Brazilian Physicians Mental Health: A Cross-Sectional Nationwide Study exploring factors associated with prevalence of suicide planning and attempts.

IF 3.6 3区医学 Q1 PSYCHIATRY Revista Brasileira de Psiquiatria Pub Date : 2024-02-16 DOI:10.47626/1516-4446-2023-3393

Leonardo Servio Luz, Alex Jones Flores Cassenote, Emanuelle Pessa Valente, Ilaria Mariani, Marzia Lazzerini, Carlos Vital Tavares Corrêa Lima, Donizetti Dimer Giamberardino, Edmilson de Freitas Marques, Hermann Alexandre Vivacqua von Tiesenhausen, Hideraldo Luis Souza Cabeça, Lia Cruz Vaz da Costa Damásio, Milton Aparecido de Souza, 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

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Abstract

Objectives: To report suicide planning and attempts' in a lifetime among Brazilian physicians and to explore associated risk factors.

Methods: A nation-wide, online survey based on the Tool for the Assessment of Suicide Risk and Satisfaction with Life Scale was conducted among Brazilian physicians (January 2018 - January 2019). Multivariate explored associations of demographics, psychological, and work-related factors on suicide planning and attempts reports.

Results: Among 4,148 respondents, 1,946 (53.5%) were male, 2,527 (60.9%) were 30-60 years old, 2,675 (64.5%) had 2-4 work-contracts and 1,725 (41.6%) reported a weekly workload of 40-60 hours. Overall prevalence of suicide plans was 8.8% (n=364) and suicide attempts were reported by 3.2% (n=133) of respondents. Daily (AdjOR=7.857;95%CI 2.282-27.051, p=0.002) or weekly emotional exhaustion (AdjOR=7.953; 95%CI 2.403-26.324, p=0.001), daily frustration with work (AdjOR=3.093;95%CI 1.711-5.588, p<0.001), and being bisexual (AdjOR=5.083;95%CI 2.544-10.158, p<0.001) were significantly associated with higher odds of reports. Among extremely dissatisfied professionals 38.3% reported having made suicide planning and attempts, while among extremely satisfied only 2.8% reported it (p<0.001).

Conclusions: Brazilian physicians with a lifetime history of suicide planning and attempts presented a higher association with emotional exhaustion and frustration with work. Urgent actions are needed to promote professional protection policies and resilience.

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巴西医生的心理健康：一项探索与自杀计划和自杀未遂发生率相关因素的全国性横断面研究。

目的报告巴西医生一生中的自杀计划和自杀未遂情况，并探讨相关风险因素：根据自杀风险评估工具和生活满意度量表对巴西医生进行了一次全国范围的在线调查（2018 年 1 月至 2019 年 1 月）。多变量探讨了人口统计学、心理和工作相关因素与自杀计划和自杀未遂报告之间的关联：在4148名受访者中，1946人（53.5%）为男性，2527人（60.9%）为30-60岁，2675人（64.5%）有2-4份工作合同，1725人（41.6%）报告每周工作量为40-60小时。自杀计划的总体发生率为 8.8%（人数=364），3.2%（人数=133）的受访者报告有自杀企图。每日（AdjOR=7.857;95%CI 2.282-27.051，p=0.002）或每周情绪衰竭（AdjOR=7.953;95%CI 2.403-26.324，p=0.001）、每日工作挫折感（AdjOR=3.093;95%CI 1.711-5.588，p结论：终生有自杀计划和企图的巴西医生与情绪衰竭和工作挫败感的关联度较高。需要采取紧急行动，促进职业保护政策和复原力。

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来源期刊

Revista Brasileira de Psiquiatria 医学-精神病学

CiteScore

6.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.