Associations Between Privacy-Related Constructs and Depression and Suicide Risk in Health Care Professionals, Trainees, and Students.
Associations Between Privacy-Related Constructs and Depression and Suicide Risk in Health Care Professionals, Trainees, and Students.
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医疗保健专业人员、实习生和学生的隐私相关结构与抑郁和自杀风险之间的关联。
DOI：
10.1097/acm.0000000000004513
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Bloss,CinnamonS
中科院分区：
文献类型：
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作者：
Rubanovich,CarynKseniya;Zisook,Sidney;Bloss,CinnamonS
目的加州大学圣地亚哥分校对医疗保健专业人员、实习生和学生进行抑郁和自杀风险筛查。个人完成自愿、匿名的在线筛选工具，并选择是否提供个人人口统计信息。本研究评估了隐私相关结构与自评抑郁症和自杀风险之间的关系。MethodThe作者分析了2018年1月至2019年12月收集的筛选工具的反应。收集了抑郁、自杀意念和行为以及对寻求心理健康服务的耻辱感的担忧（即与隐私相关的担忧）。人口统计学项目无应答的数量（即年龄、性别、种族/人种、专业职位）可操作为隐私相关行为。线性和logistic回归模型被用来确定隐私相关的结构（关注和行为）和抑郁症和自杀measurements.ResultsA共1,224名受访者之间的关联。平均而言，受访者报告轻度抑郁（平均值= 9.12，标准差= 5.94），但43%（524/1，224）报告至少中度抑郁。五分之一的受访者（248/1，224）表示担心寻求心理健康服务的耻辱，超过17%（212/1，224）跳过至少一个人口统计学问题。与隐私相关的担忧与近期抑郁、自杀意念和行为在统计学上显著正相关（优势比[OR]= 3.13-7.02; 95%可信区间[CI]，2.23-19.20; P <0.05）。001)终生自杀未遂（OR= 1.76，95%CI，1.08-2.86，P=. 02）。隐私相关行为与自杀行为呈正相关（OR= 2.23; 95%CI，1.24-4.02; P=.结论隐私相关结构可能是心理健康的有意义的相关因素，因为赞同这些结构的受访者更严重的抑郁症和自杀意念和行为的几率增加。考虑隐私相关的结构可能是有用的识别医疗保健专业人员，学员和学生经历的痛苦和迫切需要的心理健康资源。
PurposeThe University of California, San Diego screens health care professionals, trainees, and students for depression and suicide risk. Individuals complete a voluntary, anonymous online screening tool and choose whether to provide personal demographic information. This study assessed the relationship between privacy-related constructs and self-rated depression and suicide risk.MethodThe authors analyzed responses to the screening tool collected from January 2018 to December 2019. Measures of depression, suicidal ideation and behaviors, and worry about stigma for seeking mental health services (ie, privacy-related concern) were gathered. The number of demographic item nonresponses (ie, age, gender, ethnicity/race, professional position) was operationalized as privacy-related behavior. Linear and logistic regression models were used to determine associations between privacy-related constructs (concern and behavior) and depression and suicide measures.ResultsA total of 1,224 respondents were included. On average, respondents reported mild depression (mean= 9.12, standard deviation= 5.94), but 43%(524/1,224) reported at least moderate depression. One in 5 respondents (248/1,224) reported worry about stigma for seeking mental health services, and more than 17%(212/1,224) skipped at least 1 demographic question. Privacy-related concern was statistically significantly and positively associated with recent depression and suicidal ideation and behaviors (odds ratios [ORs]= 3.13–7.02; 95% confidence interval [CI], 2.23–19.20; P’s<. 001) and with lifetime suicide attempts (OR= 1.76; 95% CI, 1.08–2.86; P=. 02). Privacy-related behavior was statistically significantly and positively associated with suicide action (OR= 2.23; 95% CI, 1.24–4.02; P=. 008).ConclusionsPrivacy-related constructs may be meaningful correlates of mental health as respondents who endorsed these constructs had increased odds of worse depression and suicidal ideation and behaviors. Considering privacy-related constructs may be useful for identifying health care professionals, trainees, and students experiencing distress and in need of imminent mental health resources.