Mental Health, Spirituality, and Flourishing in New Medical Residents

Background/Objectives: Depression is common in young doctors. Religion/spirituality, vocation, and family might protect against it. The objective of this study was to evaluate mental health, spirituality, and flourishing (a multi-dimensional assessment of well-being) in new medical residents. We also evaluated the associations of baseline characteristics with flourishing. Methods: We conducted a cross-sectional survey in 743 new medical residents who responded to (1) a questionnaire addressing mental health, vocation, spirituality, family, and religion and (2) the "Secure Flourish Index", which assesses happiness/life satisfaction, physical/mental health, meaning/purpose, character/virtue, social relationships, and financial/material stability. Results: The mean age was 25.7 ± 4.0, and 526 (70.8%) were females, 157 (21.1%) had felt depressed, and 22 (3.0%) had suicidal ideation. The mean values for assessments of vocation and family were very high (>9.2), while religion and spirituality had intermediate values (5.2-6.5). Participants with depression or suicidal ideation had lower assessments in all four of the aforementioned domains, although differences were only significant for depression-religion (p = 0.03). The average "Secure Flourish Index" was 8.2 ± 0.9. There were lower levels of flourishing in males and in those with depression or suicidal ideation, with p-values < 0.001. Flourishing had a correlation with vocation and family (with r-values of 0.3-0.4) and with spirituality and religion (with r-values of 0.25-0.27), with p-values ≤ 0.001. Conclusions: Resident well-being is critical for physicians and healthcare quality. Spirituality and religion may serve as a protective resource, enhancing flourishing. Our study shows that new medical residents seem to have high value assessments for vocation and family importance and intermediate values for religion and spirituality. The mean flourishing scores were high, but were lower in males and in those with depression. Flourishing seems to be correlated with vocation, family, spirituality, and religion, but these associations need to be confirmed with validated screening tools.