Physician Suicide in North Carolina

Revicki, Dennis A.; May, Hazel

doi:10.1097/00007611-198510000-00016

Cited by 18 publications

(21 citation statements)

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“…This is important because our data indicate that white male physicians .45 years old do have elevated rates of suicide, while those aged 45 and under have reduced rates of suicide. Other studies have noted, as we did, that suicide rates increase with age for male physicians [17,19,20], but the increase is much smaller for female physicians [19]. This is likely to be an important reason for different conclusions among studies and specifically explains why our results show an overall reduced suicide rate for white male physicians and dentists.…”

Section: R Petersen and C A Burnett: The Suicide Mortality Of Wsupporting

confidence: 43%

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The suicide mortality of working physicians and dentists

Petersen

Burnett

2008

Occupational Medicine

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Background Some studies have shown that physicians and dentists have elevated risks of suicide, while other studies have not. AimsUsing all deaths and corresponding census data in 26 US states, we examine the suicide risk for working physicians and dentists. MethodsDeath and census data for working people were obtained from 1984 through 1992. Directly agestandardized suicide rate ratios (SRRs) were calculated for white male and white female physicians and white male dentists. ResultsFor white female physicians, the suicide rate was elevated compared to the working US population (SRR 5 2.39, 95% CI 5 1.52-3.77). For white male physicians and dentists, the overall suicide rates were reduced (SRR 5 0.80, 95% CI 5 0.53-1.20 and 0.68, 95% CI 5 0.52-0.89, respectively). For older white male physicians and dentists, however, observed suicide rates were elevated.Conclusions White female physicians have an elevated suicide rate. Only older white male physicians and dentists have elevated suicide rates, which partially explains the varied conclusions in the literature.

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Section: R Petersen and C A Burnett: The Suicide Mortality Of Wsupporting

confidence: 43%

“…On the other hand, in a small study, Revicki and May [20] found no overall excess suicides among white male physicians in a study in North Carolina. A study in Sweden [16] concluded that female physicians had higher suicide rates than the general population, but that males did not.…”

Section: R Petersen and C A Burnett: The Suicide Mortality Of Wmentioning

confidence: 86%

The suicide mortality of working physicians and dentists

Petersen

Burnett

2008

Occupational Medicine

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“…An initial search produced a possible 37050 articles (Fig 1). Removal of duplicates and use of the selection criteria reduced the search to 61 articles [1,2,5,7,8,15,16,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,…”

Section: Resultsmentioning

confidence: 99%

“…The overall SMR was 1.44 (95CI 1.16, 1.72) with an important heterogeneity (I 2 = 93.9%). Among the 25 included studies, 17 studies reported both male and female physicians [7,8,41,46,52,54,55,56,57,58,59,61,62,68,70,71,82], six reported only male physicians [60,64,65,66,67,72], and one only reported female physicians [63]. We found a significantly higher risk of suicide among male physicians than in the general population (SMR = 1.24; 95CI 1.05, 1.43; P < 0.001; I 2 = 79.1%) and for suicide among female physicians than in the general population (SMR = 1.94; 95CI 1.49, 2.58; P < 0.041; I 2 = 42.5%) (Fig 4).…”

Section: Meta-analysis Of the Standardized Mortality Rate For Suicidementioning

confidence: 99%

Suicide Among Physicians and Health-Care Workers: A Systematic Review and Meta-Analysis

et al. 2019

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BackgroundMedical-related professions are at high suicide risk. However, data are contradictory and comparisons were not made between gender, occupation and specialties, epochs of times. Thus, we conducted a systematic review and meta-analysis on suicide risk among healthcare workers. MethodThe PubMed, Cochrane Library, Science Direct and Embase databases were searched without language restriction on April 2019, with the following keywords: suicide* AND (« health care worker* » OR physician* OR nurse*). When possible, we stratified results by gender, countries, time, and specialties. Estimates were pooled using random-effect metaanalysis. Differences by study-level characteristics were estimated using stratified metaanalysis and meta-regression. Suicides, suicidal attempts, and suicidal ideation were retrieved from national or local specific registers or case records. In addition, suicide attempts and suicidal ideation were also retrieved from questionnaires (paper or internet). ResultsThe overall SMR for suicide in physicians was 1.44 (95CI 1.16, 1.72) with an important heterogeneity (I 2 = 93.9%, p<0.001). Female were at higher risk (SMR = 1.9; 95CI 1.49, 2.58; and ES = 0.67; 95CI 0.19, 1.14; p<0.001 compared to male). US physicians were at higher risk (ES = 1.34; 95CI 1.28, 1.55; p <0.001 vs Rest of the world). Suicide decreased over time, especially in Europe (ES = -0.18; 95CI -0.37, -0.01; p = 0.044). Some specialties might be at higher risk such as anesthesiologists, psychiatrists, general practitioners and general surgeons. There were 1.0% (95CI 1.0, 2.0; p<0.001) of suicide attempts and 17% (95CI 12, 21; p<0.001) of suicidal ideation in physicians. Insufficient data precluded meta-analysis on other health-care workers. ConclusionPhysicians are an at-risk profession of suicide, with women particularly at risk. The rate of suicide in physicians decreased over time, especially in Europe. The high prevalence of physicians who committed suicide attempt as well as those with suicidal ideation should benefits for preventive strategies at the workplace. Finally, the lack of data on other health-care workers suggest to implement studies investigating those occupations.

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“…3,4 They are more likely to be single 6,16 with little social support 17 and use medications as a lethal means. 1,4,13,16,[18][19][20][21] Physicians who take their lives often have a mental illness, especially depression. 2,3, 6,13,16-18, 20,22 They are more likely to be using self-prescribed medications like barbiturates, benzodiazepines, and antipsychotics.…”

Section: Characteristics Of Physicians Who Kill Themselvesmentioning

confidence: 99%

Physician Depression and Suicide: A Shared Responsibility

Eckleberry-Hunt

Lick

2015

Teaching and Learning in Medicine

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The purpose of this article is to draw attention to the problem of physician suicide with an emphasis on the role of medical education. Multiple accreditation bodies should be involved to effect a change in physician suicide prevalence. Thirty years have demonstrated that without mandates, large-scale change will not occur. We adapted some of the 2012 National Strategy for Suicide Prevention goals to medical education as a guide.

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Physician Suicide in North Carolina

Cited by 18 publications

References 0 publications

The suicide mortality of working physicians and dentists

The suicide mortality of working physicians and dentists

Suicide Among Physicians and Health-Care Workers: A Systematic Review and Meta-Analysis

Physician Depression and Suicide: A Shared Responsibility

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