TY - JOUR
T1 - Depression and suicidality among psychiatric residents - results from a multi-country study
AU - Jovanović, Nikolina
AU - Beezhold, Julian
AU - Tateno, Masaru
AU - Barrett, Elizabeth
AU - Vlachos, Ilias
AU - Fiorillo, Andrea
AU - Hanon, Cecile
AU - Kazakova, Olga
AU - Nawka, Alexander
AU - Wuyts, Philippe
AU - Wong, Vanessa
AU - Papp, Szilvia
AU - Rujević, Jasna
AU - Racetovic, Goran
AU - Mihai, Adriana
AU - Marques, João Gama
AU - Malik, Amit
AU - Weiss, Ulrike
AU - Rolko, Teelia
AU - Rusaka, Marija
AU - Clausen, Nanna Platz
AU - Shmunk, Elena
AU - Podlesek, Anja
N1 - Publisher Copyright:
© 2019
PY - 2019/4/15
Y1 - 2019/4/15
N2 - Background: Previous studies have highlighted risks for depression and suicide in medical cohorts, but evidence regarding psychiatric residents is missing. This study aimed to determine rates of depression, suicide ideation and suicide attempt among psychiatric residents and to identify associated individual, educational and work-related risk factors. Methods: A total of 1980 residents from 22 countries completed the online survey which collected data on depression (PHQ-9), suicidality (SIBQ), socio-demographic profiles, training, and education. Generalized linear modeling and logistic regression analysis were used to predict depression and suicide ideation, respectively. Results: The vast majority of residents did not report depression, suicide ideation or attempting suicide during psychiatric training. Approximately 15% (n = 280) of residents met criteria for depression, 12.3% (n = 225) reported active suicide ideation, and 0.7% (n = 12) attempted suicide during the training. Long working hours and no clinical supervision were associated with depression, while more completed years of training and lack of other postgraduate education (e.g. PhD or psychotherapy training) were associated with increased risk for suicide ideation during psychiatric training. Being single and female was associated with worse mental health during training. Limitations: Due to the cross-sectional nature of the study, results should be confirmed by longitudinal studies. Response rate was variable but the outcome variables did not statistically significantly differ between countries with response rates of more or less than 50%. Conclusion: Depression rates among psychiatric residents in this study were lower than previously reported data, while suicide ideation rates were similar to previous reports. Poor working and training conditions were associated with worse outcomes. Training programmes should include effective help for residents experiencing mental health problems so that they could progress through their career to the benefit of their patients and wider society.
AB - Background: Previous studies have highlighted risks for depression and suicide in medical cohorts, but evidence regarding psychiatric residents is missing. This study aimed to determine rates of depression, suicide ideation and suicide attempt among psychiatric residents and to identify associated individual, educational and work-related risk factors. Methods: A total of 1980 residents from 22 countries completed the online survey which collected data on depression (PHQ-9), suicidality (SIBQ), socio-demographic profiles, training, and education. Generalized linear modeling and logistic regression analysis were used to predict depression and suicide ideation, respectively. Results: The vast majority of residents did not report depression, suicide ideation or attempting suicide during psychiatric training. Approximately 15% (n = 280) of residents met criteria for depression, 12.3% (n = 225) reported active suicide ideation, and 0.7% (n = 12) attempted suicide during the training. Long working hours and no clinical supervision were associated with depression, while more completed years of training and lack of other postgraduate education (e.g. PhD or psychotherapy training) were associated with increased risk for suicide ideation during psychiatric training. Being single and female was associated with worse mental health during training. Limitations: Due to the cross-sectional nature of the study, results should be confirmed by longitudinal studies. Response rate was variable but the outcome variables did not statistically significantly differ between countries with response rates of more or less than 50%. Conclusion: Depression rates among psychiatric residents in this study were lower than previously reported data, while suicide ideation rates were similar to previous reports. Poor working and training conditions were associated with worse outcomes. Training programmes should include effective help for residents experiencing mental health problems so that they could progress through their career to the benefit of their patients and wider society.
KW - Depression
KW - Psychiatry
KW - Residents
KW - Suicide attempt
KW - Suicide ideation
KW - Trainees
UR - http://www.scopus.com/inward/record.url?scp=85061530834&partnerID=8YFLogxK
U2 - 10.1016/j.jad.2019.02.023
DO - 10.1016/j.jad.2019.02.023
M3 - Article
C2 - 30772747
AN - SCOPUS:85061530834
SN - 0165-0327
VL - 249
SP - 192
EP - 198
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -
