Skipper Gregory E, Williams Jerome B
Promises Treatment Center, Los Angeles, CA, USA.
J Vet Med Educ. 2012 Spring;39(1):79-82. doi: 10.3138/jvme.0311.034R.
A high suicide risk has been reported among veterinarians in comparison to the general population. Postulated causes have included depression, substance abuse, work-related stress, reluctance to admit psychiatric problems, and access to lethal drugs and/or familiarity with euthanasia. Members of the Student Chapter of the American Veterinary Medical Association (AVMA), all veterinarians licensed in Alabama, and all US veterinary-association executive directors were surveyed regarding their attitudes concerning mental health issues, including veterinarian suicide. Only 10% of veterinary student respondents (N=58) believed that suicide risk is higher among veterinarians than in the general population. Of the 22 state associations' executive directors who participated in the survey, 37% believed that suicide is a significant concern for veterinarians and only 44% indicated that a veterinary wellness program was available in their respective states. Of the 1,455 licensed veterinarians in Alabama, 701 responded to the survey; 11% of respondents believed that suicide among veterinarians was a problem. In addition, 66% of respondents indicated that they had been "clinically depressed," but 32% of those with depression had not sought treatment. More females (27%) than males (20%) admitted that they had "seriously considered suicide" (p<.01). Female veterinarians were more likely than male veterinarians (15% versus 7%) to indicate that they were "not sure they'd made the right career choice" (p<.001), and 4% of all respondents indicated "definitely not being happy with their career." It is of concern that veterinarians not only have a higher risk of suicide but that they also have fewer support structures. The wide discrepancies between the published risk of suicide for veterinarians and their own views of their risk suggests an inadequate awareness of their own mental health vulnerability which could put them at higher risk.
据报道,与普通人群相比,兽医的自杀风险较高。推测的原因包括抑郁症、药物滥用、工作相关压力、不愿承认精神问题以及能够获取致命药物和/或熟悉安乐死。对美国兽医医学协会(AVMA)学生分会成员、所有在阿拉巴马州获得执照的兽医以及所有美国兽医协会执行董事进行了调查,询问他们对心理健康问题的态度,包括兽医自杀问题。在参与调查的兽医专业学生中(N = 58),只有10%的人认为兽医的自杀风险高于普通人群。在参与调查的22个州协会的执行董事中,37%的人认为自杀是兽医面临的一个重大问题,只有44%的人表示他们所在的州有兽医健康计划。在阿拉巴马州的1455名持牌兽医中,有701人回复了调查;11%的受访者认为兽医自杀是个问题。此外,66%的受访者表示他们曾“临床抑郁”,但其中32%的抑郁症患者未寻求治疗。承认“认真考虑过自杀”的女性(27%)多于男性(20%)(p<0.01)。女性兽医比男性兽医更有可能表示“不确定自己是否做出了正确的职业选择”(分别为15%和7%,p<0.001),所有受访者中有4%表示对自己的职业“绝对不满意”。令人担忧的是,兽医不仅自杀风险更高,而且他们的支持体系也更少。已公布的兽医自杀风险与他们自己对自身风险的看法之间存在巨大差异,这表明他们对自身心理健康脆弱性的认识不足,这可能使他们面临更高的风险。