Comportamento Suicidário nos Internos de Psiquiatria em Portugal: Comparação com a Realidade Europeia

Abstract

Introduction:The aim of this paper was to assess the prevalence of suicide ideation and attempts in Portuguese psychiatry trainees (adult and child and adolescence), and compare the data with the general population and other European countries. Material and Methods: A structured and anonymous questionnaire was sent by email to 159 portuguese trainees of adult psychiatry and child and adolescence psychiatry with questions about personal history of suicidal ideation and suicide attempts, as well as family history of suicide attempts and completed suicides. This is part of the BoSS Study (Burnout Syndrome Study) performed in 21 countries worldwide. Data was analysed in SPSS v.19. Results: From the inquired population, 62 trainees (40,3%) partially responded, and 46 (29%) were complete responders -these entered the final analysis. There was a ratio of 2:1 (female:male) and a mean age of 29 years. The suicidal ideation was present in passive form in 44% and in active form in 33%; also, 4.3% of respondents had previous suicide attempts. In first degree relatives, 22% had attempted suicide and 13% completed suicide. Discussion:The results are worriying and may be associated with some factors to which this population is exposed. Conclusion: It is necessary further research to better understand this phenomenon, its causes and potential modifiers.

Letter to the Editor about the Article: “Still Regarding Anxiety, Depression and Academic Performance: A Study Amongst Portuguese Medical Students Versus Non-Medical Students”, by João Moreira de Sousa, Cátia A. Moreira, Diogo Telles-Correia. Acta Med Port. 2018;31:454-62.

“…Burnout syndrome is an international epidemic amongst medical doctors all around the world that has been assessed in our country among health workers, 3 and we shall not underestimate its eventual tragic consequences, starting with trainees. 4 We would like to congratulate the authors of the aforementioned articles, hoping that they may raise awareness about this problem, particularly to competent authorities 5 so that this it can be managed swiftly and assertively through a preventive and longitudinal approach that should include not also medical students and specialty trainees, but also experienced seniors. conhecimento suficiente em Bioestatística para interpretar uma parte considerável dos ensaios clínicos publicados na literatura.…”

“…3 Do mesmo modo, o autor John Ioannidis ressalva que o valor p não avalia a magnitude de uma associação nem a importância de um resultado, e refere que a maioria das afirmações sustentadas por um valor p ligeiramente inferior a 0,05 provavelmente serão falsas. 4,5 Este problema é especialmente relevante no contexto dos estudos observacionais, em que não é necessário pré-registar qualquer protocolo de investigação, pelo que várias análises estatísticas podem ser realizadas até se encontrar aquela 'estatisticamente significativa'. Uma possível abordagem, frequentemente sugerida, seria baixar o limiar de significância para 0,005.…”