National Incidence of Nurse Suicide and Associated Features.

IF 1.8 4区 医学 Q2 NURSING Journal of Nursing Administration Pub Date : 2024-11-05 DOI:10.1097/NNA.0000000000001508
Judy E Davidson, Hirsh Makhija, Kelly C Lee, Arianna Barnes, Marcus Groner Richardson, Amanda Choflet, Tatyana Ali, Sidney Zisook
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Abstract

Objectives: The aim of this study was to estimate the national incidence of nurse suicide.

Background: Nurses are at a higher risk of suicide than nonnurses; however, data have been limited since 2018.

Methods: This study used a retrospective cohort design using 2017-2021 National Violent Death Reporting System suicides.

Results: Female nurses had higher suicide rates than female nonnurses in 2018 (incidence rate ratio, 1.21 [95% confidence interval (CI), 1.05-1.39]), 2019 (1.41 [95% CI, 1.23-1.60]), 2020 (1.26 [95% CI, 1.08-1.45]), and 2021 (1.35 [95% CI, 1.17-1.55]), whereas male nurses were comparable with male nonnurses. Nurses had higher odds of mental health problems (adjusted odds ratio, 1.28 [95% CI, 1.13-1.46], P < .001), job problems (1.60 [95% CI, 1.33-1.92], P < .001), and use of poisoning (1.54 [95% CI, 1.37-1.74], P < .001). Nurses had higher odds of using opioids, cardiovascular/diabetic agents, and drugs not prescribed for home use.

Conclusion: Female nurses are at a higher risk of suicide than other females. Multimodal nurse suicide prevention strategies remain indicated.

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全国护士自杀率及相关特征。
研究目的本研究旨在估算全国护士自杀的发生率。背景:护士比非护士有更高的自杀风险;但自 2018 年以来数据有限:与非护士相比,护士自杀的风险更高;然而,自2018年以来,相关数据一直很有限:本研究采用回顾性队列设计,使用了2017-2021年全国暴力死亡报告系统自杀者的数据:2018年(发病率比为1.21[95%置信区间(CI),1.05-1.39])、2019年(1.41[95% CI,1.23-1.60])、2020年(1.26[95% CI,1.08-1.45])和2021年(1.35[95% CI,1.17-1.55]),女性护士的自杀率高于女性非护士,而男性护士与男性非护士相当。护士出现心理健康问题(调整后的几率比为 1.28 [95% CI, 1.13-1.46],P < .001)、工作问题(1.60 [95% CI, 1.33-1.92],P < .001)和中毒(1.54 [95% CI, 1.37-1.74],P < .001)的几率更高。护士使用阿片类药物、心血管/糖尿病药物和非家庭处方药物的几率更高:结论:与其他女性相比,女护士的自杀风险更高。多模式护士自杀预防策略仍然适用。
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来源期刊
CiteScore
2.90
自引率
10.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: ​JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.
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