Depression, Anxiety, and Physician Suicide

Author(s):  
Gia Merlo

Physicians suffer from mental health issues, particularly depression, at higher rates than the general population, due to many of the same factors that contribute to burnout. However, there is a stigma within the profession that prevents them from getting help. This stigma can be based on feedback from self, colleagues, hospitals/medical systems, and licensing boards. Self-criticism by physicians may lead to self-stigmatization. Colleagues may be afraid to broach the topic of mental health and fail to refer their peers to professional help. Hospitals/medical systems often label physicians suffering from mental health issues as ”unprofessional.” Lastly, licensing boards may discriminate against physicians who disclose prior psychiatric history. Major depressive disorder is the most common diagnosis among physicians. Anxiety disorders have been less well-studied but are likely also to be a major problem. Approximately 300 to 400 physicians are estimated to die from suicide each year, and untreated mental health conditions are a significant risk factor. Action at individual, institutional, and organizational levels is necessary to combat the stigma of mental illness.

2021 ◽  
Author(s):  
Paras Bhatt ◽  
Jia Liu ◽  
Yanmin Gong ◽  
Jing Wang ◽  
Yuanxiong Guo

BACKGROUND Artificial Intelligence (AI) has revolutionized healthcare delivery in recent years. There is an increase in research for advanced AI techniques, such as deep learning to build predictive models for the early detection of diseases. Such predictive models leverage mobile health (mHealth) data from wearable sensors and smartphones to discover novel ways for detecting and managing chronic diseases and mental health conditions. OBJECTIVE Currently, little is known about the use of AI-powered mHealth settings. Therefore, this scoping review aims to map current research on the emerging use of AI-powered mHealth (AIM) for managing diseases and promoting health. Our objective is to synthesize research in AIM models that have increasingly been used for healthcare delivery in the last two years. METHODS Using Arksey and O’Malley’s 5-point framework for conducting scoping reviews, we review AIM literature from the past two years in the fields of Biomedical Technology, AI, and Information Systems (IS). We searched three databases - informs PubsOnline, e-journal archive at MIS Quarterly, and ACM Digital Library using keywords such as mobile healthcare, wearable medical sensors, smartphones and AI. We include AIM articles and exclude technical articles focused only on AI models. Also, we use the PRISMA technique for identifying articles that represent a comprehensive view of current research in the AIM domain. RESULTS We screened 108 articles focusing on developing AIM models for ensuring better healthcare delivery, detecting diseases early, and diagnosing chronic health conditions, and 37 articles were eligible for inclusion. A majority of the articles were published last year (31/37). In the selected articles, AI models were used to detect serious mental health issues such as depression and suicidal tendencies and chronic health conditions such as sleep apnea and diabetes. The articles also discussed the application of AIM models for remote patient monitoring and disease management. The primary health concerns addressed relate to three categories: mental health, physical health, and health promotion & wellness. Of these, AIM applications were majorly used to research physical health, representing 46% of the total studies. Finally, a majority of studies use proprietary datasets (28/37) rather than public datasets. We found a lack of research in addressing chronic mental health issues and a lack of publicly available datasets for AIM research. CONCLUSIONS The application of AIM models for disease detection and management is a growing research domain. These models provide accurate predictions for enabling preventive care on a broader scale in the healthcare domain. Given the ever-increasing need for remote disease management during the pandemic, recent AI techniques such as Federated Learning (FL) and Explainable AI (XAI) can act as a catalyst to increase the adoption of AIM and enable secure data sharing across the healthcare industry.


2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Esme Fuller-Thomson ◽  
Gail P. Hamelin ◽  
Stephen J. R. Granger

Introduction. This study investigated the relationship between suicidal ideation and demographic characteristics, health conditions, depression, and health care utilization patterns among adolescents. Methods. Secondary analysis of the regionally representative Canadian Community Health Survey conducted in 2000/2001 (response rate 85%). Adolescents aged 15 to 19 who reported suicidal ideation in the previous year (n=260) were compared with their peers who did not (n=5528). The association between suicidal ideation and socio-demographic and health characteristics were investigated. Findings. Almost three-quarters (73%) of suicidal adolescents had not spoken with any health professional about mental health issues in the preceding year. Despite the fact that 80% of suicidal adolescents had regular contact with their family doctor, only 5% had consulted with them about mental health issues. In addition to the well-known risk factors of depression and stress, suicidal ideation was highly elevated in adolescents with two or more chronic health conditions, self-reported poor health, migraines, and back pain and those whose activities were prevented by pain (P<.05). Other characteristics significantly correlated with suicidal ideation included smoking, living in single parent families, and having lower levels of social support. Conclusions. Family physicians should regularly screen for suicidal thoughts in their adolescent patients with these characteristics.


2021 ◽  
Author(s):  
Rui Abrunhosa Gonçalves ◽  
Joana Andrade

During imprisonment, inmates face many difficulties to adapt to prison life well depicted in either classical works or recent research. They usually face many struggles related to the lack of contact with their families. For instance, the less the number of prison visits, the higher levels of aggressiveness and, consequently, the lower levels of adaptation. Additionally, this population is already problematic in “normal conditions” of their imprisonment. When facing crisis – such as the Covid-19 pandemic – their mental and emotional conditions become even worst. Inmates may experience higher levels of anxiety and stress due to the uncertain and high-risk circumstances they are all living. In addition, the deprivations of the support from their families, combined with the higher risk they are exposed due to the danger of Covid-19 virus’ contamination, substantially increase their concerns and could contribute to their lack of adjustment. The present chapter refers to the policies implemented by the Portuguese Prison Administration to deal with the Covid-19 pandemic and a provisional balance of its effects after one year of implementation. Besides information regarding inmate’s mental health conditions during pandemic, data on recidivism rates and criminal activity will also be discussed concerning their implication for future penitentiary policies.


2020 ◽  
Vol 4 (1) ◽  
pp. 70-74
Author(s):  
Jeffrey Overall

High enterprise failure rates, the need to pivot, and fleeting runways are contributing to mental health issues among entrepreneurs. To treat a myriad of mental health conditions, western medical practitioners are acknowledging the effectiveness of consciousness and mindfulness tools, like yoga and meditation that have been practiced by indigenous people and eastern cultures for millennia. Some entrepreneurs are starting to use consciousness practices as not only a tool to balance the mind-body connection, but they are also using them to optimize performance. Implications for practice are discussed.


2017 ◽  
Vol 10 (3) ◽  
pp. 163-173 ◽  
Author(s):  
Alan M. Delamater ◽  
Adriana Guzman ◽  
Katherine Aparicio

Purpose The purpose of this paper is to consider mental health issues in children and adolescents with chronic illness or health conditions, including their treatment, and issues related to delivery of services. Design/methodology/approach A selective review of the literature was conducted to highlight significant mental health issues and their treatment in youth with various types of chronic illness. Findings A significant portion of youth experience mental health problems related to their chronic health conditions. While evidence-based treatments are available to address these problems, significant barriers exist that impede the delivery of psychological and behavioral interventions for many youth. Research limitations/implications More controlled studies are needed to demonstrate the effectiveness and cost offset of delivering psychological and behavioral interventions for the population of youth with various types of chronic health conditions, particularly in clinical and community settings. Social implications Policy reform can ensure that mental health issues are effectively addressed for children with chronic illness. Policy is needed that promotes integrated health care, whereby psychological and behavioral interventions are delivered in health care settings along with medical interventions to reduce barriers to care. Originality/value Significant numbers of children and adolescents have chronic health conditions and many experience mental health problems related to their conditions. While evidence-based treatments are available to address these problems, significant barriers impede the delivery of psychological and behavioral interventions for many youth. Health care policy promoting integrated health care to deliver psychological and behavioral interventions in health care settings along with medical interventions should reduce barriers to care and improve both physical and mental health outcomes for youth.


2021 ◽  
pp. 216747952110410
Author(s):  
David Cassilo ◽  
Yannick Kluch

This research analyzed the media framing of the decision by D. J. Carton, a collegiate men’s basketball player from Ohio State University, to take a leave of absence from his team due to mental health issues. While prior research has examined media framing of public mental health disclosures by professional athletes, this has yet to occur for a collegiate athlete, which is a necessary area of inquiry due to the prevalence of mental health issues among college students as well as the many differences that exist between professional and collegiate athletics. A media framing analysis of 63 press articles for Carton revealed five frames used to discuss Carton’s situation. Of those frames, four were largely positive in nature focusing on areas such as the support Carton received at Ohio State, his role as a mental health advocate, and the shedding stigma of mental illness in collegiate athletics. However, one frame within the coverage treated Carton as a commodity by focusing on his athletic value rather than him as a person or his personal issues. Overall, the positive types of news frames can normalize mental health disclosure on the college campus and set expectations for the level of support athletes will receive.


Crisis ◽  
2018 ◽  
Vol 39 (3) ◽  
pp. 175-196 ◽  
Author(s):  
Jin Han ◽  
Philip J. Batterham ◽  
Alison L. Calear ◽  
Rebecca Randall

Abstract. Background: Evidence suggests that the majority of people with suicidality do not seek help. Little systematic evaluation of factors influencing professional help-seeking has been done. Aims: To systematically evaluate the factors that influence professional help-seeking for suicidality. Method: Published quantitative and qualitative studies in Medline and PsycInfo databases were reviewed following PRISMA. Results: In all, 55 relevant studies were identified. Of these, 15 studies examined professional help-seeking intentions for perceived suicidal ideation, among people with or without suicidality; 21 studies examined professional help-seeking behavior among people with suicidality; and 19 studies examined suicidal decedents' health services use. Several potential important barriers were identified including high self-reliance, lack of perceived need for treatment, and stigmatizing attitudes toward suicide, toward mental health issues, and toward seeking professional treatment. The presence of suicidality and mental health issues was found to generally decrease help-seeking intentions for perceived suicidal ideation while facilitating actual service use. Social support and informal support from family and friends also played an important role in professional help-seeking. Limitations: Although the majority of the included studies were of sound quality, some of the factors identified in the review were assessed in relatively few studies, and most of the included studies were conducted in industrialized countries. Conclusion: Further quantitative and qualitative studies examining the potential important factors in broader community samples, especially in developing countries, are needed.


2021 ◽  
Vol 12 ◽  
Author(s):  
Asmaa Al-Zawaadi ◽  
Iman Hesso ◽  
Reem Kayyali

Objectives: Mental health problems are among the leading causes of health-related disability among children and adolescents worldwide. However, there is still a global challenge in terms of gathering consistent epidemiological information about the issue. The present study was designed to describe various mental health issues and factors associated with negative feelings among adolescents in Greater London.Methods: This is a cross sectional study, using a self-administered questionnaire (Cronbach's alpha = 0.742). A convenience sampling strategy was used to recruit participants who were school/college-attending adolescents, aged 11–19. A minimum sample size of 199 was required (95% confidence interval, 5% margin of error, and 15.3% population proportion). The study was conducted between February and April 2016 in Greater London. Descriptive statistics and inferential statistics including chi square, Spearman correlation, and binary logistic regression were used to identify the key findings. Data analysis was performed using SPSS v21.Results: A total of 526 out of 1,920 surveys were collected across 18 secondary schools and two colleges, giving a response rate of 27.4%. More than half of the adolescents reported to be either neutral (41.4%), sad (7.8%), or very sad (2.8%), whereas 48% reported to be either happy (35%) or very happy (13%). Difficulties in relationships and hectic schedules were among the most stressful situations affecting adolescents' mental health. Discrimination was identified as the main predicting factor with five-fold increase in odds of having negative mental health symptomatology. Other significant risk factors identified were age, gender, smoking, and health comorbidities.Conclusion: Discrimination was identified as the most predictive factor influencing negative symptomatology among the study cohort. The study had several limitations, most notably the use of a non-validated surrogate measure for mental health, in addition to the exclusion of adolescents aged 10–11 years, school/college dropouts and non-school-going adolescents. A similar study on a national scale is highly recommended to determine the real magnitude of the problem, which would be the starting point toward proper tackling of mental health issues and associated complexities among the adolescent population across England.


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