Physician suicide

2017 ◽  
Vol 41 (S1) ◽  
pp. s886-s886
Author(s):  
M.A. Dos Santos

IntroductionPhysician Suicide is a potential health risks resulting from strains and burden associated with medical education and profession. Suicide is an occupational hazard. Each year in the United States, 300 to 400 physicians take their own lives.ObjectiveTo provide a summary about physician suicide and its risk factors and mental health issues associated.MethodsThe search was conducted using PubMed with terms: “suicide in physicians”, “physician suicide”, “suicide in doctors”, “physician depression”, by using a review of literature with documents in English.DiscussionSuicide is a major health problem. Suicide death is a self-inflicted with evidence that the person aims die. Mental disorders represent a large burden of disease worldwide and can also damage to physical health. The most common psychiatric diagnoses among physicians who complete suicide are affective disorders, alcoholism, and substance use disorders. In physicians, the female suicide rates are higher than that in males. The most common means of suicide by physicians are lethal medication overdoses and firearms. There are common risk factors, such as work-related stress, depression, negative life events, alcohol and isolation. In addition, there is a physicians’ tendency not to recognize depression in themselves and not to seek help.ConclusionsPrioritize to physician mental health, change professional attitudes and institutional policies, learn to recognize depression and suicidality, educate medical students, residents, routinely screen all primary care patients for depression that can help physicians recognize depression in themselves and to seek treatment for depression and suicidality because there is “no health without mental health”.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

2021 ◽  
Vol 100 (11) ◽  
pp. 1236-1243
Author(s):  
Igor V. Bukhtiyarov ◽  
Eduard I. Denisov ◽  
Evgeny V. Zhovnerchuk ◽  
Vasiliy V. Serikov ◽  
Dmitry E. Khatin ◽  
...  

Introduction. Mental health is an integral part of health, and its disorders are fraught with social and economic costs for the individual and society. According to WHO, depression is the most common disease and the leading cause of disability globally; it affects 350 million people. The analysis of new data and concepts on these issues is relevant. The aim of the work is to study the problem of stress at work and mental health disorders with an analysis of the concept of allostasis and allostatic load as an integral indicator of stress. A literature search was conducted through September 2020 using the Scopus (https://www.scopus.com/home.uri) and MedLine/PubMed (https://www.ncbi.nlm.nih.gov/PubMed) scientific literature databases. Key search terms included “mental health problems,” “mental health in the workplace,” “working condition,” “anxiety,” “burnout,” and “depression. Full-text articles published in English in journals with DOIs were reviewed. There are considered work-related stressors, also called psychosocial risks. Data on the types and amounts of medico-social damage from mental health disorders in European countries and the United States are presented. The Italian experience in limiting work-related stress is reviewed in detail. There are given examples of legislation to restrict psychosocial risks at work in European countries, as well as patterns of recognition of the connection between mental disorders and work. The biomedical paradigm shift - from homeostasis to allostasis - is analyzed, and allostasis and allostatic load is described as integral indicator of chronic work stress. Despite an abundance of work on anxiety and depression, there is no unity in the literature in understanding the mechanisms and stages of mental health disorders from stress at work. It is not clear what better reflects the effects of chronic work-related stress: allostatic stress or metabolic syndrome. Stress, depression and burnout - what is the relation between them? We can discuss a logical chain: occupational risk factors - fatigue, stress - depression, burnout, health disorder, and occupational deformity. The questions of ICD-11, expected to appear in 2021, and, in particular, burnout syndrome, are outlined. The possibilities of information technologies and the Internet in preventing and treating mental health disorders are considered. Conclusions. The increasing role of stress problems in the life of modern society is noted. The methods of psychosocial risk factors limitation and mental health disorders diagnostics need to be developed. Internet-based programs for the preservation and promotion of mental health (e-MentalHealth) are promising.


2020 ◽  
Vol 49 (12) ◽  
pp. 791-795
Author(s):  
Sonja Cabarkapa ◽  
Joel A King ◽  
Chee H Ng

Background Healthcare workers (HCWs) are a vulnerable population who have been exposed to high work-related stress during the COVID-19 pandemic because of the high risk of infection and excessive workloads. HCWs are at greater risk of mental illness, particularly sleep disturbances, post-trauma stress syndromes, depression and anxiety. Objective The aim of this article is to highlight the psychiatric impact of the COVID-19 pandemic on frontline HCWs, the need for screening and early diagnosis by general practitioners (GPs), and the appropriate psychosocial strategies and treatments to address this. Discussion Opportunistic screening for mental health issues among HCWs is especially important during the current pandemic. Various tools and strategies can be used for efficient assessment and treatment of the common mental health issues HCWs are likely to face.


Author(s):  
Seth W. Whiting ◽  
Rani A. Hoff

Advancements in technologies and their mass-scale adoption throughout the United States create rapid changes in how people interact with the environment and each other and how they live and work. As technologies become commonplace in society through increased availability and affordability, several problems may emerge, including disparate use among groups, which creates divides in attainment of the beneficial aspects of a technology’s use and coinciding mental health issues. This chapter briefly overviews new technologies and associated emerging applications in information communication technologies, social media networks, video games and massively multiplayer online role-playing games, and online gambling, then examines the prevalence of use among the general population and its subgroups and further discusses potential links between mental health issues associated with each technology and implications of overuse.


2021 ◽  
Author(s):  
Di Romano Benini

The months of a gradual exit from the pandemic show some significant data and phenomena regarding the phenomenon of accidents at work and occupational diseases. The Italian figure highlights a recovery in injuries and illnesses, but also in the impact of new risk factors deriving from the digitalization of work, which grew with smart working during the pandemic. At the same time, the new organizational models highlight the increased risk of work-related stress diseases. The Italian situation makes clear the need to intervene on the issue of organizational well-being and welfare, to limit the negative impact of risk factors associated with this economic system on society and the health system through a new work culture.


2021 ◽  
pp. 0044118X2110359
Author(s):  
Kayla J. Elliott ◽  
Jeanne-Marie R. Stacciarini ◽  
Isidro A. Jimenez ◽  
Andrea P. Rangel ◽  
Dany Fanfan

Lesbian, gay, bisexual, transgender, questioning/queer, and other gender diverse (LGBTQ+) adolescents face daunting hardships within the rural contexts they navigate (e.g., community, school), and these onerous demands make it difficult for them to maintain optimal mental well-being. This scoping review described the psychosocial protective and risk factors that shape mental well-being for rural LGBTQ+ adolescents and identified the mental health issues commonly reported by them. About 30 articles published between 2005 and 2020 were examined. A myriad of factors indicated protection of or risks to LGBTQ+ rural adolescents’ mental well-being through the social-ecological levels: individual (e.g., pressure to conform to gender norms, sexual exploration, coming out), interpersonal (e.g., connectedness, fear of rejection, religious beliefs), institutional/school (e.g., bullying victimization, social exclusion, peer/teacher intervention), and rural community (e.g., community size, local ties, social isolation). More research is needed to better understand and address rural mental health disparities for this vulnerable group.


Author(s):  
Susheelabai R. Srinivasa ◽  
Sudershan Pasupuleti

This chapter discusses the mental health of Asian Americans, highlighting their growing needs as well as policy-making challenges. There is a stereotypical view of this segment of the U.S. population as being a ‘model minority’. However, they are under-represented in mental-health service utilization due to fear of stigmatization, and, when provided, these services are often culturally insensitive. This paper argues for a more comprehensive approach to Asian Americans’ health issues so that concerns and challenges can be addressed. It also presents sociocultural, institutional, and environmental factors that affect the under-reporting and under-utilization patterns of mental-health services among Asian Americans. The growing incidence of mental-health problems and underutilization are imminent risk factors for the psychological well-being of Asian Americans in the United States.


2019 ◽  
Vol 4 (1) ◽  
pp. 238146831881476 ◽  
Author(s):  
Elizabeth R. Stevens ◽  
Qinlian Zhou ◽  
Glen B. Taksler ◽  
Kimberly A. Nucifora ◽  
Marc Gourevitch ◽  
...  

Background. Reference life expectancies inform frequently used health metrics, which play an integral role in determining resource allocation and health policy decision making. Existing reference life expectancies are not able to account for variation in geographies, populations, and disease states. Using a computer simulation, we developed a reference life expectancy estimation that considers competing causes of mortality, and is tailored to population characteristics. Methods. We developed a Monte Carlo microsimulation model that explicitly represented the top causes of US mortality in 2014 and the risk factors associated with their onset. The microsimulation follows a birth cohort of hypothetical individuals resembling the population of the United States. To estimate a reference life expectancy, we compared current circumstances with an idealized scenario in which all modifiable risk factors were eliminated and adherence to evidence-based therapies was perfect. We compared estimations of years of potential years life lost with alternative approaches. Results. In the idealized scenario, we estimated that overall life expectancy in the United States would increase by 5.9 years to 84.7 years. Life expectancy for men would increase from 76.4 years to 82.5 years, and life expectancy for women would increase from 81.3 years to 86.8 years. Using age-75 truncation to estimate potential years life lost compared to using the idealized life expectancy underestimated potential health gains overall (38%), disproportionately underestimated potential health gains for women (by 70%) compared to men (by 40%), and disproportionately underestimated the importance of heart disease for white women and black men. Conclusion. Mathematical simulations can be used to estimate an idealized reference life expectancy among a population to better inform and assess progress toward targets to improve population health.


2012 ◽  
Vol 23 (4) ◽  
pp. 437-453 ◽  
Author(s):  
Alannah Tomkins

‘Mad doctors’ specialized in treating the insane, but what about the doctors whose own mental health was jeopardized? Oppenheim found that doctors who attended the mad were presumed to be particularly vulnerable, but there has been no research investigating this claim, nor identifying practitioners’ experiences as patients. This article analyses medical admissions to asylums via both case notes and other sources such as newspaper reports, revealing the responses of medical superintendents to their former colleagues and, in some cases, the judgements of practitioners on their institutional surroundings. It indicates the impact of work-related stress, as medicine became self-consciously professional, and the evolution of public reactions to doctors who could not maintain an appropriately sane identity.


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