Physician Suicide in the United States:Updated Estimates from the National Violent Death Reporting System
Physician Suicide in the United States:Updated Estimates from the National Violent Death Reporting System
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DOI：
10.1080/13548506.2021.1903053
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发表时间：
2021-04-18
影响因子：
3.8
通讯作者：
Sen, Ananda
中科院分区：
文献类型：
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作者：
Gold, Katherine J.;Schwenk, Thomas L.;Sen, Ananda
医生自杀和健康是关键问题，但研究使用不同的方法，自杀经常被低估。这项研究旨在更新美国医生自杀的数据。疾病控制中心的国家暴力死亡报告系统 (NVDRS) 收集有关暴力死亡的详细信息。该研究使用 27 个 NVDRS 州 2010-2015 年的数据来确定医生或非医生的自杀死亡人数，并计算年度标准化死亡率 (SMR)。在总共 63,780 名受害者中，有 357 名医生在 6 年内被确认（其中 307 名男性和 50 名女性）。如果将结果外推到所有 50 个州，每年大约有 119 名医生自杀。总体而言，医生的 SMR 与非医生的 SMR 没有统计学差异。这是 16 年来第一项更新美国医生估计自杀率的研究。该研究使用严格的标准来识别医生，因此结果可能代表了医生自杀的下限。调查结果显示，医生自杀率并不明显低于非医生自杀率，并强调了关注结构性变化以减少医学界对心理健康的耻辱的重要性。
Physician suicide and well-being are critical issues but studies use varying methodologies and suicide is frequently underreported. This study sought to update data on physician suicides in the United States. The National Violent Death Reporting System (NVDRS) at the Centers for Disease Control collects details about violent deaths. The study used 2010-2015 data from 27 NVDRS states to identify suicide deaths among physicians or non-physicians and calculate annual standardized mortality rates (SMR). Of 63,780 victims total, there were 357 physicians identified over 6 years, (307 men and 50 women). If results are extrapolated to all 50 states, there would be approximately 119 physician suicides annually. The SMR for physicians overall was not statistically different from that of non-physicians. This is the first study in 16 years to update estimated physician suicide rates in the United States. The research used strict criteria to identify physicians so results likely represent the lower boundary of physician suicides. Findings show that physician suicide is not significantly lower than that of non-physicians and emphasizes the importance of focusing on structural changes to reduce stigma around mental health in the medical community.