Department of Family Medicine, University of Michigan, Ann Arbor, MI, United States of America.
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
Psychol Health Med. 2022 Aug;27(7):1563-1575. doi: 10.1080/13548506.2021.1903053. Epub 2021 Apr 16.
Physician suicide and well-being are critical issues but studies use varying methodologies and suicide is frequently underreported. This study sought to update data on physician suicides in the United States. The National Violent Death Reporting System (NVDRS) at the Centers for Disease Control collects details about violent deaths. The study used 2010-2015 data from 27 NVDRS states to identify suicide deaths among physicians or non-physicians and calculate annual standardized mortality rates (SMR). Of 63,780 victims total, there were 357 physicians identified over 6 years, (307 men and 50 women). If results are extrapolated to all 50 states, there would be approximately 119 physician suicides annually. The SMR for physicians overall was not statistically different from that of non-physicians. This is the first study in 16 years to update estimated physician suicide rates in the United States. The research used strict criteria to identify physicians so results likely represent the lower boundary of physician suicides. Findings show that physician suicide is not significantly lower than that of non-physicians and emphasizes the importance of focusing on structural changes to reduce stigma around mental health in the medical community.
医生自杀和福祉是至关重要的问题，但研究采用了不同的方法，而且自杀经常被低估。本研究旨在更新美国医生自杀的数据。疾病控制中心的国家暴力死亡报告系统（NVDRS）收集有关暴力死亡的详细信息。该研究使用了 2010-2015 年来自 27 个 NVDRS 州的数据，以确定医生或非医生的自杀死亡，并计算每年的标准化死亡率（SMR）。在总共 63780 名受害者中，6 年内共发现 357 名医生，（307 名男性和 50 名女性）。如果将结果外推到所有 50 个州，每年大约会有 119 名医生自杀。医生的 SMR 与非医生的 SMR 没有统计学差异。这是 16 年来首次更新美国医生自杀率的研究。该研究使用了严格的标准来确定医生，因此结果可能代表了医生自杀的下限。研究结果表明，医生自杀的比例并不明显低于非医生，这强调了关注结构性变革以减少医疗界对心理健康耻辱感的重要性。
