Characteristics of mental disorders among physicians in 31 compensated cases in Japan

Mental disorders occur frequently in physicians owing to overwork and poor psychosocial work environment. This study aimed to investigate the circumstances, characteristics, and background factors affecting mental disorders in physicians. Basic data such as sex, age at onset, alive or dead, occupation, name of disease, industrial accident recognition factors, load factors other than working hours, and overtime hours (for 31 cases of mental disorders and suicides for 11 yr from 2010-2020) were obtained from the Japan Research Center for Overwork-Related Disorders database. The results showed 13 cases of suicide (41.9%) and 21 cases of mood disorders (67.7%). As for the factors recognized as industrial accidents, "extreme long working hours" related to overwork accounted for 6 cases (20.7%), and "quantity and quality of work" accounted for 27 cases (93.1%). Furthermore, clinical residents comprised 14 cases (45.2%) of the 31 mental disorder cases and 7 cases (53.8%) of the 13 suicide cases. Therefore, measures to prevent overwork and suicide in clinical residents are urgently needed in the context of mental disorder in physicians.