Citation

Pospos S, Tal I, Iglewicz A, Newton IG, Tai-Seale M, Downs N, Jong P, Lee D, Davidson JE, Lee SY, Rubanovich CK, Ho EV, Sanchez C, Zisook S. Depress. Anxiety 2019; ePub(ePub): ePub.

Affiliation

Psychiatry, Veterans Affairs San Diego Healthcare System, La Jolla, California, USA.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1002/da.22909

PMID

31102314

Abstract

BACKGROUND: In comparison with the general population, physicians, and physicians-in-training are at greater risk for suicide. Although key gender differences in suicide risk factors and behaviors have been identified in the general population, the extent to which these differences apply to physicians and physicians-in-training is unclear. Here, we aimed to identify gender differences in risk factors, clinical presentation, and help-seeking behaviors of medical students, house staff, and physician faculty at high risk for suicide.

METHODS: We explored gender differences among 450 physicians and trainees meeting criteria for high suicide risk on anonymous online questionnaires completed between 2009 and 2017.

RESULTS: High-risk female trainees and physicians had higher mean Patient Health Questionnaire-9 (PHQ-9) scores compared with the males (11.1, standard deviation [SD] 5.1 vs. 9.8, SD 4.7) and were more likely to endorse feeling worried (73.8% vs. 61.2%), irritable (60.4% vs. 49.4%), and stressed (79.6% vs. 70%). High-risk male trainees and physicians were more likely than females to endorse suicidal thoughts (31.2% vs. 22.1%), intense anger (24.3% vs. 16.1%), drinking too much (31.2% vs. 22.3%), and recreational drug or prescription medication use without clinically appropriate follow-up (9.4% vs. 4.3%). There were no gender differences in help-seeking behaviors.

CONCLUSIONS: This is the first study to report gender differences among risk factors, presentation, and help-seeking behaviors of physicians, and trainees at high risk for suicide. Our findings are mostly consistent with those of the general population and show that only a minority of at-risk men and women in healthcare sought treatment, highlighting the importance of intervention and suicide prevention in this population.

© 2019 Wiley Periodicals, Inc.

Language: en

Keywords

depressive disorders; medical students; physicians; residents; suicidal thoughts; suicide prevention; suicide risk