护士自杀的全国发病率及相关特征。

National Incidence of Nurse Suicide and Associated Features.

作者信息

Davidson Judy E, Makhija Hirsh, Lee Kelly C, Barnes Arianna, Richardson Marcus Groner, Choflet Amanda, Ali Tatyana, Zisook Sidney

机构信息

Author Affiliations: Nurse Scientist (Dr Davidson), Department of Psychiatry, University of California, San Diego School of Medicine, La Jolla; Nurse Scientist (Dr Davidson), Department of Nursing, University of California, San Diego School of Medicine; Postgraduate Researcher (Makhija), Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego Health, La Jolla; Professor and Associate Dean (Dr Lee), Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla; Clinical Nurse Specialist (Dr Barnes), Department of Nursing, Barnes Jewish Hospital, St Louis, Missouri; Clinical Nurse (Richardson), Division of Nursing, University of California, San Diego; Dean (Dr Choflet), School of Nursing, Northeastern University, Boston, Massachusetts; Undergraduate Researcher (Ali), College of Sciences, San Diego State University, California; and Professor (Dr Zisook), Department of Psychiatry, University of California, San Diego School of Medicine, La Jolla.

出版信息

J Nurs Adm. 2024 Dec 1;54(12):649-656. doi: 10.1097/NNA.0000000000001508. Epub 2024 Nov 5.

DOI:10.1097/NNA.0000000000001508

PMID:39499221

Abstract

OBJECTIVES

The aim of this study was to estimate the national incidence of nurse suicide.

BACKGROUND

Nurses are at a higher risk of suicide than nonnurses; however, data have been limited since 2018.

METHODS

This study used a retrospective cohort design using 2017-2021 National Violent Death Reporting System suicides.

RESULTS

Female nurses had higher suicide rates than female nonnurses in 2018 (incidence rate ratio, 1.21 [95% confidence interval (CI), 1.05-1.39]), 2019 (1.41 [95% CI, 1.23-1.60]), 2020 (1.26 [95% CI, 1.08-1.45]), and 2021 (1.35 [95% CI, 1.17-1.55]), whereas male nurses were comparable with male nonnurses. Nurses had higher odds of mental health problems (adjusted odds ratio, 1.28 [95% CI, 1.13-1.46], P < .001), job problems (1.60 [95% CI, 1.33-1.92], P < .001), and use of poisoning (1.54 [95% CI, 1.37-1.74], P < .001). Nurses had higher odds of using opioids, cardiovascular/diabetic agents, and drugs not prescribed for home use.

CONCLUSION

Female nurses are at a higher risk of suicide than other females. Multimodal nurse suicide prevention strategies remain indicated.

摘要

目的

本研究旨在估算全国护士自杀的发生率。

背景

护士自杀风险高于非护士群体；然而，自2018年以来相关数据一直有限。

方法

本研究采用回顾性队列设计，使用2017 - 2021年国家暴力死亡报告系统中的自杀数据。

结果

2018年（发病率比，1.21[95%置信区间(CI)，1.05 - 1.39]）、2019年（1.41[95%CI，1.23 - 1.60]）、2020年（1.26[95%CI，1.08 - 1.45]）和2021年（1.35[95%CI，1.17 - 1.55]），女性护士的自杀率高于女性非护士，而男性护士与男性非护士相当。护士出现心理健康问题（调整后的优势比，1.28[95%CI，1.13 - 1.46]，P <.001）、工作问题（1.60[95%CI，1.33 - 1.92]，P <.001）以及使用中毒方式自杀（1.54[95%CI，1.37 - 1.74]，P <.001）的几率更高。护士使用阿片类药物、心血管/糖尿病药物以及非家用处方药自杀的几率更高。