Orthopaedic surgeons have the highest prevalence of death by suicide among all surgical subspecialties, comprising 28.2% of surgeon suicides from 2003 to 2017. There is a continuum of burnout, depression, and other mental health illnesses likely contributing to these numbers in our profession. Stigmatization in terms of medical licensing and professional development are currently barriers to seeking mental health treatment. Education on the risk and treatment of burnout, depression, and suicidal ideations should begin early in a surgeon's career. This review documents the issue of physician burnout and depression and makes recommendations regarding necessary changes to counteract mental illness in orthopaedic surgeons.
Mental health issues have recently gained attention in all aspects of society including the medical profession and professional sports. Burnout, depression, and suicide occur in many professions; however, this has largely been overlooked in the orthopaedic literature. [1][2][3] In this review, we study suicide, burnout, and depression with a focus specifically on orthopaedic surgeons. We also analyze the barriers to seek mental health help and discuss particular areas of improvement to enhance our institutional support and ultimately the life of orthopaedic surgeons. Although these are presented individually (ie, burnout, depression, and suicide), it is important for the reader to understand that these can be a continuum on the mental health spectrum.
Why Orthopaedic Surgeons?We have all been socialized into an orthopaedic profession rich in history and innovative solutions for treating patients with musculoskeletal issues. As we strive for excellence, many orthopaedic surgeons define their identity in perfection and efficiency at all costs. We must reflect on the burden of this cost though. We have been taught to be tough and push through challenges without