Sterud Tom, Hem Erlend, Lau Bjørn, Ekeberg Oivind
Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway.
J Occup Health. 2008;50(5):406-14. doi: 10.1539/joh.l8025. Epub 2008 Jul 25.
This is the first paper on suicidal ideation and attempts among ambulance personnel. This study aimed to investigate levels of suicidal ideation and suicide attempts among ambulance personnel, and to identify important correlates and the factors to which ambulance personnel attribute their serious suicidal ideation. A comprehensive nationwide questionnaire survey of 1,180 operational ambulance personnel was conducted. Measurements included: Paykel's Suicidal Feelings in the General Population questionnaire, the Hospital Anxiety and Depression scale, the Subjective Health Complaints Questionnaire, the Maslach Burnout Inventory, the Job Satisfaction Scale, the Basic Character Inventory, and the Rosenberg Self-Esteem Scale. Lifetime prevalence ranged from 28% for feelings that life was not worth living to 10.4% for seriously considered suicide and 3.1% for a suicide attempt. Serious suicidal ideation was independently associated with job-related emotional exhaustion (feelings of being overextended and depleted of resources) (OR 1.5, 95% CI 1.1-2.0) and bullying at work (OR 1.7, 95% CI 1.02-2.7), younger age, not married/cohabitant, depression symptoms, low self-esteem and the personality trait reality weakness. In general, suicidal thoughts were hardly attributable to working conditions, since only 1.8% of ambulance personnel attributed suicidal ideation to work problems alone. In conclusion, ambulance personnel reported a moderate level of suicidal ideation and suicide attempts. Although serious suicidal ideation was rarely attributed to working conditions in general, this study suggests that job-related factors like emotional exhaustion and bullying may be of importance.
这是首篇关于救护人员自杀意念及自杀未遂情况的论文。本研究旨在调查救护人员的自杀意念水平及自杀未遂情况，并确定重要的相关因素以及救护人员将其严重自杀意念归因于哪些因素。对1180名在职救护人员开展了一项全面的全国性问卷调查。测量内容包括：一般人群中佩凯尔自杀感受问卷、医院焦虑抑郁量表、主观健康投诉问卷、马氏职业倦怠量表、工作满意度量表、基本性格量表以及罗森伯格自尊量表。终生患病率从认为生活不值得继续的28%到认真考虑自杀的10.4%以及自杀未遂的3.1%不等。严重自杀意念与工作相关的情绪耗竭（感觉过度劳累且资源枯竭）（比值比1.5，95%置信区间1.1 - 2.0）和工作场所欺凌行为（比值比1.7，95%置信区间1.02 - 2.7）、较年轻、未婚/非同居、抑郁症状、低自尊以及性格特质现实软弱独立相关。总体而言，自杀想法几乎不能归因于工作条件，因为只有1.8%的救护人员将自杀意念仅归因于工作问题。总之，救护人员报告的自杀意念及自杀未遂水平处于中等程度。虽然一般来说严重自杀意念很少归因于工作条件，但本研究表明，诸如情绪耗竭和欺凌等与工作相关的因素可能很重要。
