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
{"title":"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。","authors":"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","doi":"10.47626/1516-4446-2023-3393","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To report suicide planning and attempts' in a lifetime among Brazilian physicians and to explore associated risk factors.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":21244,"journal":{"name":"Revista Brasileira de Psiquiatria","volume":null,"pages":null},"PeriodicalIF":3.6000,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427992/pdf/","citationCount":"0","resultStr":"{\"title\":\"Brazilian Physicians Mental Health: A Cross-Sectional Nationwide Study exploring factors associated with prevalence of suicide planning and attempts.\",\"authors\":\"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\",\"doi\":\"10.47626/1516-4446-2023-3393\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To report suicide planning and attempts' in a lifetime among Brazilian physicians and to explore associated risk factors.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":21244,\"journal\":{\"name\":\"Revista Brasileira de Psiquiatria\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2024-02-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427992/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Brasileira de Psiquiatria\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.47626/1516-4446-2023-3393\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira de Psiquiatria","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.47626/1516-4446-2023-3393","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Brazilian Physicians Mental Health: A Cross-Sectional Nationwide Study exploring factors associated with prevalence of suicide planning and attempts.
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.
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.