Jing Shu, Dai Zhenwei, Liu Xiaoyang, Liu Xin, Zhang Ling, Wu Yijin, Ren Tianrui, Fu Jiaqi, Chen Xu, Wang Wenjun, Gu Xiaofen, Ma Li, Zhang Shaokai, Yu Yanqin, Li Li, Su Xiaoyou, Qiao Youlin
School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
QJM. 2025 Feb 1;118(2):97-108. doi: 10.1093/qjmed/hcae190.
From November 2022 to February 2023, China has experienced a surge period of COVID-19 pandemic and doctors and nurses working in hospitals have suffered from serious psychological crisis because of the medical crowding, which may result in the occurrence of suicidal ideation (SI). This study aims to explore the prevalence and influencing factors of SI during this surge phase.
A multicenter cross-sectional study was conducted in China from 5 January 2023 to 9 February 2023. Data were collected by online questionnaires, with SI measured by a single item. Ordinal logistic regression analysis and stratified analyses were preformed to identify influencing factors.
A total of 5696 doctors and nurses were retained for further analysis, with 25.28% reporting SI during the COVID-19 surge phase. Participants experiencing anxiety symptoms or supporting other departments treating COVID-19 patients were more likely to report SI. Additionally, higher levels of resilience, mindfulness, and perceived social support were protective factors against SI.
During the COVID-19 surge phase, over a quarter of doctors and nurses in China suffered from SI, which should be of great concern. Tailored interventions should be implemented to alleviate SI among doctors and nurses when new infectious diseases outbreak in the future.
2022年11月至2023年2月，中国经历了新冠疫情高峰期，医院医护人员因医疗资源紧张而遭受严重心理危机，这可能导致自杀意念（SI）的发生。本研究旨在探讨这一高峰期自杀意念的患病率及其影响因素。
2023年1月5日至2023年2月9日在中国进行了一项多中心横断面研究。通过在线问卷收集数据，采用单项指标测量自杀意念。进行有序逻辑回归分析和分层分析以确定影响因素。
共保留5696名医护人员进行进一步分析，25.28%的人报告在新冠疫情高峰期有自杀意念。出现焦虑症状或支援其他科室治疗新冠患者的参与者更有可能报告有自杀意念。此外，更高水平的心理韧性、正念和感知到的社会支持是预防自杀意念的保护因素。
在新冠疫情高峰期，中国超过四分之一的医护人员有自杀意念，这应引起高度关注。未来新发传染病暴发时，应实施针对性干预措施以减轻医护人员的自杀意念。
