Details on suicide among US physicians: data from the National Violent Death Reporting System
复制标题
DOI：
10.1016/j.genhosppsych.2012.08.005
复制
发表时间：
2013-01-01
影响因子：
7
通讯作者：
Schwenk, Thomas L.
中科院分区：
文献类型：
--
作者：
Gold, Katherine J.;Sen, Ananda;Schwenk, Thomas L.
目的：医生自杀是一个重要的公共卫生问题，因为医生的自杀率高于一般人群。不幸的是，很少有研究评估有关心理健康共病和心理社会压力，这可能有助于医生自杀的信息。我们试图评估这些因素之间的医生与非医生suicide victims.Methods：我们使用的数据从美国国家暴力死亡报告系统，以评估人口统计学，心理健康变量，最近的压力和自杀方法之间的医生与非医生suicide victims in 17 states.Results：数据集包括31,636自杀受害者，其中203人被确定为医生。多变量逻辑回归发现，有一个已知的心理健康障碍或工作问题，导致自杀显着预测是一个医生。医生比非医生更有可能有抗精神病药物，苯二氮卓类药物和巴比妥类药物存在的毒理学测试，但不是antidepressants.Conclusions：精神疾病是一个重要的并发症的医生谁完成了自杀，但尸检毒理学数据显示药物治疗率低。治疗不足和与工作压力相关的问题增加可能是潜在的可改变的风险因素，以减少医生的自杀死亡。(C)2013 Elsevier Inc. All rights reserved.
Objective: Physician suicide is an important public health problem as the rate of suicide is higher among physicians than the general population. Unfortunately, few studies have evaluated information about mental health comorbidities and psychosocial stressors which may contribute to physician suicide. We sought to evaluate these factors among physicians versus non-physician suicide victims.Methods: We used data from the United States National Violent Death Reporting System to evaluate demographics, mental health variables, recent stressors and suicide methods among physician versus non-physician suicide victims in 17 states.Results: The data set included 31,636 suicide victims of whom 203 were identified as physicians. Multivariable logistic regression found that having a known mental health disorder or a job problem which contributed to the suicide significantly predicted being a physician. Physicians were significantly more likely than non-physicians to have antipsychotics, benzodiazepines and barbiturates present on toxicology testing but not antidepressants.Conclusions: Mental illness is an important comorbidity for physicians who complete a suicide but postmortem toxicology data shows low rates of medication treatment. Inadequate treatment and increased problems related to job stress may be potentially modifiable risk factors to reduce suicidal death among physicians. (C) 2013 Elsevier Inc. All rights reserved.