The University of Texas, Austin, TX, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Int Rev Psychiatry. 2024 Jun-Aug;36(4-5):340-349. doi: 10.1080/09540261.2024.2320259. Epub 2024 Feb 26.
Burnout has been previously associated with suicidal risk factors and suicide itself, but these associations have only focused on work-related burnout among high-demand occupations. We aimed at examining the extent to which personal and/or work-related burnout are associated with suicidal ideation or behavior among working adults in Chile. We conducted a cross-sectional study among 1,970 working adults attending the Hospital del Trabajador in Santiago, Chile, between September 2015 and February 2018, using structured interviews. The Copenhagen Burnout Inventory (CBI) assessed levels of personal and work-related burnout (mild, moderate, and high-to-severe), and the Columbia Suicidal Rating Scale (C-SSRS) measured suicidal ideation or behavior. Multivariable logistic regression models were fit to estimate the magnitude of the association between burnout with suicidal ideation or behavior. After adjusting for putative confounders, moderate and high-to-severe personal burnout were associated with 5.07-fold (95% confidence interval (Al-Halabí et al.): 3.56-7.26) and 10.26-fold (95% CI: 5.75-18.50) increased odds of suicidal ideation or behavior, and high-to-severe work-related burnout associated with 2.47-fold increased odds (95% CI: 1.31-4.68). The dose-response pattern was shown in the association between both types of burnout and suicidal ideation or behavior (p for trend <0.05). Personal and work-related burnout were associated with increased odds of suicidal ideation or behavior in a dose-response manner. Focusing on alleviating burnout levels through mental health services or social support may effectively decrease the prevalence of suicidal ideation or behavior among working adults.
倦怠先前与自杀风险因素和自杀本身有关，但这些关联仅集中在高需求职业的与工作相关的倦怠上。我们旨在研究个人和/或与工作相关的倦怠与智利在职成年人的自杀意念或行为之间的关联程度。我们于 2015 年 9 月至 2018 年 2 月期间在智利圣地亚哥的 Hospital del Trabajador 对 1970 名在职成年人进行了一项横断面研究，采用结构化访谈。哥本哈根倦怠量表（CBI）评估个人和与工作相关的倦怠水平（轻度，中度和高至重度），而哥伦比亚自杀评定量表（C-SSRS）测量自杀意念或行为。使用多变量逻辑回归模型来估计倦怠与自杀意念或行为之间关联的程度。在调整了可能的混杂因素后，中度和重度至重度个人倦怠与自杀意念或行为的几率增加了 5.07 倍（95％置信区间（Al-Halabí 等人）：3.56-7.26）和 10.26 倍（95％CI：5.75-18.50），而重度与工作相关的倦怠与自杀意念或行为的几率增加了 2.47 倍（95％CI：1.31-4.68）。在两种类型的倦怠与自杀意念或行为之间的关联中显示出剂量反应模式（p<0.05）。个人和与工作相关的倦怠与自杀意念或行为的几率增加呈剂量反应关系。通过心理健康服务或社会支持来关注减轻倦怠水平可能会有效降低在职成年人自杀意念或行为的发生率。
