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新冠疫情期间寻求心理支持的医护人员的自杀风险及相关因素:一项横断面研究。

Suicide risk and associated factors in healthcare workers seeking psychological support during COVID-19: a cross-sectional study.

机构信息

Departamento de Clínicas de Salud Mental, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Jalisco, Mexico.

Department of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands.

出版信息

Psychol Health Med. 2023 Dec;28(10):3076-3090. doi: 10.1080/13548506.2023.2216469. Epub 2023 May 24.

DOI:10.1080/13548506.2023.2216469
PMID:37224286
Abstract

Healthcare workers have been one of the groups most severely affected by the COVID-19 pandemic, leaving them with serious psychological effects. Some of these effects have not been treated promptly, leading to further psychological symptoms. The objective of this study was to evaluate suicide risk in healthcare workers seeking psychological help during the COVID-19 pandemic, and factors associated with this risk on participants that were searching for treatment during the COVID-19 pandemic. This is a cross-sectional study analyzing data from 626 Mexican healthcare workers seeking psychological help due to the COVID-19 pandemic through the www.personalcovid.com platform. Before they entered treatment, the Plutchik Suicide Risk Scale, the Depression Scale of the Center for Epidemiologic Studies, the Pittsburgh Sleep Quality Index, and the Professional Quality of Life Measure, were administered. Results: 49.4% ( = 308) presented suicide risk. The most severely affected groups were nurses (62%,  = 98) and physicians (52.7%,  = 96). Predictors of suicide risk in healthcare workers were secondary traumatic stress, high depressive affect, low positive affect, emotional insecurity and interpersonal problems, and medication use. Conclusions: The suicidal risk detected was high, found mostly in nurses and doctors. This study suggests the presence of psychological effects on healthcare workers, despite the time that has elapsed since the onset of the pandemic.

摘要

医护人员是受 COVID-19 大流行影响最严重的群体之一,这给他们带来了严重的心理影响。其中一些影响没有得到及时治疗,导致进一步的心理症状。本研究的目的是评估在 COVID-19 大流行期间寻求心理帮助的医护人员的自杀风险,以及与 COVID-19 大流行期间寻求治疗的参与者的自杀风险相关的因素。这是一项横断面研究,分析了通过 www.personalcovid.com 平台因 COVID-19 大流行而寻求心理帮助的 626 名墨西哥医护人员的数据。在进入治疗之前,对他们进行了 Plutchik 自杀风险量表、流行病学研究中心抑郁量表、匹兹堡睡眠质量指数和职业生活质量量表的评估。结果:49.4%(n=308)存在自杀风险。受影响最严重的群体是护士(62%,n=98)和医生(52.7%,n=96)。医护人员自杀风险的预测因素包括二次创伤性应激、高抑郁情绪、低积极情绪、情绪不安和人际关系问题以及药物使用。结论:检测到的自杀风险很高,主要发生在护士和医生中。这项研究表明,尽管大流行已经过去了一段时间,但医护人员仍存在心理影响。

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