Bump Gregory M, Deans Victoria, Jacobson Sansea L, Nguyen Vu T
University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
UPMC Physician Assistance Program, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Acad Psychiatry. 2025 Feb;49(1):60-64. doi: 10.1007/s40596-024-02092-5. Epub 2024 Nov 27.
Physicians have equivalent rates of depression and higher rates of suicide than other professions. While death by suicide is relatively rare, it is the leading cause of death in male resident physicians and the second leading cause of death in female resident physicians. Physicians who die by suicide are less likely to receive mental health treatment than non-physicians. The authors implemented a confidential, online, interactive screening program to help residents and fellow physicians gain awareness of their mental health, with the goal of reducing physician suicide.
The authors implemented the American Foundation for Suicide Prevention's Interactive Screening Program (ISP).
During the first 2 years of ISP implementation (May 1, 2021-April 30, 2023), all trainees in 155 Accreditation Council for Graduate Medical Education-accredited residency and fellowship programs were invited to participate in the screening program. Of 1900 residents and fellows, 200 (10.5%) completed the self-screening tool. Of those who completed the screening, 197 (98.5%) were experiencing at least a moderate amount of distress (i.e., depressive symptoms, problems related to alcohol, drug use or eating behaviors, or indication that their symptoms made it somewhat difficult to function). The majority (161/200, 80.5%) logged back into the system to review their results and personalized recommendations.
Physicians with psychological distress often suffer in silence. The ISP is a tool to help self-identify residents and fellows in distress and connect them to mental health resources with the goal of improving physician well-being.
医生患抑郁症的比例与其他职业相当，但自杀率高于其他职业。虽然自杀死亡相对罕见，但它是男性住院医师死亡的首要原因，也是女性住院医师死亡的第二大原因。与非医生相比，自杀死亡的医生接受心理健康治疗的可能性更小。作者实施了一项保密的在线互动筛查项目，以帮助住院医师和其他医生了解自己的心理健康状况，目标是降低医生的自杀率。
作者实施了美国预防自杀基金会的互动筛查项目（ISP）。
在ISP实施的前两年（2021年5月1日至2023年4月30日），邀请了155个经研究生医学教育认证委员会认证的住院医师培训项目和专科培训项目中的所有学员参加筛查项目。在1900名住院医师和专科培训学员中，200人（10.5%）完成了自我筛查工具。在完成筛查的人中，197人（98.5%）至少经历了中度痛苦（即抑郁症状、与酒精、药物使用或饮食行为相关的问题，或表明其症状使其功能有些困难）。大多数人（161/200，80.5%）再次登录系统查看结果和个性化建议。
有心理困扰的医生往往默默忍受。ISP是一种帮助自我识别处于困境中的住院医师和专科培训学员，并将他们与心理健康资源联系起来的工具，目标是改善医生的幸福感。
