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Updated: Jun 8, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
National Incidence of Nurse Suicide and Associated Features
Judy E Davidson1, Hirsh Makhija, Kelly C Lee
1Author Affiliations: Nurse Scientist (Dr Davidson), Department of Psychiatry, University of California, San Diego School of Medicine, La Jolla; Nurse Scientist (Dr Davidson), Department of Nursing, University of California, San Diego School of Medicine; Postgraduate Researcher (Makhija), Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego Health, La Jolla; Professor and Associate Dean (Dr Lee), Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla; Clinical Nurse Specialist (Dr Barnes), Department of Nursing, Barnes Jewish Hospital, St Louis, Missouri; Clinical Nurse (Richardson), Division of Nursing, University of California, San Diego; Dean (Dr Choflet), School of Nursing, Northeastern University, Boston, Massachusetts; Undergraduate Researcher (Ali), College of Sciences, San Diego State University, California; and Professor (Dr Zisook), Department of Psychiatry, University of California, San Diego School of Medicine, La Jolla.
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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