认识到执业助理医师存在自杀念头、抑郁和焦虑的风险。
Acknowledging the risk of suicidal ideation, depression, and anxiety in PAs.
作者信息
Smith Noël E, Sierra Talia, Brown Heidi
机构信息
Noël E. Smith is senior director of PA and industry research and analysis at the American Academy of Physician Associates in Alexandria, Va. Talia Sierra is an associate professor in the PA program at Idaho State University in Caldwell, Idaho. Heidi Brown practices in psychiatry in Oregon, Idaho, and Utah, and is an affiliate faculty member in the PA program at Idaho State University. The authors have disclosed no potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2023 Apr 1;36(4):33-38. doi: 10.1097/01.JAA.0000921264.94152.65.
The prevalence of suicidal ideation is unknown and limited information exists about depression and anxiety among physician associates/assistants (PAs). We set out to understand the degree of depression, anxiety, and suicidal ideation in PAs and PA students. In total, 728 PAs and 322 PA students took an online survey. Risk of depression and anxiety were present at higher levels in PA students compared with employed PAs. PA students indicated higher levels of suicidal ideation compared with clinically active PAs. One-third of those with suicidal ideation did not reveal it to anyone; among those who did, 16.2% feared the results of disclosure. This study establishes that PAs and PA students are at risk for suicidal ideation and often bypass help. The COVID-19 pandemic may have led to elevated rates of emotional distress, and longitudinal studies are needed to understand the basis for such ideation and if it is transitory.
自杀意念的流行情况尚不清楚，关于医师助理（PAs）的抑郁和焦虑的信息有限。我们着手了解医师助理和医师助理学生的抑郁、焦虑及自杀意念程度。共有728名医师助理和322名医师助理学生参与了一项在线调查。与在职医师助理相比，医师助理学生出现抑郁和焦虑的风险更高。与临床活跃的医师助理相比，医师助理学生表示有更高水平的自杀意念。有自杀意念的人中有三分之一没有向任何人透露；在那些透露的人中，16.2%担心透露的后果。这项研究表明，医师助理和医师助理学生有自杀意念的风险，并且常常不寻求帮助。2019冠状病毒病大流行可能导致情绪困扰率上升，需要进行纵向研究以了解这种意念的基础以及它是否是暂时的。
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