医生自杀的国家发病率和相关特征
Hirsh Makhija1, Judy E Davidson1,2, Kelly C Lee3
1Department of Psychiatry, University of California San Diego School of Medicine, La Jolla.
JAMA psychiatry
|February 26, 2025
概括
与女性非医生相比,女性医生的自杀率更高,而男性医生的自杀率更低. 这凸显了医疗界需要有针对性的自杀预防策略.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 以前对美国医生与非医生的自杀率进行的研究得出了不确定的结果.
- 了解医生自杀发生率和促成因素对于有针对性的干预至关重要.
研究的目的:
- 为了估计全国男性和女性医生中自杀的发生率.
- 分析与医生自杀相关的因素.
- 为了比较医生自杀的发现与一般人群.
主要方法:
- 追溯队列研究分析了美国30个州的2017-2021年自杀数据.
- 利用国家暴力死亡报告系统数据,用于医生和普通人群 (25岁以上).
- 针对各种因素计算的自杀发生率比率 (IRR) 和调整的几率比率 (aOR).
主要成果:
- 女性医生的自杀率高于女性非医生 (总体IRR: 1.53).
- 男性医生比男性非医生有较低的自杀风险 (总体IRR:0.84).
- 医生们显示,精神健康,工作和法律问题的可能性增加,特定的自杀方法和物质使用率更高.
结论:
- 与非医生同行相比,美国女性医生面临的自杀率更高.
- 对于医生来说,全面的,多模式的自杀预防策略是必不可少的.
- 调查结果强调了医疗界需要量身定制的支持系统.
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