一个人太多了:一般外科住院医生的自杀倾向
Brian J Nasca1, Maya L Hunt2, Ray T Ramirez2,3
1Department of Surgery, Albany Medical College, Albany, NY, United States.
概括
自杀是普通外科住院医生死亡的主要原因. 单身,LGBTQ+身份,违反工作时间和虐待等因素与增加的自杀倾向有关.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 心理健康 心理健康
背景情况:
- 自杀是2015-2021年居民死亡的主要原因.
- 一般外科住院提供独特的压力因素.
- 了解导致居民自杀倾向的因素至关重要.
研究的目的:
- 调查一般外科住院医生中自杀倾向的流行情况.
- 确定与居民自杀倾向相关的个别因素.
- 确定与居民自杀倾向相关的项目级因素.
主要方法:
- 一个自愿的,横截面调查分发给美国的整体外科住院医生.
- 收集的数据包括人口统计,学习环境的感知,虐待和过去一年的自杀倾向.
- 分析了个人和程序特征与自杀倾向之间的关联.
主要成果:
- 4.4%的受访居民报告说,在过去的一年里,他们有过自杀的想法.
- 单身 (OR 1.45) 和认定为LGBTQ+ (OR 1.67) 与更高的自杀率有关.
- 经常违反工作时间 (OR 1.47),以责备为中心的学习环境 (OR 1.57),工作中缺乏意义 (OR 1.63),性骚扰 (OR 2.18) 和欺凌 (OR 2.42) 是显著的风险因素.
结论:
- 个人因素 (例如,婚姻状况,LGBTQ+身份) 和可修改的程序级因素 (例如,值班时间,学习文化,虐待) 与一般外科住院人员的自杀倾向有关.
- 针对计划级改进的干预措施可能会减少居民的自杀倾向.
- 在外科教育中解决系统性问题对于居民福祉至关重要.
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