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加拿大护士中的自杀行为。

Suicidal Behaviors Among Nurses in Canada.

作者信息

Stelnicki Andrea M, Jamshidi Laleh, Angehrn Andréanne, Nicholas Carleton R

机构信息

Canadian Institute for Public Safety Research and Treatment (CIPSRT), University of Regina, Regina, SK, Canada.

Anxiety and Illness Behaviour Lab (AIBL), University of Regina, Regina, SK, Canada.

出版信息

Can J Nurs Res. 2020 Sep;52(3):226-236. doi: 10.1177/0844562120934237. Epub 2020 Jun 17.

Abstract

BACKGROUND

Nurses are regularly exposed to potentially psychologically traumatic events, experience high rates of burnout, and may be at an elevated risk of death by suicide. Few studies have assessed for suicidal behaviors among Canadian nurses, and factors that may increase risk for suicidal behaviors are unknown.

PURPOSE

The current study was designed to assess past-year and lifetime suicidal behavior (i.e., ideation, plans, and attempts) using a large sample of Canadian nurses.

METHOD

Participants (=3969; 94.3% women) completed an online survey including measures of suicidal behavior and symptoms of mental disorders.

RESULTS

Considerable proportions of participants reported past-year and/or lifetime suicidal ideation (10.5%, 33.0%), plans (4.6%, 17.0%), and attempts (0.7%, 8.0%), considerably higher than general population estimates. Significant differences were identified across age groups, years of service, marital status, regional location, and nursing type (e.g., registered psychiatric nurses, licensed practical nurses, registered nurses). Participants who screened positive for almost all measured mental disorders had significantly higher rates of suicidal behavior.

CONCLUSIONS

The results necessitate further research to evaluate risk factors contributing to suicidal behavior in Canadian nurses and methods to decrease the risk (e.g., developing effective monitoring and prevention measures).

摘要

背景

护士经常接触潜在的心理创伤事件,倦怠率很高,且可能有更高的自杀死亡风险。很少有研究评估加拿大护士中的自杀行为,且可能增加自杀行为风险的因素尚不清楚。

目的

本研究旨在使用大量加拿大护士样本评估过去一年和一生的自杀行为(即想法、计划和尝试)。

方法

参与者(=3969;94.3%为女性)完成了一项在线调查,包括自杀行为和精神障碍症状的测量。

结果

相当比例的参与者报告了过去一年和/或一生的自杀想法(10.5%,33.0%)、计划(4.6%,17.0%)和尝试(0.7%,8.0%),大大高于一般人群的估计。在年龄组、服务年限、婚姻状况、地区位置和护理类型(如注册精神科护士、执业护士、注册护士)之间发现了显著差异。几乎所有测量的精神障碍筛查呈阳性的参与者自杀行为发生率显著更高。

结论

研究结果需要进一步研究,以评估导致加拿大护士自杀行为的风险因素以及降低风险的方法(如制定有效的监测和预防措施)。

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