Fadum Elin Anita, Ekeberg Øivind, Hem Erlend
Institute for Studies of the Medical Profession, Oslo, Norway.
Institute of Military Epidemiology, Norwegian Armed Forces Joint Medical Services, Ullensaker, Norway.
BMC Psychiatry. 2025 Jul 1;25(1):666. doi: 10.1186/s12888-025-07101-x.
This study examined the relationship between doctors' job satisfaction over time and suicidal ideation, additionally describing job satisfaction in doctors who reported suicidal planning and attempt(s).
A national panel of Norwegian doctors was surveyed between 2002 and 2021 using Warr's Job Satisfaction Scale (JSS) in 2002-2021, Maslach Burnout Inventory (MBI) in 2019/2021 and Paykel's questionnaire for suicidal ideation in 2021. We included 1470 participating doctors in 2021 using multivariate logistic regression models to assess JSS and dimensions of MBI on suicidal ideation.
Doctors with suicidal ideation (16%) scored on average 4.5 points lower on JSS (95% confidence interval (CI) -6.1 to -2.9) in 2019 with 7.2 points higher values of emotional exhaustion than the reference group (95% CI 5.4 to 9.1). Doctors with suicidal ideation consistently reported less job satisfaction in the period 2002-2021. In multivariate models, less JSS, higher values of emotional exhaustion and lower values of personal accomplishment remained predictors for suicidal ideation, whereas being in a relationship was a protective factor. Lifetime prevalence of suicidal planning and attempt(s) were 8.2% and 1.2%, respectively. Doctors with such suicidal behaviour had the highest values of emotional exhaustion in 2021 (32.1, 95% CI 29.5 to 34.8), but few stated work-problems as the main reason for a suicide attempt.
Doctors with suicidal ideation had less job satisfaction over a 20-year period prior to their suicidal ideation reports. Doctors with suicidal behaviour had the highest values of emotional exhaustion but work problems were rarely reported as the main reason for a suicide attempt.
本研究探讨了医生随时间变化的工作满意度与自杀意念之间的关系，并额外描述了报告有自杀计划和自杀未遂经历的医生的工作满意度情况。
在2002年至2021年期间，对挪威医生全国样本进行了调查。2002 - 2021年使用沃氏工作满意度量表（JSS），2019/2021年使用马氏职业倦怠量表（MBI），2021年使用佩克尔自杀意念问卷。我们纳入了2021年的1470名参与调查的医生，使用多变量逻辑回归模型来评估JSS和MBI各维度对自杀意念的影响。
有自杀意念的医生（16%）在2019年JSS评分平均比对照组低4.5分（95%置信区间（CI）-6.1至-2.9），情绪耗竭得分比对照组高7.2分（95% CI 5.4至9.1）。有自杀意念的医生在2002年至2021年期间一直报告工作满意度较低。在多变量模型中，较低的JSS、较高的情绪耗竭得分和较低的个人成就感仍然是自杀意念的预测因素，而处于恋爱关系中是一个保护因素。自杀计划和自杀未遂的终生患病率分别为8.2%和1.2%。有此类自杀行为的医生在2021年情绪耗竭得分最高（32.1，95% CI 29.5至34.8），但很少有人将工作问题作为自杀未遂的主要原因。
有自杀意念的医生在报告自杀意念之前的20年期间工作满意度较低。有自杀行为的医生情绪耗竭得分最高，但很少有人将工作问题作为自杀未遂的主要原因。
