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新冠疫情时代的医生自杀问题

Physician Suicide in the Era of the COVID-19 Pandemic.

作者信息

Laboe Christopher W, Jain Ankit, Bodicherla Krishna Priya, Pathak Meenal

机构信息

Psychiatry & Behavioral Health, Penn State College of Medicine, Hershey, USA.

Psychiatry, Manhattan Psychiatric Center, New York, USA.

出版信息

Cureus. 2021 Nov 6;13(11):e19313. doi: 10.7759/cureus.19313. eCollection 2021 Nov.

DOI:10.7759/cureus.19313
PMID:34900487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8648129/
Abstract

Physician burnout is a common problem among US physicians. Burnout has been associated with absenteeism, mood disorders, and medical errors. Over the last several decades, physician burnout has become more prevalent because of increasing workloads, increasing administrative burden, and time spent on electronic medical records, among several other reasons. The rate of suicidal ideation in physicians is almost twice as high as the general population. In addition, studies on mortality related to suicide show that the rates of suicides in physicians are consistently higher than in the general population. Firearms are the most common suicide method in both groups, while physicians are more likely to use poisoning and blunt force trauma, as physicians who committed suicide were more likely to have benzodiazepines, barbiturates, or antipsychotics detectable in their blood. Unfortunately, coronavirus disease 2019 (COVID-19) brought to the surface multiple prevailing issues in the US healthcare system, including physician burnout and the prevalence of suicidality among physicians in the recent past. With this editorial, we plan to discuss the current understanding of the impact on physician suicide in the context of COVID-19.

摘要

医生职业倦怠是美国医生中普遍存在的问题。职业倦怠与旷工、情绪障碍和医疗失误有关。在过去几十年里,由于工作量增加、行政负担加重以及花在电子病历上的时间等诸多原因,医生职业倦怠变得更加普遍。医生中自杀意念的发生率几乎是普通人群的两倍。此外,与自杀相关的死亡率研究表明,医生的自杀率一直高于普通人群。枪支是这两个群体中最常见的自杀方式,而医生更倾向于使用中毒和钝器创伤,因为自杀的医生血液中更有可能检测出苯二氮卓类药物、巴比妥类药物或抗精神病药物。不幸的是,2019冠状病毒病(COVID-19)暴露了美国医疗系统中多个普遍存在的问题,包括近期医生职业倦怠和医生自杀倾向的普遍存在。在这篇社论中,我们计划讨论在COVID-19背景下对医生自杀影响的当前理解。

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