scholarly journals Physician Suicide: A Scoping Literature Review to Highlight Opportunities for Prevention

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Tiffany I. Leung ◽  
Rebecca Snyder ◽  
Sima S. Pendharkar ◽  
Chwen-Yuen Angie Chen
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Scoping Review ◽  
Suicide Risk ◽  
English Language ◽  
Data Extraction ◽  
Early Warning Systems ◽  
Public Health Approach ◽  
Data Limitations ◽  
Suicide Risk Factors

AbstractObjective:The aim of this scoping review is to map the current landscape of published research and perspectives on physician suicide. Findings could serve as a roadmap for further investigations and potentially inform efforts to prevent physician suicide.Methods:Ovid MEDLINE, PsycINFO, and Scopus were searched for English-language publications from August 21, 2017 through April 28, 2018. Inclusion criteria were a primary outcome or thesis focused on suicide (including suicide completion, attempts, and thoughts or ideation) among medical students, postgraduate trainees, or attending physicians. Opinion articles were included. Studies that were non-English or those that only mentioned physician burnout, mental health, or substance use disorders were excluded. Data extraction was performed by two authors.Results:The search yielded 1,596 articles, of which 347 articles passed to the full-text review round. The oldest article was an editorial from 1903; 210 (60.3%) articles have been published from 2000 to present. Authors originated from 37 countries, and 143 (41.2%) were opinion articles. The most discussed were suicide risk factors and culture of practice issues, while the least discussed themes included public health and postvention.Conclusions:Consistency and reliability of data and information about physician suicides could be improved. Data limitations partly contribute to these issues. Also, various suicide risk factors for physicians have been explored, and several remain poorly understood. Based on this scoping review, a public health approach, including surveillance and early warning systems, investigations of sentinel cases, and postvention may be impactful next steps in preventing physician deaths by suicide.

scholarly journals Physician Suicide: A Scoping Review to Highlight Opportunities for Prevention

2019 ◽  
Author(s):  
Tiffany I. Leung ◽  
Sima S. Pendharkar ◽  
Chwen-Yuen Angie Chen ◽  
Rebecca Snyder
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Scoping Review ◽  
Suicide Risk ◽  
English Language ◽  
Data Extraction ◽  
Early Warning Systems ◽  
Public Health Approach ◽  
Data Limitations ◽  
Suicide Risk Factors

AbstractObjectiveThe aim of this scoping review is to map the current landscape of published research and perspectives on physician suicide. Findings could serve as a roadmap for further investigations and potentially inform efforts to prevent physician suicide.MethodsOvid MEDLINE, PsycInfo, and Scopus were searched for English-language publications from August 21, 2017 through April 28, 2018. Inclusion criteria were a primary outcome or thesis focused on suicide (including suicide completion, attempts, and thoughts or ideation) among medical students, postgraduate trainees, or attending physicians. Opinion articles were included. Studies that were non-English, or those that only mentioned physician burnout, mental health or substance use disorders were excluded. Data extraction was performed by two authors.ResultsThe search yielded 1,596 articles, of which 347 articles passed to the full-text review round. The oldest article was an editorial from 1903; 210 (60.3%) articles were published from 2000 to present. Authors originated from 37 countries and 143 (41.2%) were opinion articles. Most discussed were suicide risk factors and culture of practice issues, while least discussed themes included public health and postvention.ConclusionsConsistency and reliability of data and information about physician suicides could be improved. Data limitations partly contribute to these issues. Also, various suicide risk factors for physicians have been explored, and several remain poorly understood. Based on this scoping review, a public health approach, including surveillance and early warning systems, investigations of sentinel cases, and postvention may be impactful next steps in preventing physician deaths by suicide.

scholarly journals Psychosocial suicide risk factors

2021 ◽  
Vol 129 (s1) ◽  
pp. 100-109
Author(s):  
Karla Patricia Valdés-García ◽  
Luis Miguel Sánchez-Loyo ◽  
Iris Rubí Monroy Velasco ◽  
Claudia Jocabed Carreón Márquez
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Young People ◽  
Environmental Factors ◽  
Health Problem ◽  
Suicide Risk ◽  
Biopsychosocial Model ◽  
Public Health Problem ◽  
Psychological Autopsy ◽  
Suicide Risk Factors

Due to the number of deaths by suicide, it’s classified as a public health problem, and it is a multifactorial and dynamic problem, influenced by biological, psychological, social, cultural, and environmental factors. The study aimed to identify risk factors based on the proposal of the biopsychosocial model of suicide risk of Turecki by applying the psychological autopsy in three suicide cases in young people. Debido al número de muertes por suicidio se le ha clasificado como un problema de salud pública, es una problemática multifactorial y dinámica, influenciada por factores biológicos, psicológicos, sociales,culturales y ambientales.

scholarly journals ‘Communities are attempting to tackle the crisis’: a scoping review on community plans to prevent and reduce opioid-related harms

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e028583 ◽  
Author(s):  
Pamela Leece ◽  
Triti Khorasheh ◽  
Nimitha Paul ◽  
Sue Keller-Olaman ◽  
Susan Massarella ◽  
...  
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Harm Reduction ◽  
Lived Experience ◽  
Scoping Review ◽  
English Language ◽  
Data Extraction ◽  
Grey Literature ◽  
Eligibility Criteria ◽  
Public Health Decision

ObjectivesWe sought to understand the implementation of multifaceted community plans to address opioid-related harms.DesignOur scoping review examined the extent of the literature on community plans to prevent and reduce opioid-related harms, characterise the key components, and identify gaps.Data sourcesWe searched MEDLINE, Embase, PsycINFO, CINHAL, SocINDEX and Academic Search Primer, and three search engines for English language peer-reviewed and grey literature from the past 10 years.Eligibility criteriaEligible records addressed opioid-related harms or overdose, used two or more intervention approaches (eg, prevention, treatment, harm reduction, enforcement and justice), involved two or more partners and occurred in an Organisation for Economic Co-operation and Development country.Data extraction and synthesisQualitative thematic and quantitative analysis was conducted on the charted data. Stakeholders were engaged through fourteen interviews, three focus groups and one workshop.ResultsWe identified 108 records that described 100 community plans in Canada and the USA; four had been evaluated. Most plans were provincially or state funded, led by public health and involved an average of seven partners. Commonly, plans used individual training to implement interventions. Actions focused on treatment and harm reduction, largely to increase access to addiction services and naloxone. Among specific groups, people in conflict with the law were addressed most frequently. Community plans typically engaged the public through in-person forums. Stakeholders identified three key implications to our findings: addressing equity and stigma-related barriers towards people with lived experience of substance use; improving data collection to facilitate evaluation; and enhancing community partnerships by involving people with lived experience of substance use.ConclusionCurrent understanding of the implementation and context of community opioid-related plans demonstrates a need for evaluation to advance the evidence base. Partnership with people who have lived experience of substance use is underdeveloped and may strengthen responsive public health decision making.

Pegfilgrastim-Induced Bone Pain: A Review on Incidence, Risk Factors, and Evidence-Based Management

2017 ◽  
Vol 51 (9) ◽  
pp. 797-803 ◽  
Author(s):  
Donald C. Moore ◽  
Annie E. Pellegrino
Keyword(s):  
Risk Factors ◽  
Bone Pain ◽  
English Language ◽  
Data Extraction ◽  
Treatment Modalities ◽  
Management Options ◽  
Data Synthesis ◽  
Pharmacological Management ◽  
Study Selection ◽  
Incidence Risk

Objective: To review the incidence, risk factors, and management of pegfilgrastim-induced bone pain (PIBP). Data Sources: PubMed was searched from 1980 to March 31, 2017, using the terms pegfilgrastim and bone pain. Study Selection and Data Extraction: English-language, human studies and reviews assessing the incidence, risk factors, and management of PIBP were incorporated. Data Synthesis: A total of 3 randomized, prospective studies and 2 retrospective studies evaluated pharmacological management of PIBP. Naproxen compared with placebo demonstrated a reduction in the degree, incidence, and duration of bone pain secondary to pegfilgrastim. Loratadine was not effective in reducing the incidence of bone pain prophylactically, but a retrospective study evaluating dual antihistamine blockade with loratadine and famotidine demonstrated a decreased incidence in bone pain when administered before pegfilgrastim. Conclusion: Naproxen is effective at managing PIBP. Although commonly used, antihistamines have a paucity of data supporting their use. Dose reductions of pegfilgrastim and opioids may also be potential management options; however, data supporting these treatment modalities are scarce.

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