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Suicide in anaesthetists: a systematic review.
E Plunkett1, A Costello2, S M Yentis3,4
1Department of Anaesthesia, University Hospitals Birmingham, Birmingham, UK.
Anaesthesia
|June 1, 2021
Summary
Anaesthetists face a higher risk of suicide and suicidal behavior. This systematic review of recent studies confirms this elevated risk, noting the use of anesthetic drugs like propofol in suicides.
Area of Science:
- Medical research
- Epidemiology
- Occupational health
Background:
- Healthcare professionals, particularly anaesthetists, are recognized to have an increased risk of suicide.
- Existing data on this risk is largely historical.
- A contemporary summary of suicide and suicidal behavior among anaesthetists is needed.
Purpose of the Study:
- To conduct a systematic review of contemporary evidence on suicide and suicidal behavior among anaesthetists.
- To focus on the epidemiology and methods used in anaesthetist suicides.
- To provide an updated summary of the risks and contributing factors.
Main Methods:
- Systematic review of 54 articles published from 1990 onwards with anaesthetist-specific data.
- Adapted review process from a similar study on veterinary surgeons.
- Inclusion criteria focused on epidemiological data and suicidal behavior.
Main Results:
- Recent studies (published after 2000) indicate a continued increased proportion of anaesthetists dying by suicide compared to control groups.
- Suicidal ideation was reported in 3.2-25% and suicide attempts in 0.5-2% of anaesthetists.
- Anaesthetic drugs, notably propofol, were identified as common methods in suicides, suggesting access to means as a factor.
Conclusions:
- The elevated risk of suicide among anaesthetists persists, consistent with historical data.
- The availability of anaesthetic drugs may contribute to the increased suicide risk in this profession.
- Findings highlight the importance of addressing mental health and access to means for anaesthetists.
