非医生医院系统工作人员中自杀念头:流行率和工作场所相关
Chi C Chan1, Cara Faherty2, Nimra Rahman3
1Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; James J. Peters Department of Veterans Affairs Medical Center, New York, NY, United States of America; Office of Well-being and Resilience, Mount Sinai Health System, New York, NY, United States of America.
Journal of affective disorders
|July 19, 2024
概括
医疗保健工作者面临着相当大的自杀风险. 工作场所暴力,领导支持不足和抑郁症增加了非医生工作人员的自杀念头 (SI),突出了针对性干预的需要.
科学领域:
- 职业健康 职业健康 职业健康
- 心理健康研究 心理健康研究
- 公共卫生 公共卫生
背景情况:
- 医生自杀风险得到了充分证实,但非医生医疗保健工作人员也面临高风险.
- 这项研究调查了非医生医疗保健工作者多样化的群体中自杀念头 (SI) 患病率和职业风险因素.
- 了解这些因素对于开发有针对性的支持系统至关重要.
研究的目的:
- 确定非医生医疗保健工作人员中自杀念头 (SI) 的患病率.
- 为了确定与SI相关的特定工作场所和心理健康因素,在这个人群中.
- 为旨在减少医疗保健机构自杀风险的干预提供信息.
主要方法:
- 在一个大型城市医疗保健系统中,对30%的非医生医疗保健工作人员进行了匿名在线调查.
- 该调查于2022年9月至11月期间进行,收集了关于SI和潜在贡献因素的数据.
- 使用加权的多变量二元物流回归来分析职业因素和SI之间的关联.
主要成果:
- 该研究包括来自各种非医生角色的1084名受访者,其中8.8%在前两周报告SI.
- 经历患者/访客的身体暴力,感知到的领导支持较低,以及积极的抑郁查与增加SI的几率显著相关.
- 抑郁症成为工作场所压力因素和自杀念头之间的潜在调解因素.
结论:
- 工作场所暴力和领导力支持不足是与医疗保健工作者中SI相关的重要职业因素.
- 干预措施应侧重于减轻工作场所暴力,加强领导力支持,改善获得心理健康护理的机会.
- 解决这些因素可以帮助减少这个脆弱人群的自杀风险.
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