Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Norway; Institute for Studies of the Medical Profession, Oslo, Norway.
Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Norway; Institute for Studies of the Medical Profession, Oslo, Norway.
J Affect Disord. 2024 Jun 15;355:399-405. doi: 10.1016/j.jad.2024.03.128. Epub 2024 Mar 25.
Suicide rates have been high in several health-care professions. Suicide rates were described in physicians, dentists, veterinarians, psychologists, pharmacists, nurses, as well as theologians, other graduates and the general population in Norway.
Data on educational attainment were linked to data on suicide and all-cause mortality from 1980 to 2021. Suicide rates were reported per 100,000 person-years. The total number of person-years included in the study was 66.4 and 67.2 million for males and females, respectively.
Between 1980 and 2021, male veterinarians (35.9, 95 % CI 19.3-52.4), physicians (25.7, 21.3-30.2) and nurses (22.2, 16.6-27.7) had higher suicide rates compared others with higher education (11.7, 10.7-12.7). For females, this was the case for psychologists (15.0, 8.2-21.7) and nurses (9.3, 8.3-10.3), vs. others with higher education (5.1, 4.2-6.0). Suicide rates declined over the four decades for most groups. For physicians, suicide rates declined and approached the suicide rate of others with higher education. Suicide rates among physicians increased with age, with physicians over 60 years having twice as high suicide rates compared to others with higher education.
The study included only educational status, not current occupation or employment status. This is a descriptive study, with some known risk factors for suicide not accounted for.
Suicide rates for physicians declined over time, but not for nurses. From 2010 to 2021, nurses of both genders was the only group with higher suicide rates compared to other graduates. The increased suicide rates among veterinarians, nurses, female psychologists and elderly physicians are concerning.
在多个医疗保健专业中，自杀率一直很高。在挪威，曾对医生、牙医、兽医、心理学家、药剂师、护士以及神学家、其他毕业生和普通民众的自杀率进行过描述。
将教育程度数据与 1980 年至 2021 年的自杀和全因死亡率数据相关联。自杀率以每 10 万人年计算。研究中包含的总人年数分别为男性 6640 万，女性 6720 万。
在 1980 年至 2021 年期间，男性兽医（35.9，95%CI 19.3-52.4）、医生（25.7，21.3-30.2）和护士（22.2，16.6-27.7）的自杀率高于其他高学历人群（11.7，10.7-12.7）。对于女性，心理学家（15.0，8.2-21.7）和护士（9.3，8.3-10.3）也是如此，而其他高学历人群的自杀率为 5.1，4.2-6.0。在过去的四十年中，大多数群体的自杀率呈下降趋势。对于医生来说，自杀率下降并接近其他高学历人群的自杀率。医生的自杀率随年龄增长而增加，60 岁以上的医生自杀率是其他高学历人群的两倍。
该研究仅包括教育状况，未包括当前职业或就业状况。这是一项描述性研究，未考虑一些已知的自杀风险因素。
医生的自杀率随着时间的推移而下降，但护士的自杀率却没有下降。从 2010 年到 2021 年，男性和女性护士是唯一自杀率高于其他毕业生的群体。兽医、护士、女性心理学家和老年医生自杀率的增加令人担忧。
