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| 63. |
- Fridner, Ann, et al.
(författare)
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Recent suicidal ideation among female and male university hospital physicians in Sweden (The HOUPE Study) : Associations with work stressors
- 2008
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Ingår i: 3rd International Congress of Gender Medicine, Stockholm, Sweden, the 12-14th of September 2008.
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Konferensbidrag (refereegranskat)abstract
- Background: Suicide rates for physicians are noted to be higher than for the general population, mainly related to high rates among female physicians. Female physicians have been reported to admit to significantly more suicidal thoughts than male physicians. Suicide ideation is a recognized precursor of suicide. The urgent need to examine the reasons for suicide risk among female physicians is underscored by society’s increasing dependence upon this group of health providers. Suicide impacts not only upon the physician’s personal circle, but upon the colleagues, staff and patients alike. We examine the relationship between work stressors and recent suicide ideation among male and female physicians in Sweden.Methods: Cross-sectional questionnaire-based study including the General Nordic Questionnaire for Psychological and Social Factors at Work (QPS-Nordic), Physician Career Path Questionnaire (PCPQ) and the Mehan Suicidal Ideation Scale. The questionnaire was completed by physicians working at the Karolinska University Hospital, Stockholm. Multiple logistic regression was used to identify sets of independent variables showing the strongest association with suicidal ideation within the last 12 months.Results: Altogether 50 of the 385 Swedish female physicians and 42 of the 434 male physicians reported having suicidal thoughts within the last 12 months. Among the female physicians, adjusting for non-significant covariates: age, having a partner and number of children, the two work-related variables associated with suicidal ideation within the last 12 months were: having been subjected to degrading experiences at work (Odds Ratio (OR)=3.11, 95% Confidence Interval (CI) =1.52–6.38) and not having regular meetings to discuss stressful situations at work (OR=2.82, CI=1.04–7.63). Self diagnosis and treatment was also significantly associated with recent suicidal ideation. The same covariates were included for the male physicians, for whom having been subjected to degrading experiences at work was significant (OR=4.25, CI=1.60-11.25).Conclusions: Albeit statistically non-significant, more than the expected number of female physicians compared to males had recent suicidal ideation. Recent suicidal ideation among both male and female physicians in Sweden showed a strong association with an important work stressor: having been subjected to degrading experiences at work. For Swedish female physicians, having meetings to discuss work stressors may be protective.
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| 64. |
- Fridner, Ann, et al.
(författare)
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The pivotal role of work environment for the mental health of female and male physicians
- 2010
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Konferensbidrag (refereegranskat)abstract
- Aim/Setting: To examine the relationship between the work environment and mental health among 327 female and 402 male Swedish physicians from the HOUPE study (Health and Organization among University Hospital Physicians) and for whom complete data were available. Methods: The work environment was assessed by individual items and by validated scales from the Questionnaire for Psychological and Social Factors at Work (QPS-Nordic). Using the additive General Health Questionnaire (GHQ-12), MOLBI (exhaustion and disengagement scales) and the Mehan Suicidal Ideation Scale, we constructed a combined outcome variable reflecting mental health as: below the median on the scales and no recent suicidal thoughts. Results: Forty-seven (14.4%) female and seventy-nine (19.7%) male physicians were positive for the outcome variable reflecting mental health. Healthy Work Organization, Work Support in Tough Situations and Control over Workpace each showed significant associations being positive for the outcome variable. This was the case for both the female and male physicians, after adjusting for non-significant covariates: age, number of children and civil status. Male physicians had more control over their workpace than females (p < 0.0001). Factors significantly, inversely associated with the outcome variable included role conflict, recent degrading experiences, performing tasks in conflict with personal values, having night call duty, and work demands interfere with family life (both genders), and for the male physicians only, home demands interfering with work. Conclusions: For these female and male physicians, the work environment plays a pivotal role in mental health, and therefore merits much more attention than it has heretofore received.
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| 65. |
- Fridner, Ann, et al.
(författare)
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Why don't academic physicians seek needed professional help for psychological distress?
- 2012
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Ingår i: Swiss Medical Weekly. - : SMW Supporting Association. - 1424-7860 .- 1424-3997. ; 142:JULY
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: Suicidal thoughts, burnout and other signs of psychological distress are prevalent among physicians. There are no studies concerning help-seeking for psychological distress among university hospital physicians, who face a particularly challenging, competitive work environment. We compare psychologically-distressed university hospital physicians who have not sought needed help with those who have sought such help. We thereby aim to identify factors that may hinder help-seeking and factors that may trigger seeking help. METHODS: Analysis was performed among university hospital physicians reporting recent suicidal thoughts and/or showing other indications of current psychological illhealth. These distressed physicians were a subgroup (42.7%) from the cross-sectional phase I HOUPE study (Health and Organization among University Hospital Physicians in Europe): 366 from Sweden and 150 from Italy. Having sought professional help for depression or burnout was the outcome variable. Multiple logistic regression was performed with socio-demographic factors as covariates. RESULTS: Altogether 404 (78.3%) of these distressed physicians had never sought professional help for depression/burnout. Physicians who were currently involved in medical research, taking night call, surgical specialists, male, or Italian were least likely to have sought help. Physicians who faced harassment at work or who self-diagnosed and self-treated were more likely to have sought help. CONCLUSION: Very few of these university hospital physicians with signs of psychological distress sought help from a mental-health professional. This has implications for physicians themselves and for patient care, clinical research, and education of future physicians. More study, preferably of interventional design, is warranted concerning help-seeking among these physicians in need.
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