Lindeman S, Laara E, Hakko H, Lonnqvist J
Br J Psychiatry. 1996 Mar;168(3):274-9. doi: 10.1192/bjp.168.3.274.
So far no comprehensive systematic review has been published about epidemiologic studies on suicides among medical practitioners. The aim here is to describe the variation of published estimates of relative risk of doctors to die from suicide.
A systematic review of published original articles on population-based studies, registered mainly in MEDLINE and fulfilling specific methodological requirements. Incidence rates and standardised mortality ratios were calculated for male and female doctors in relation to the reference groups.
The estimated relative risk varied from 1.1 to 3.4 in male doctors, and from 2.5 to 5.7 in female doctors, respectively, as compared with the general population, and from 1.5 to 3.8 in males and from 3.7 to 4.5 in females, respectively, as compared with other professionals. The crude suicide mortality rate was about the same in male and female doctors.
In all studies the suicide rates among doctors were higher than those in the general population and among other academic occupational groups.
迄今为止，尚未发表关于执业医师自杀的流行病学研究的全面系统评价。本文旨在描述已发表的医生自杀相对风险估计值的变化情况。
对主要在MEDLINE注册并符合特定方法学要求的基于人群研究的已发表原始文章进行系统评价。计算了男性和女性医生相对于参照组的发病率和标准化死亡率。
与普通人群相比，男性医生的估计相对风险分别为1.1至3.4，女性医生为2.5至5.7；与其他职业相比，男性为1.5至3.8，女性为3.7至4.5。男性和女性医生的粗自杀死亡率大致相同。
在所有研究中，医生的自杀率高于普通人群和其他学术职业群体。
