对医生和实习生寻求自杀倾向帮助的障碍和促进者的定性分析
An Yi Annie Yu1, Erene Stergiopoulos2, Javeed Sukhera2
1Department of Psychiatry (Yu, Stergiopoulos, Goldbloom, Smith, Zaheer) and Institute of Health Policy, Management and Evaluation (Stergiopoulos, Martimianakis), University of Toronto, Toronto, Ont.; Department of Psychiatry (Sukhera), Hartford Hospital, Hartford, Conn. annieanyi.yu@mail.utoronto.ca.
概括
医生自杀是很常见的,但寻求帮助受到医学文化和耻辱的阻碍. 角色建模和系统变化对于医生预防自杀至关重要.
科学领域:
- 医学教育 医学教育
- 医生心理健康 医生心理健康
- 自杀学 自杀学
背景情况:
- 医生自杀念头很普遍,COVID-19大流行加剧了这种情况.
- 由于各种障碍,许多医生和实习生犹不决寻求心理健康支持.
- 了解这些障碍对于开发有效干预措施至关重要.
研究的目的:
- 检查影响医生和实习生寻求帮助自杀倾向的因素.
- 分析关于自杀倾向及其影响的叙事描述.
- 识别心理健康支持的促进者和障碍者.
主要方法:
- 对52篇已发表的医生和实习生关于自杀倾向的叙述进行了定性分析.
- 在MEDLINE和PsycInfo (2000-2023) 的系统文献搜索和参考列表审查.
- 进行反思性的专题分析以确定关键主题.
主要成果:
- 常见的主题包括压力,应对机制,痛苦和改变的自我认知.
- 障碍:医学文化重视坚忍,疾病严重程度,耻辱,许可恐惧,负担他人,以及有限的护理机会.
- 促进者:保密服务,心理健康素养和寻求帮助的角色建模.
结论:
- 医学中的高成就压力阻碍了承认困境和寻求帮助.
- 角色建模可以减少耻辱感,并鼓励医生寻求支持.
- 针对性预防自杀和医生福祉需要进行系统性改变.
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