Center for Public Health Psychiatry, Universitair Psychiatrisch Centrum, KULeuven, Herestraat 49, B-3000 Leuven, Belgium.
Center for Public Health Psychiatry, KULeuven, Herestraat 49, B-3000 Leuven, Belgium; University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium.
J Affect Disord. 2021 Mar 15;283:66-70. doi: 10.1016/j.jad.2021.01.013. Epub 2021 Jan 11.
Prevalence estimates of suicidal thoughts and behaviours (STB) among clinically active healthcare professionals during the first wave of COVID19 pandemic are non-existing. The main aim of this study was to investigate the 30-day prevalence of STB and associated risk factors.
As part of the Recovering Emotionally from COVID study (RECOVID), 30-day STB among healthcare professionals (N = 6,409) was assessed in an e-survey in healthcare settings in Belgium. The prevalence of STB and associated risk factors were estimated in multivariable models with individual-level and society-level measures of association. We used post-stratification weights to make the data representative for the entire clinical workforce in Belgium.
Prevalence was 3.6% death wish, 1.5% suicide ideation, 1.0% suicide plan, and 0.0% suicide attempt. Thirty-day STB was (a) increased among respondents with lifetime and current mental disorders (mostly depression) and those hospitalized for COVID19 infection, (b) decreased among respondents with social support, and (c) unrelated to work environment.
This is an explorative cross-sectional study using multivariate models that generates specific hypotheses on the prevalence of and risk factors for STB during the COVID19 pandemic rather than testing specific pathways that lead to STB onset.
Across age, gender, professional discipline, and exposure to COVID, lifetime and current mental disorders were highly associated with STB. These factors could guide governments and healthcare organizations in taking up responsibilities in preventing emotional problems and developing resilience among healthcare professionals during, but probably beyond, the current COVID19 pandemic.
在 COVID19 大流行的第一波期间，临床活跃的医疗保健专业人员中自杀念头和行为（STB）的流行率估计尚不存在。本研究的主要目的是调查 STB 的 30 天患病率及其相关危险因素。
作为 COVID 后情绪恢复研究（RECOVID）的一部分，在比利时的医疗保健环境中通过电子调查评估了医疗保健专业人员（N=6409）的 30 天 STB。使用个体水平和社会水平的关联措施，在多变量模型中估计 STB 的患病率及其相关危险因素。我们使用后分层权重使数据代表比利时整个临床劳动力。
死亡率为 3.6%，自杀意念率为 1.5%，自杀计划率为 1.0%，自杀未遂率为 0.0%。30 天 STB 在以下情况下增加：（a）有终身和当前精神障碍（主要是抑郁症）和因 COVID19 感染住院的受访者，（b）有社会支持的受访者减少，（c）与工作环境无关。
这是一项使用多元模型的探索性横断面研究，该模型生成了关于 COVID19 大流行期间 STB 患病率和危险因素的具体假设，而不是测试导致 STB 发生的具体途径。
在年龄、性别、专业学科和接触 COVID 方面，终身和当前的精神障碍与 STB 高度相关。这些因素可以指导政府和医疗保健组织在当前 COVID19 大流行期间及之后承担起预防医疗保健专业人员情绪问题和培养韧性的责任。
