Special report

Suicidal ideation among American surgeons

Tait D. Shanafelt, Charles M. Balch, Liselotte (Lotte) Dyrbye, Gerald Bechamps, Tom Russell, Daniel Satele, Teresa Rummans, Karen Swartz, Paul J. Novotny, Jeff A Sloan, Michael R. Oreskovich

Research output: Contribution to journalArticle

219 Citations (Scopus)

Abstract

Background: Suicide is a disproportionate cause of death for US physicians. The prevalence of suicidal ideation (SI) among surgeons and their use of mental health resources are unknown. Study Design: Members of the American College of Surgeons were sent an anonymous cross-sectional survey in June 2008. The survey included questions regarding SI and use of mental health resources, a validated depression screening tool, and standardized assessments of burnout and quality of life. Results: Of 7905 participating surgeons (response rate, 31.7%), 501 (6.3%) reported SI during the previous 12 months. Among individuals 45 years and older, SI was 1.5 to 3.0 times more common among surgeons than the general population (P<.02). Only 130 surgeons (26.0%) with recent SI had sought psychiatric or psychologic help, while 301 (60.1%) were reluctant to seek help due to concern that it could affect their medical license. Recent SI had a large, statistically significant adverse relationship with all 3 domains of burnout (emotional exhaustion, depersonalization, and low personal accomplishment) and symptoms of depression. Burnout (odds ratio, 1.910; P<.001) and depression (odds ratio, 7.012; P<.001) were independently associated with SI after controlling for personal and professional characteristics. Other personal and professional characteristics also related to the prevalence of SI. Conclusions: Although 1 of 16 surgeons reported SI in the previous year, few sought psychiatric or psychologic help. Recent SI among surgeons was strongly related to symptoms of depression and a surgeon's degree of burnout. Studies are needed to determine how to reduce SI among surgeons and how to eliminate barriers to their use of mental health resources.

Original languageEnglish (US)
Pages (from-to)54-62
Number of pages9
JournalArchives of Surgery
Volume146
Issue number1
DOIs
StatePublished - Jan 2011

Fingerprint

Suicidal Ideation
Health Resources
Depression
Mental Health
Psychiatry
Surgeons
Odds Ratio
Depersonalization
Licensure
Suicide
Cause of Death
Cross-Sectional Studies
Quality of Life

ASJC Scopus subject areas

  • Surgery

Cite this

Shanafelt, T. D., Balch, C. M., Dyrbye, L. L., Bechamps, G., Russell, T., Satele, D., ... Oreskovich, M. R. (2011). Special report: Suicidal ideation among American surgeons. Archives of Surgery, 146(1), 54-62. https://doi.org/10.1001/archsurg.2010.292

Special report : Suicidal ideation among American surgeons. / Shanafelt, Tait D.; Balch, Charles M.; Dyrbye, Liselotte (Lotte); Bechamps, Gerald; Russell, Tom; Satele, Daniel; Rummans, Teresa; Swartz, Karen; Novotny, Paul J.; Sloan, Jeff A; Oreskovich, Michael R.

In: Archives of Surgery, Vol. 146, No. 1, 01.2011, p. 54-62.

Research output: Contribution to journalArticle

Shanafelt, TD, Balch, CM, Dyrbye, LL, Bechamps, G, Russell, T, Satele, D, Rummans, T, Swartz, K, Novotny, PJ, Sloan, JA & Oreskovich, MR 2011, 'Special report: Suicidal ideation among American surgeons', Archives of Surgery, vol. 146, no. 1, pp. 54-62. https://doi.org/10.1001/archsurg.2010.292
Shanafelt TD, Balch CM, Dyrbye LL, Bechamps G, Russell T, Satele D et al. Special report: Suicidal ideation among American surgeons. Archives of Surgery. 2011 Jan;146(1):54-62. https://doi.org/10.1001/archsurg.2010.292
Shanafelt, Tait D. ; Balch, Charles M. ; Dyrbye, Liselotte (Lotte) ; Bechamps, Gerald ; Russell, Tom ; Satele, Daniel ; Rummans, Teresa ; Swartz, Karen ; Novotny, Paul J. ; Sloan, Jeff A ; Oreskovich, Michael R. / Special report : Suicidal ideation among American surgeons. In: Archives of Surgery. 2011 ; Vol. 146, No. 1. pp. 54-62.
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