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Risk Factors for Suicide Attempts and Psychiatric Hospitalization Among Brazilian Health Care Professionals
Rodolfo Furlan Damiano1,2,3,4, Marianna de Abreu5, Carolina Blaya Dreher5
1Departamento e Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo HCFMUSP, São Paulo, SP, Brazil.
The Journal of Clinical Psychiatry
|January 7, 2026
Summary
Health care workers experiencing daily suicidal ideation and severe sleep disturbances face significantly higher suicide attempt risks. Interventions should address both mental health and sleep issues concurrently for this population.
Area of Science:
- Occupational Health
- Mental Health Research
- Epidemiology
Background:
- Healthcare professionals exhibit increased suicide risk, with limited longitudinal data during occupational crises.
- This study examines factors linked to suicide attempts and psychiatric hospitalizations in healthcare workers during the COVID-19 pandemic.
Purpose of the Study:
- To investigate predictors of suicide attempts and psychiatric hospitalizations among Brazilian healthcare professionals.
- To identify synergistic effects between mental health symptoms and sleep disturbances on suicide risk.
Main Methods:
- A prospective cohort study of 3,087 Brazilian healthcare professionals was conducted.
- Baseline predictors included demographics, suicidal ideation, depression, anxiety, sleep quality, life satisfaction, and burnout.
- Cox models and inverse probability weighting were used to analyze outcomes at 4, 12, and 24 weeks.
Main Results:
- Nearly daily suicidal ideation (HR=39.58), severe sleep disturbances (HR=17.39), and male sex (HR=2.08) independently predicted suicide attempts.
- The combination of suicidal ideation and sleep problems synergistically increased suicide risk, accounting for 40% of the combined risk.
- Nearly daily suicidal ideation was the primary predictor for psychiatric hospitalizations (HR=8.11).
Conclusions:
- Daily suicidal ideation and severe sleep disturbances act synergistically to heighten suicide risk in healthcare professionals.
- Comprehensive assessments and interventions targeting both suicidal ideation and sleep disturbances are recommended.
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