Factors Influencing US Physician and Surgeon Suicide Rates 2003-2017: Analysis of the CDC-National Violent Death Reporting System.
Identifieur interne : 000044 ( Main/Exploration ); précédent : 000043; suivant : 000045Factors Influencing US Physician and Surgeon Suicide Rates 2003-2017: Analysis of the CDC-National Violent Death Reporting System.
Auteurs : Adel Elkbuli [États-Unis] ; Mason Sutherland [États-Unis] ; Aaron Shepherd [États-Unis] ; Kyle Kinslow [États-Unis] ; Huazhi Liu [États-Unis] ; Darwin Ang [États-Unis] ; Mark Mckenney [États-Unis]Source :
- Annals of surgery [ 1528-1140 ] ; 2020.
Abstract
BACKGROUND AND OBJECTIVES
With the rate of physician suicide increasing, more research is needed to implement adequate prevention interventions. This study aims to identify trends and patterns in physician/surgeon suicide and the key factors influencing physician suicide. We hope such information can highlight areas for targeted interventions to decrease physician suicide.
METHODS
Review of Centers for Disease Control and Preventions National Violent Death Reporting System (NVDRS) for 2003 to 2017 of physician and dentists dying by suicide. Twenty-eight medical, surgical, and dental specialties were included.
RESULTS
Nine hundred five reported suicides were reviewed. Physician suicides increased from 2003 to 2017. Majority surgeons' suicides were middle-aged, White males. Orthopedic surgeons had the highest prevalence of suicide among surgical fields (28.2%). Black/African American surgeons were 56% less likely [odds ratio (OR) = 0.44, 95% confidence interval (CI): 0.06-3.16] and Asian/Pacific Islander were 438% more likely (OR = 5.38, 95% CI: 2.13-13.56) to die by suicide. Surgeons were 362% more likely to have a history of a mental disorder (OR = 4.62, 95% CI: 2.71-7.85), were 139% more likely to use alcohol (OR = 2.39, 95% CI: 1.36-4.21), and were 289% more likely to have experienced civil/legal issues (OR = 3.89, 95% CI: 1.36-11.11).
CONCLUSIONS
The prevalence of physician suicide increased over the 2003 to 2017 time-frame with over a third of deaths occurring from 2015 to 2017. Among surgeons, orthopedics has the highest prevalence of reported suicide. Risk factors for surgeon suicide include Asian/Pacific Islander race/ethnicity, older age, history of mental disorder, alcohol use, and civil/legal issues.
DOI: 10.1097/SLA.0000000000004575
PubMed: 33156059
Affiliations:
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Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami</wicri:cityArea></affiliation></author><author><name sortKey="Shepherd, Aaron" sort="Shepherd, Aaron" uniqKey="Shepherd A" first="Aaron" last="Shepherd">Aaron Shepherd</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami</wicri:cityArea></affiliation></author><author><name sortKey="Kinslow, 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xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami</wicri:cityArea></affiliation></author><author><name sortKey="Sutherland, Mason" sort="Sutherland, Mason" uniqKey="Sutherland M" first="Mason" last="Sutherland">Mason Sutherland</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami</wicri:cityArea></affiliation></author><author><name sortKey="Shepherd, Aaron" sort="Shepherd, Aaron" uniqKey="Shepherd A" first="Aaron" last="Shepherd">Aaron Shepherd</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami</wicri:cityArea></affiliation></author><author><name sortKey="Kinslow, Kyle" sort="Kinslow, Kyle" uniqKey="Kinslow K" first="Kyle" last="Kinslow">Kyle Kinslow</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami</wicri:cityArea></affiliation></author><author><name sortKey="Liu, Huazhi" sort="Liu, Huazhi" uniqKey="Liu H" first="Huazhi" last="Liu">Huazhi Liu</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Ocala Regional Medical Center, Ocala, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Ocala Regional Medical Center, Ocala</wicri:cityArea></affiliation></author><author><name sortKey="Ang, Darwin" sort="Ang, Darwin" uniqKey="Ang D" first="Darwin" last="Ang">Darwin Ang</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Ocala Regional Medical Center, Ocala, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Ocala Regional Medical Center, Ocala</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, University of Central Florida, Orlando, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, University of Central Florida, Orlando</wicri:cityArea></affiliation></author><author><name sortKey="Mckenney, Mark" sort="Mckenney, Mark" uniqKey="Mckenney M" first="Mark" last="Mckenney">Mark Mckenney</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami</wicri:cityArea></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Surgery, University of South Florida, Tampa, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region><settlement type="city">Tampa</settlement></placeName><wicri:cityArea>Department of Surgery, University of South Florida, Tampa</wicri:cityArea><orgName type="university">Université de Floride du Sud</orgName></affiliation></author></analytic><series><title level="j">Annals of surgery</title><idno type="eISSN">1528-1140</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND OBJECTIVES</b></p><p>With the rate of physician suicide increasing, more research is needed to implement adequate prevention interventions. This study aims to identify trends and patterns in physician/surgeon suicide and the key factors influencing physician suicide. We hope such information can highlight areas for targeted interventions to decrease physician suicide.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Review of Centers for Disease Control and Preventions National Violent Death Reporting System (NVDRS) for 2003 to 2017 of physician and dentists dying by suicide. Twenty-eight medical, surgical, and dental specialties were included.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Nine hundred five reported suicides were reviewed. Physician suicides increased from 2003 to 2017. Majority surgeons' suicides were middle-aged, White males. Orthopedic surgeons had the highest prevalence of suicide among surgical fields (28.2%). Black/African American surgeons were 56% less likely [odds ratio (OR) = 0.44, 95% confidence interval (CI): 0.06-3.16] and Asian/Pacific Islander were 438% more likely (OR = 5.38, 95% CI: 2.13-13.56) to die by suicide. Surgeons were 362% more likely to have a history of a mental disorder (OR = 4.62, 95% CI: 2.71-7.85), were 139% more likely to use alcohol (OR = 2.39, 95% CI: 1.36-4.21), and were 289% more likely to have experienced civil/legal issues (OR = 3.89, 95% CI: 1.36-11.11).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The prevalence of physician suicide increased over the 2003 to 2017 time-frame with over a third of deaths occurring from 2015 to 2017. Among surgeons, orthopedics has the highest prevalence of reported suicide. Risk factors for surgeon suicide include Asian/Pacific Islander race/ethnicity, older age, history of mental disorder, alcohol use, and civil/legal issues.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33156059</PMID><DateRevised><Year>2020</Year><Month>11</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1528-1140</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Nov</Month><Day>04</Day></PubDate></JournalIssue><Title>Annals of surgery</Title><ISOAbbreviation>Ann Surg</ISOAbbreviation></Journal><ArticleTitle>Factors Influencing US Physician and Surgeon Suicide Rates 2003-2017: Analysis of the CDC-National Violent Death Reporting System.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1097/SLA.0000000000004575</ELocationID><Abstract><AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">With the rate of physician suicide increasing, more research is needed to implement adequate prevention interventions. This study aims to identify trends and patterns in physician/surgeon suicide and the key factors influencing physician suicide. We hope such information can highlight areas for targeted interventions to decrease physician suicide.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Review of Centers for Disease Control and Preventions National Violent Death Reporting System (NVDRS) for 2003 to 2017 of physician and dentists dying by suicide. Twenty-eight medical, surgical, and dental specialties were included.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Nine hundred five reported suicides were reviewed. Physician suicides increased from 2003 to 2017. Majority surgeons' suicides were middle-aged, White males. Orthopedic surgeons had the highest prevalence of suicide among surgical fields (28.2%). Black/African American surgeons were 56% less likely [odds ratio (OR) = 0.44, 95% confidence interval (CI): 0.06-3.16] and Asian/Pacific Islander were 438% more likely (OR = 5.38, 95% CI: 2.13-13.56) to die by suicide. Surgeons were 362% more likely to have a history of a mental disorder (OR = 4.62, 95% CI: 2.71-7.85), were 139% more likely to use alcohol (OR = 2.39, 95% CI: 1.36-4.21), and were 289% more likely to have experienced civil/legal issues (OR = 3.89, 95% CI: 1.36-11.11).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The prevalence of physician suicide increased over the 2003 to 2017 time-frame with over a third of deaths occurring from 2015 to 2017. Among surgeons, orthopedics has the highest prevalence of reported suicide. Risk factors for surgeon suicide include Asian/Pacific Islander race/ethnicity, older age, history of mental disorder, alcohol use, and civil/legal issues.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Elkbuli</LastName><ForeName>Adel</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sutherland</LastName><ForeName>Mason</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shepherd</LastName><ForeName>Aaron</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kinslow</LastName><ForeName>Kyle</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Huazhi</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Surgery, Ocala Regional Medical Center, Ocala, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ang</LastName><ForeName>Darwin</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Surgery, Ocala Regional Medical Center, Ocala, Florida.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery, University of Central Florida, Orlando, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McKenney</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery, University of South Florida, Tampa, Florida.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>11</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg</MedlineTA><NlmUniqueID>0372354</NlmUniqueID><ISSNLinking>0003-4932</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>11</Month><Day>6</Day><Hour>12</Hour><Minute>11</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>11</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>11</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33156059</ArticleId><ArticleId IdType="doi">10.1097/SLA.0000000000004575</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region><settlement><li>Tampa</li></settlement><orgName><li>Université de Floride du Sud</li></orgName></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Elkbuli, Adel" sort="Elkbuli, Adel" uniqKey="Elkbuli A" first="Adel" last="Elkbuli">Adel Elkbuli</name></region><name sortKey="Ang, Darwin" sort="Ang, Darwin" uniqKey="Ang D" first="Darwin" last="Ang">Darwin Ang</name><name sortKey="Ang, Darwin" sort="Ang, Darwin" uniqKey="Ang D" first="Darwin" last="Ang">Darwin Ang</name><name sortKey="Kinslow, Kyle" sort="Kinslow, Kyle" uniqKey="Kinslow K" first="Kyle" last="Kinslow">Kyle Kinslow</name><name sortKey="Liu, Huazhi" sort="Liu, Huazhi" uniqKey="Liu H" first="Huazhi" last="Liu">Huazhi Liu</name><name sortKey="Mckenney, Mark" sort="Mckenney, Mark" uniqKey="Mckenney M" first="Mark" last="Mckenney">Mark Mckenney</name><name sortKey="Mckenney, Mark" sort="Mckenney, Mark" uniqKey="Mckenney M" first="Mark" last="Mckenney">Mark Mckenney</name><name sortKey="Shepherd, Aaron" sort="Shepherd, Aaron" uniqKey="Shepherd A" first="Aaron" last="Shepherd">Aaron Shepherd</name><name sortKey="Sutherland, Mason" sort="Sutherland, Mason" uniqKey="Sutherland M" first="Mason" last="Sutherland">Mason Sutherland</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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