Eskin Mehmet, Sakarya Sibel, Okyay Pınar, Karkın Ayşe Nur, Devrimci Özgüven Hadise, Yapici Eser Hale, Abdollahpour Ranjbar Hamed, Şar Vedat
Koç University, College of Social Sciences and Humanities, Department of Psychology, Türkiye.
Koç University, School of Medicine, Department of Public Health, Türkiye.
J Psychiatr Res. 2024 Dec;180:234-242. doi: 10.1016/j.jpsychires.2024.10.016. Epub 2024 Oct 18.
Suicidal behavior among physicians is a significant concern globally, with various factors contributing to increased risk. Physicians in Türkiye are a group facing significant psychological distress due to challenging work conditions, economic instability, and violence in the healthcare system. Understanding the specific risk factors and attitudes contributing to this elevated suicidal behavior can inform the development of targeted interventions and support mechanisms for improving the well-being of physicians in Türkiye. This study aims to investigate suicidal behavior among Turkish physicians and its associations with adverse life events, psychological distress, and attitudes toward suicide.
In the present study, 512 Turkish physicians from diverse demographics and professional backgrounds participated. Suicidal behavior, psychological distress, stressful life events, and attitudes toward suicide were explored through tailored instruments. Logistic regression analysis was conducted to identify independent risk factors for suicidal behavior.
The results demonstrated that among Turkish physicians, psychological distress and suicidal behavior were frequent. One in five individuals (22.3%) reported experiencing one of the suicidal behaviors within the past month. Nearly one in ten (8.6%) have attempted suicide at some point in their lives. The average number of suicidal behaviors reported was .48 (SD = 1.1), and the average severity score for suicidal ideation was .51 (SD = 1.2). Young age, single marital status, low social support, psychological distress, the number of stressful life events, and the acceptability of suicide were identified as independent risk factors for suicidal behavior. Having a diagnosis of a psychiatric disorder and the number of stressful life events were factors associated with suicide attempts.
The intricate associations between several factors that influence suicidal behavior among Turkish physicians are elucidated by this study. The results highlight the critical need for focused interventions and systems of support within the Turkish healthcare system to deal with this serious public health concern. Future studies and therapeutic practices can better meet the mental health requirements of this vulnerable demographic by considering the complex nature of suicidal behavior among physicians.
医生的自杀行为是全球范围内的一个重大问题，多种因素导致风险增加。由于工作条件具有挑战性、经济不稳定以及医疗系统中的暴力问题，土耳其的医生群体面临着严重的心理困扰。了解导致这种自杀行为增加的具体风险因素和态度，可为制定针对性干预措施和支持机制提供依据，以改善土耳其医生的福祉。本研究旨在调查土耳其医生的自杀行为及其与不良生活事件、心理困扰和自杀态度之间的关联。
在本研究中，512名来自不同人口统计学和专业背景的土耳其医生参与其中。通过定制的工具对自杀行为、心理困扰、压力性生活事件和自杀态度进行了探究。进行了逻辑回归分析以确定自杀行为的独立风险因素。
结果表明，在土耳其医生中，心理困扰和自杀行为较为常见。五分之一的人（22.3%）报告在过去一个月内经历过一种自杀行为。近十分之一的人（8.6%）在其生命中的某个时刻曾尝试自杀。报告的自杀行为平均数量为0.48（标准差=1.1），自杀意念的平均严重程度评分为0.51（标准差=1.2）。年轻、单身婚姻状况、社会支持低、心理困扰、压力性生活事件的数量以及对自杀的可接受性被确定为自杀行为的独立风险因素。患有精神疾病的诊断和压力性生活事件的数量是与自杀未遂相关的因素。
本研究阐明了影响土耳其医生自杀行为的几个因素之间的复杂关联。结果凸显了土耳其医疗系统中迫切需要针对性干预措施和支持系统来应对这一严重的公共卫生问题。未来的研究和治疗实践通过考虑医生自杀行为的复杂性，能够更好地满足这一弱势群体的心理健康需求。
