美国医疗保健工作者的自杀风险
Mark Olfson1,2, Candace M Cosgrove3, Melanie M Wall1
1Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University and the New York State Psychiatric Institute, New York.
JAMA
|September 26, 2023
概括
美国注册护士,医疗技术人员和医疗保健支持人员的自杀风险较高. 这项研究强调了对这些医疗保健专业人员的新精神健康倡议的需要.
科学领域:
- 公共卫生
- 流行病学
- 职业健康问题
背景情况:
- 历史上,医生有较高的自杀风险, 但对其他医疗保健工作者的数据很少.
- 了解不同卫生保健角色的自杀风险对于有针对性的干预至关重要.
研究的目的:
- 估计美国各类医护人员自杀的风险.
- 将医疗保健工作者与非医疗保健工作者的自杀风险进行比较.
主要方法:
- 一项队列研究利用了2008年美国社区调查的全国代表样本.
- 数据与截至2019年12月31日的国家死亡指数记录相关联.
- 考克斯模型用于估计自杀风险比率, 调整人口和社会经济因素.
主要成果:
- 与非医疗保健工作者相比,注册护士,卫生技术人员和医疗保健支持人员的自杀风险增加.
- 医生,社会/行为健康工作者和其他诊断/治疗从业者没有显著增加自杀风险.
- 具体调整后的危险比率 (aHR) 表示风险增加:医疗保健辅助工作者 (aHR,1.81),注册护士 (aHR,1.64) 和卫生技术人员 (aHR,1.39).
结论:
- 在美国,注册护士,医疗技术人员和医疗保健支持工作者面临更高的自杀风险.
- 为了保护这些医疗保健专业人员的心理健康, 必须紧急制定和实施新的计划.
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