Guangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & The Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, China.
Suicide Life Threat Behav. 2020 Dec;50(6):1264-1275. doi: 10.1111/sltb.12690. Epub 2020 Oct 6.
Suicide is a major cause of premature death among physicians, but the prevalence of suicide-related behaviors (including suicidal ideation, SI and suicide attempt, SA) is inconsistent across studies. This meta-analysis aimed to estimate the prevalence of suicide-related behaviors among physicians and its associated factors.
PubMed, EMBASE, PsycINFO, and Cochrane library databases were systematically searched from commencement date to August 14, 2018. Eligible studies on the prevalence of suicide-related behaviors among physicians were included.
Thirty-five eligible studies with 70,368 physicians were included. The lifetime prevalence of SI was 17.4% (95% CI: 13.8%-21.8%), while the 1-year prevalence was 8.6% (95% CI: 7.1%-10.3%), 6-month prevalence was 11.9% (95% CI: 2.7%-39.2%), and 1-month prevalence was 8.6% (95% CI: 5.6%-13.0%). The lifetime prevalence of SA was 1.8% (95% CI: 0.9%-3.7%), while the 1-year prevalence was 0.3% (95% CI: 0.1%-0.8%). Subgroup analyses revealed that geographic region was significantly associated with lifetime and 1-year prevalence of SI, while sample size was significantly associated with 1-month prevalence of SI.
This meta-analysis found a relatively high prevalence of suicide-related behaviors, particularly lifetime SI, among physicians. Appropriate preventive and treatment measures should be implemented to reduce the risk of suicide-related behaviors in this population.
自杀是医生过早死亡的主要原因，但自杀相关行为（包括自杀意念、SI 和自杀未遂、SA）的流行率在不同研究中并不一致。本荟萃分析旨在评估医生自杀相关行为的流行率及其相关因素。
系统检索 PubMed、EMBASE、PsycINFO 和 Cochrane 图书馆数据库，检索时间从建库开始至 2018 年 8 月 14 日。纳入关于医生自杀相关行为流行率的研究。
纳入 35 项符合条件的研究，共 70368 名医生。终生 SI 的流行率为 17.4%（95%CI：13.8%-21.8%），1 年的流行率为 8.6%（95%CI：7.1%-10.3%），6 个月的流行率为 11.9%（95%CI：2.7%-39.2%），1 个月的流行率为 8.6%（95%CI：5.6%-13.0%）。SA 的终生流行率为 1.8%（95%CI：0.9%-3.7%），1 年的流行率为 0.3%（95%CI：0.1%-0.8%）。亚组分析显示，地理位置与终生和 1 年的 SI 流行率显著相关，而样本量与 1 个月的 SI 流行率显著相关。
本荟萃分析发现医生自杀相关行为的流行率相对较高，尤其是终生 SI。应采取适当的预防和治疗措施，降低该人群自杀相关行为的风险。
