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Suicidal ideation among vascular surgery trainees.

Christina L Cui¹, Margaret A Reilly², Tara J Zielke³

¹Division of Vascular & Endovascular Surgery, Department of Surgery, Duke University, Durham, NC.

Journal of Vascular Surgery

|December 24, 2025

Summary

This summary is machine-generated.

Suicidal ideation (SI) is present in 2.3% of vascular surgery trainees, linked to negative learning environments. Interventions targeting harassment and program responsiveness may reduce SI and burnout.

Keywords:

Learning environment Suicidal ideation Trainee wellness

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Area of Science:

Medical Education
Surgical Training
Psychiatry

Background:

Suicidal ideation (SI) during surgical training is not well understood.
Personal and environmental factors may contribute to SI in trainees.
This study evaluates the incidence of SI among vascular surgery trainees.

Purpose of the Study:

To determine the incidence of suicidal ideation (SI) in vascular surgery trainees.
To identify demographic and environmental factors associated with SI in this population.

Main Methods:

A confidential, voluntary survey was administered to vascular surgery trainees post-VSITE (2020-2024) as part of the SECOND trial.
SI was assessed using a direct question about thoughts of self-harm in the past twelve months.
Descriptive statistics analyzed demographic and learning environment factors linked to suicidality.

Main Results:

Out of 3,272 respondents, 74 (2.3%) reported positive SI.
Trainees with positive SI were more likely to report negative learning factors like pressure to underreport hours, lack of belonging, sexual harassment, and perceived program unresponsiveness.
Demographic variables were comparable between those with and without positive SI in 2024.

Conclusions:

The study represents a comprehensive evaluation of SI among vascular surgery trainees.
Low rates of SI are associated with burnout.
Modifiable factors in the learning environment, including harassment and program responsiveness, present opportunities for intervention.