Eneroth Mari, Gustafsson Sendén Marie, Løvseth Lise T, Schenck-Gustafsson Karin, Fridner Ann
Department of Psychology, Stockholm University, Stockholm, Sweden.
BMC Public Health. 2014 Mar 22;14:271. doi: 10.1186/1471-2458-14-271.
Physicians have an elevated risk of experiencing suicidal thoughts, which might be due to work-related factors. However, the hierarchical work positions as well as work-related health differ among resident and specialist physicians. As such, the correlates of suicide ideation may also vary between these two groups.
In the present study, work- and health-related factors and their association with suicidal thoughts among residents (n=234) and specialists (n=813) working at a university hospital were examined using cross-sectional data.
Logistic regression analysis showed that having supportive meetings was associated with a lower level of suicide ideation among specialists (OR=0.68, 95% CI: 0.50-0.94), while an empowering leadership was related to a lower level of suicide ideation among residents (OR=0.55, 95% CI: 0.32-0.94). Having been harassed at work was associated with suicidal ideation among specialists (OR=2.26, 95% CI: 1.31-3.91). In addition, sickness presenteeism and work disengagement were associated with suicide ideation in both groups of physicians.
These findings suggest that different workplace interventions are needed to prevent suicide ideation in residents and specialists.
医生出现自杀念头的风险较高，这可能与工作相关因素有关。然而，住院医师和专科医师的层级工作职位以及与工作相关的健康状况有所不同。因此，这两组人群中自杀意念的相关因素可能也存在差异。
在本研究中，利用横断面数据对一所大学医院的住院医师（n = 234）和专科医师（n = 813）中与工作和健康相关的因素及其与自杀念头的关联进行了研究。
逻辑回归分析显示，有支持性会议与专科医师较低水平的自杀意念相关（比值比=0.68，95%置信区间：0.50 - 0.94），而赋能型领导与住院医师较低水平的自杀意念相关（比值比=0.55，95%置信区间：0.32 - 0.94）。在工作中受到骚扰与专科医师的自杀意念相关（比值比=2.26，95%置信区间：1.31 - 3.91）。此外，两组医生的带病出勤和工作倦怠均与自杀意念相关。
这些发现表明，需要采取不同的职场干预措施来预防住院医师和专科医师的自杀意念。
