Challenges and potential solutions for physician suicide risk factors in the COVID-19 era: psychiatric comorbidities, judicialization of medicine, and burnout

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorDUARTE, Dante
dc.contributor.authorEL-HAGRASSY, Mirret M.
dc.contributor.authorCOUTO, Tiago
dc.contributor.authorGURGEL, Wagner
dc.contributor.authorMINUZZI, Luciano
dc.contributor.authorSAPERSON, Karen
dc.contributor.authorCORREA, Humberto
dc.date.accessioned2024-04-05T19:36:33Z
dc.date.available2024-04-05T19:36:33Z
dc.date.issued2023
dc.description.abstractIntroduction: Suicide among physicians constitutes a public health problem that deserves more consideration. A recently performed meta-analysis and systematic review evaluated suicide mortality in physicians by gender and investigated several related risk factors. It showed that the post-1980 suicide mortality was 46% higher in female physicians than among women in the general population, while the risk in male physicians was 33% lower than among men in general, despite an overall contraction in physician mortality rates in both genders.Methods: This narrative review was conducted by searching and analyzing articles/databases that were relevant to addressing questions raised by a prior meta-analysis and how they might be affected by COVID-19. This process included unstructured searches on Pubmed for physician suicide, burnout, judicialization of medicine, healthcare organizations, and COVID-19, and Google searches for relevant databases and medical society, expert, and media commentaries on these topics. We focus on three factors critical to addressing physician suicides: epidemiological data limitations, psychiatric comorbidities, and professional overload. Results: We found relevant articles on suicide reporting, physician mental health, the effects of healthcare judicialization, and organizational involvement on physician and patient health, and how COVID-19 may impact such factors. This review addresses information sources, underreporting/misreporting of physician suicide rates, inadequate diagnosis and management of psychiatric comorbidities and the chronic effects on physicians' work capacity, and, finally, judicialization of medicine and organizational failures increasing physician burnout. We discuss these factors in general and in relation to the COVID-19 pandemic.Conclusions: We present an overview of the above factors, discuss possible solutions, and specifically address how COVID-19 may impact such factors.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.description.indexScielo
dc.identifier.citationTRENDS IN PSYCHIATRY AND PSYCHOTHERAPY, v.45, article ID e20210293, 9p, 2023
dc.identifier.doi10.47626/2237-6089-2021-0293
dc.identifier.eissn2238-0019
dc.identifier.issn2237-6089
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59105
dc.language.isoeng
dc.publisherASSOC PSIQUIATRIA RIO GRANDE SULeng
dc.relation.ispartofTrends in Psychiatry and Psychotherapy
dc.rightsopenAccesseng
dc.rights.holderCopyright ASSOC PSIQUIATRIA RIO GRANDE SULeng
dc.subjectPhysician suicideeng
dc.subjectCOVID-19eng
dc.subjectburnouteng
dc.subjectjudicialization of medicineeng
dc.subjecthealthcare organizationeng
dc.subjectdepressioneng
dc.subject.othertranscranial magnetic stimulationeng
dc.subject.otherpsychoactive drug-useeng
dc.subject.otherdepressive symptomseng
dc.subject.otherbipolar disordereng
dc.subject.otherprevalenceeng
dc.subject.otherideationeng
dc.subject.otherstudentseng
dc.subject.otherbehavioreng
dc.subject.otherconsequenceseng
dc.subject.otherpreventioneng
dc.subject.wosPsychiatryeng
dc.titleChallenges and potential solutions for physician suicide risk factors in the COVID-19 era: psychiatric comorbidities, judicialization of medicine, and burnouteng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisoca
hcfmusp.affiliation.countryisous
hcfmusp.author.externalDUARTE, Dante:Harvard Med Sch, Spaulding Hosp, Boston, MA USA; McMaster Univ, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada
hcfmusp.author.externalEL-HAGRASSY, Mirret M.:Harvard Med Sch, Spaulding Hosp, Boston, MA USA; Univ Massachusetts, Med Sch, Neurol Dept, Worcester, MA USA; UMass Mem, Dept Neurol, 67 Belmont St, Suite 301, Worcester, MA 01605 USA
hcfmusp.author.externalCOUTO, Tiago:Univ Fed Uberlandia, Uberlandia, MG, Brazil
hcfmusp.author.externalMINUZZI, Luciano:McMaster Univ, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada; St Josephs Healthcare Hamilton, Mood Disorders Program, Womens Hlth Concerns Clin, Hamilton, ON, Canada
hcfmusp.author.externalSAPERSON, Karen:McMaster Univ, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada
hcfmusp.author.externalCORREA, Humberto:Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcWAGNER DE SOUSA GURGEL
hcfmusp.description.articlenumbere20210293
hcfmusp.description.volume45
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1140459945
hcfmusp.origem.pubmed34788525
hcfmusp.origem.scieloSCIELO:S2237-60892023000100300
hcfmusp.origem.scopus2-s2.0-85160436859
hcfmusp.origem.wosWOS:001000011600002
hcfmusp.publisher.cityPORTO ALEGRE RSeng
hcfmusp.publisher.countryBRAZILeng
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Artigos e Materiais de Revistas Científicas - COVID-19