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Depression and suicidality among psychiatric residents - results from a multi-country study
N. Jovanović, J. Beezhold, M. Tateno, E. Barrett, I. Vlachos, A. Fiorillo, C. Hanon, O. Kazakova, A. Nawka, P. Wuyts, V. Wong, S. Papp, J. Rujević, G. Racetovic, A. Mihai, JG. Marques, A. Malik, U. Weiss, T. Rolko, M. Rusaka, NP. Clausen, E....
Language English Country Netherlands
Document type Journal Article
- MeSH
- Depression epidemiology psychology MeSH
- Adult MeSH
- Mental Disorders epidemiology psychology MeSH
- Mental Health statistics & numerical data MeSH
- Middle Aged MeSH
- Humans MeSH
- Suicide, Attempted psychology MeSH
- Cross-Sectional Studies MeSH
- Risk Factors MeSH
- Suicide psychology MeSH
- Suicidal Ideation MeSH
- Mental Health Services organization & administration MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
BACKGROUND: Previous studies have highlighted risks for depression and suicide in medical cohorts, but evidence regarding psychiatric residents is missing. This study aimed to determine rates of depression, suicide ideation and suicide attempt among psychiatric residents and to identify associated individual, educational and work-related risk factors. METHODS: A total of 1980 residents from 22 countries completed the online survey which collected data on depression (PHQ-9), suicidality (SIBQ), socio-demographic profiles, training, and education. Generalized linear modeling and logistic regression analysis were used to predict depression and suicide ideation, respectively. RESULTS: The vast majority of residents did not report depression, suicide ideation or attempting suicide during psychiatric training. Approximately 15% (n = 280) of residents met criteria for depression, 12.3% (n = 225) reported active suicide ideation, and 0.7% (n = 12) attempted suicide during the training. Long working hours and no clinical supervision were associated with depression, while more completed years of training and lack of other postgraduate education (e.g. PhD or psychotherapy training) were associated with increased risk for suicide ideation during psychiatric training. Being single and female was associated with worse mental health during training. LIMITATIONS: Due to the cross-sectional nature of the study, results should be confirmed by longitudinal studies. Response rate was variable but the outcome variables did not statistically significantly differ between countries with response rates of more or less than 50%. CONCLUSION: Depression rates among psychiatric residents in this study were lower than previously reported data, while suicide ideation rates were similar to previous reports. Poor working and training conditions were associated with worse outcomes. Training programmes should include effective help for residents experiencing mental health problems so that they could progress through their career to the benefit of their patients and wider society.
Department for Affective Disorders Aarhus University Hospital Denmark
Department of child psychiatry University Children's Hospital Bohoričeva 20 1525 Ljubljana Slovenia
Department of Psychiatry and Psychoterapy Semmelweis University Budapest Hungary
Department of Psychiatry University of Campania Luigi Vanvitelli Naples Italy
Department of Psychiatry University of Medicine and Pharmacy of Tîrgu Mureş Tîrgu Mureş Romania
Department of Psychology University of Ljubljana Aškerčeva 2 SI 1000 Ljubljana Slovenia
Heiligenfeld Klinik Waldmünchen Krankenhausstrasse 3 93449 Waldmünchen Germany
Hellesdon Hospital and Norwich Medical School University of East Anglia Norwich UK
Private practice 122A New Henry House 10 Ice House Street Central Hong Kong
Private Practice 140 Avenue Victor Hugo 75116 Paris France
Psychiatric Clinic of Minsk City Minsk Belarus
Psychiatric Clinic Tartu University Hospital Tartu Estonia
Riga Stradins University Riga Latvia
Siberian State Medical University Moskovsky tract 2 Tomsk 634050 Russia
References provided by Crossref.org
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- $a Jovanović, Nikolina $u Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Blizard Institute, Queen Mary University of London, NCfMH, Glen Road, London E13 8SP, UK. Electronic address: n.jovanovic@qmul.ac.uk.
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