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墨西哥精神科医生自杀意念相关的职业逆境和保护因素。

Professional Adversities and Protective Factors Associated with Suicidal Ideation in Mexican Psychiatrists.

机构信息

Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Ciudad de México, Mexico.

Consejo Nacional de Ciencia y Tecnología, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Ciudad de México, Mexico.

出版信息

Arch Med Res. 2019 Nov;50(8):484-489. doi: 10.1016/j.arcmed.2019.11.010. Epub 2020 Feb 1.

Abstract

BACKGROUND

Psychiatrists may be at an increased risk of suicide, since they encounter stressful factors in their everyday activities in addition to the sociodemographic factors for suicidal ideation reported for Mexican population.

AIM OF THE STUDY

To determine whether experiences inherent to the profession were related to the self-report of suicidal ideation among Mexican psychiatrists or could be attributed to factors previously reported in the general population (age, marital status, presence of a mental disorder and not having received specialized treatment).

METHODS

This was a cross-sectional retrospective study with 288 psychiatrists from Mexico who participated through an online survey where current working activities, self-reported mental health conditions (major depression, anxiety, burnout and suicidal ideation) and professional adversities (assaults, lawsuits, patients with suicidal ideation or who had committed suicide, perceived discrimination and social support) throughout the professional lifespan were evaluated.

RESULTS

Twenty-two psychiatrists (7.6%) reported having had suicidal ideation at some point in their training in psychiatry or their professional lives as psychiatrists. Depression and burnout were the most important predictors for suicidal ideation while greater satisfaction with social support was the most important protector, followed by being married/living together and having other physicians in the family.

CONCLUSIONS

Psychiatrist represent a risk population for suicidal ideation. As such, detection and attention are essential. Psychiatrists need to be encouraged to pursue healthy, lasting interpersonal relationships and seek professional help when required.

摘要

背景

精神科医生可能面临更高的自杀风险,因为他们在日常活动中会遇到压力因素,除了墨西哥人群中报告的自杀意念的社会人口因素外。

研究目的

确定职业固有的经历是否与墨西哥精神科医生的自杀意念自我报告有关,或者是否可以归因于一般人群中先前报告的因素(年龄、婚姻状况、是否存在精神障碍以及是否未接受专业治疗)。

方法

这是一项横断面回顾性研究,涉及 288 名来自墨西哥的精神科医生,他们通过在线调查参与其中,该调查评估了当前的工作活动、自我报告的心理健康状况(重度抑郁症、焦虑症、倦怠和自杀意念)以及整个职业生涯中的职业逆境(攻击、诉讼、有自杀意念或自杀的患者、感知到的歧视和社会支持)。

结果

22 名精神科医生(7.6%)报告在精神科培训或作为精神科医生的职业生涯中曾有过自杀意念。抑郁和倦怠是自杀意念的最重要预测因素,而对社会支持的满意度更高是最重要的保护因素,其次是已婚/同居和家庭中有其他医生。

结论

精神科医生是自杀意念的高危人群。因此,检测和关注至关重要。应鼓励精神科医生建立健康、持久的人际关系,并在需要时寻求专业帮助。

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