Suicides and deaths of undetermined intent among veterinary professionals from 2003 through 2014
Suicides and deaths of undetermined intent among veterinary professionals from 2003 through 2014
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DOI：
10.2460/javma.255.5.595
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发表时间：
2019-09-01
影响因子：
1.9
通讯作者：
Nett, Randall J.
中科院分区：
文献类型：
--
作者：
Witte, Tracy K.;Spitzer, Elizabeth G.;Nett, Randall J.
目的分析2003 - 2014年兽医专业人员和兽医学生的死亡数据，死亡方式以自杀或意图不明为特征。样本：202名兽医专业人员和兽医学生的死亡记录。通过对国家暴力死亡报告系统记录的回顾性审查，确定因自杀或意图不明而死亡的兽医、兽医技术人员或技师、兽医助理或实验动物看护人员和兽医学生的死者。计算标准化死亡率（SMRs）和95%置信区间，并比较不同兽医职业组之间的死亡机制和情况。结果197名兽医专业人员和5名兽医学生自杀或自杀原因不明。在死亡时受雇的死者中，男性和女性兽医（分别为1.6和2.4）和男性和女性兽医技师或技师（分别为5.0和2.3）自杀的平均自杀率显著高于美国一般人口，而男性和女性兽医助理或实验动物看护人自杀的平均自杀率则不高。中毒是兽医最常见的死亡机制；最常用的药物是戊巴比妥。大多数（13/18）兽医死于戊巴比妥中毒，死亡相关伤害发生在家中。当戊巴比妥中毒的死者被排除在分析之外时，男性和女性兽医（但不包括兽医技术人员或技术人员）自杀的smr与一般人群的结果没有显着差异。结论和临床意义：结果表明兽医自杀的smr较高可能归因于戊巴比妥的使用。改善对戊巴比妥的管理控制可能是一种很有希望的兽医自杀预防策略；然而，兽医技术人员或技术人员可能需要不同的策略。
OBJECTIVETo analyze data for death of veterinary professionals and veterinary students, with manner of death characterized as suicide or undetermined intent from 2003 through 2014.SAMPLEDeath records for 202 veterinary professionals and veterinary students.PROCEDURESDecedents employed as veterinarians, veterinary technicians or technologists, or veterinary assistants or laboratory animal caretakers and veterinary students who died by suicide or of undetermined intent were identified through retrospective review of National Violent Death Reporting System records. Standardized mortality ratios (SMRs) and 95% confidence intervals were calculated, and mechanisms and circumstances of death were compared among veterinary occupational groups.RESULTS197 veterinary professionals and 5 veterinary students had deaths by suicide or of undetermined intent. Among decedents employed at the time of death, SMRs for suicide of male and female veterinarians (1.6 and 2.4, respectively) and male and female veterinary technicians or technologists (5.0 and 2.3, respectively) were significantly greater than those for the general US population, whereas SMRs for suicide of male and female veterinary assistants or laboratory animal caretakers were not. Poisoning was the most common mechanism of death among veterinarians; the drug most commonly used was pentobarbital. For most (13/18) veterinarians who died of pentobarbital poisoning, the death-related injury occurred at home. When decedents with pentobarbital poisoning were excluded from analyses, SMRs for suicide of male and female veterinarians, but not veterinary technicians or technologists, did not differ significantly from results for the general population.CONCLUSIONS AND CLINICAL RELEVANCEResults suggested higher SMRs for suicide among veterinarians might be attributable to pentobarbital access. Improving administrative controls for pentobarbital might be a promising suicide prevention strategy among veterinarians; however, different strategies are likely needed for veterinary technicians or technologists.