Stress symptoms, burnout and suicidal thoughts in Finnish physicians

Olkinuora, M; Asp, Sisko; Juntunen, Juhani; Kauttu, Kyllikki; Strid, Leo; Aärimaa, M

doi:10.1007/bf00794986

Cited by 94 publications

(13 citation statements)

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“…This is a result of relatively inexperienced health workers being at a bigger risk for violence (19). Decreased emotional exhaustion and depersonalization and increased personal achievement in the older group also support this (14,20). Older age group with more experience can be thought to manage stress better (4,14).…”

Section: Discussionmentioning

confidence: 74%

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Burnout Effects of Workplace Violence on Health Workers

Çap¹,

Korkut²,

Çalışkan³

et al. 2022

hamidiyemedj

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Sağlık çalışanlarına yönelik şiddet; sosyal, duygusal, psikolojik ve hizmet kalitesi gibi pek çok alanda olumsuz etkiler bırakan bir durumdur. Çalışmanın amacı; iş yeri şiddetinin risklerini ve şiddet farkındalığını değerlendirerek mağdur sağlık çalışanlarında travma sonrası tükenmişliğin etkilerini saptamaktır.Gereç ve Yöntemler: Araştırma Sağlık Başkanlığı'na bağlı kamu kurumlarında çalışan hekim ve hemşirelerle yürütüldü. Çalışmada anket yöntemi kullanıldı. Üç temel bölümden oluşan ankette, toplam 37 adet soru bulunmaktaydı. İlk bölümde demografik bilgiler; ikinci bölümde şiddetin niteliği, travma sonrası şiddeti bildirme ve profesyonel destek alma durumları; son bölümde Maslach tükenmişlik envanteri yer aldı. Soru formu, çalışanlara sosyal medya hesapları ve ağları üzerinden iletildi. Veriler SPSS 25 paket programı ile analiz edildi.Bulgular: Çalışmaya 415 sağlık çalışanı katıldı. Katılımcıların %87'si şiddete maruz kaldığını belirtti. Şiddet sonrası çalışanların %36'sı şikayette bulundu, %7'si profesyonel destek aldı. Şiddete maruz kalmış sağlık çalışanlarında duygusal tükenme ve duyarsızlaşma anlamlı oranda yüksek (p<0,001) bulundu. Yaş arttıkça duygusal tükenme ve duyarsızlaşma puanları düşmekte, kişisel başarı puanı ise artmaktaydı. Acil servis, klinik birimler içinde tükenmişlik boyutlarında en riskli grup idi. ÖZBackground: Violence against health workers; it is a condition that causes unfavourable effects in many areas such as social, emotional, psychological and quality of service.The aim of the study is to determine the risks of workplace violence and the effects of post-traumatic burnout in the victim of health workers by evaluating the awareness of violence. Materials and Methods:The research was carried out with physicians and nurses working in public institutions affiliated with the Ministry of Health. The survey method was used in the study. The survey consisted of three basic sections and had a total of 37 questions. Demographic information in the first part; in the second part, the nature of the violence, the reporting of post-traumatic violence and the status of receiving professional support were questioned. In the last section, Maslach burnout inventory was included. The questionnaire was communicated to workers via their social media accounts and networks. The data was analyzed with SPSS 25 package program.Results: Four houndred-fifteen health workers participated in the study. 86.9% percent of respondents said they had been exposed to violence. After the violence, 36% of employees complained and 7% received professional support. Emotional exhaustion and depersonalization were found to be significantly higher (p<0.001) in health workers who were exposed to violence. As the age increased, scores of emotional exhaustion and depersonalization decreased and personal achievement scores increased. The emergency department was the most at risk group of burnout levels among clinical units. Conclusion:Health workers are highly exposed to workplace violence. As a result, depersonalization and emotio...

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Section: Discussionmentioning

confidence: 74%

“…Single health workers are reported to be more exhausted than married ones (20,21). The results of our study also support this.…”

Section: Discussionmentioning

confidence: 99%

Burnout Effects of Workplace Violence on Health Workers

Çap¹,

Korkut²,

Çalışkan³

et al. 2022

hamidiyemedj

View full text Add to dashboard Cite

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“…Studies on clinically identified self-harm events in physicians are limited to highly specific cohorts (e.g., admitted psychiatric in-patients, decedents only) precluding a determination of true risk. 14, 21 A high number of Canadian physicians report self-harm or similar behaviors in self-reported survey studies. Just under 3% of family medicine residents from British Columbia reported suicide attempts, a more specific term encompassing self-harm with intent for suicide, during residency.…”

Section: Discussionmentioning

confidence: 99%

“…11,[16][17][18] High levels of psychosocial stress, burnout, mental health and substance disorders, access to medications, and life-ending knowledge are proposed as putative factors. 14,[19][20][21] This is especially pertinent with recent reported high levels of emotional distress and elevations in mental health services among physicians with the recent coronavirus disease 2019 (COVID-19) pandemic. 22 Many studies reporting a higher risk of suicide among physicians predate 2000, with more recent evidence suggesting that physician suicide occurs at comparable rates to the nonphysician population.…”

Section: Introductionmentioning

confidence: 99%

“…11, 16–18 High levels of psychosocial stress, burnout, mental health and substance disorders, access to medications, and life-ending knowledge are proposed as putative factors. 14, 19–21 This is especially pertinent with recent reported high levels of emotional distress and elevations in mental health services among physicians with the recent coronavirus disease 2019 (COVID-19) pandemic. 22…”

Section: Introductionmentioning

confidence: 99%

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Suicide and Self-Harm Among Physicians in Ontario, Canada

Sood,

Rhodes,

Talarico

et al. 2022

Can J Psychiatry

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Background Studies of occupation-associated suicide suggest physicians may be at a higher risk of suicide compared to nonphysicians. We set out to assess the risk of suicide and self-harm among physicians and compare it to nonphysicians. Methods We conducted a population-based, retrospective cohort study using registration data from the College of Physicians and Surgeons of Ontario from 1990 to 2016 with a follow-up to 2017, linked to Ontario health administrative databases. Using age- and sex-standardized rates and inverse probability-weighted, cause-specific hazards regression models, we compared rates of suicide, self-harm, and a composite of either event among all newly registered physicians to nonphysician controls. Results Among 35,989 physicians and 6,585,197 nonphysicians, unadjusted suicide events (0.07% vs. 0.11%) and rates (9.44 vs. 11.55 per 100,000 person-years) were similar. Weighted analyses found a hazard ratio of 1.05 (95% confidence interval: 0.69 to 1.60). Self-harm requiring health care was lower among physicians (0.22% vs. 0.46%; hazard ratio: 0.65, 95% confidence interval: 0.52 to 0.82), as was the composite of suicide or self-harm (hazard ratio: 0.70, 95% confidence interval: 0.57 to 0.86). The composite of suicide or self-harm was associated with a history of a mood or anxiety disorder (odds ratio: 2.84, 95% confidence interval: 1.17 to 6.87), an outpatient mental health visit in the past year (odds ratio: 3.08, 95% confidence interval: 1.34 to 7.10) and psychiatry visit in the preceding year (odds ratio: 3.87, 95% confidence interval: 1.67 to 8.95). Interpretation Physicians in Ontario are at a similar risk of suicide deaths and a lower risk of self-harm requiring health care relative to nonphysicians. Risk factors associated with suicide or self-harm may help inform prevention programs.

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