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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
PubMed
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 environmentSuicidal ideationTrainee 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.