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Suicide attempts among Swedish healthcare workers – a population-based cohort study

BACKGROUND: While there are abundant studies on healthcare workers’ (HCWs’) suicide risk, studies on HCWs’ suicide attempts are rarer. Most previous studies on HCWs’ suicide attempts were based on cross-sectional self-reported information among selected occupations, i.e., physicians, and did not con...

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Autores principales: Nevriana, A, Brulin, E, Almroth, M, Pan, K-Y, Bodin, T, Kjellberg, K, Hemmingsson, T, Falkstedt, D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10596851/
http://dx.doi.org/10.1093/eurpub/ckad160.748
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author Nevriana, A
Brulin, E
Almroth, M
Pan, K-Y
Bodin, T
Kjellberg, K
Hemmingsson, T
Falkstedt, D
author_facet Nevriana, A
Brulin, E
Almroth, M
Pan, K-Y
Bodin, T
Kjellberg, K
Hemmingsson, T
Falkstedt, D
author_sort Nevriana, A
collection PubMed
description BACKGROUND: While there are abundant studies on healthcare workers’ (HCWs’) suicide risk, studies on HCWs’ suicide attempts are rarer. Most previous studies on HCWs’ suicide attempts were based on cross-sectional self-reported information among selected occupations, i.e., physicians, and did not consider potential multiple attempts. This study aimed to determine the risk of suicide attempts among a wide range of healthcare professions using information from Swedish nationwide population registers. METHODS: This population-based cohort study included 4.9 million Swedish workers aged 20 years and above residing in Sweden in 2005 who were followed until their death, emigration, age 65, or 31 December 2020. The suicide attempts rates (number of secondary care visits with ICD-10 codes X60-84 and Y10-34 during follow-up) among HCWs were identified and compared with the general working population. The following occupations were included: physicians, nurses, dentists and dental hygienists, psychologists, psychotherapists, counsellors, pharmacists and prescriptionists, therapists and other allied health professionals, assistant nurses, and healthcare administrators. Adjusted rate ratios (aRRs) were estimated using Poisson regression controlling for demographics, socioeconomic, and health status. RESULTS: Most HCWs have an increased risk of suicide attempts compared to other workers. The highest risk was observed among nurses (aRR 1.48, 95% CI 1.42-1.56) and assistant nurses (aRR 1.33, 95% CI 1.30-1.35). The association was stronger in males (aRR nurses 1.56, 95% CI 1.35-1.81) than in females (aRR nurses 1.41, 95% CI 1.34-1.48). The risks were similar over the age at follow-up and calendar year. CONCLUSIONS: Many HCWs were at increased risk of suicide attempts. Unlike patterns observed in the general population, male HCWs might have a higher increase in suicide attempt risk. Preventive efforts for suicide attempts within the healthcare system might need to be improved. KEY MESSAGES: • Healthcare workers were at increased risk for suicide attempts, and the risk might be stronger in male than female HCWs. • The risk for suicide attempts among healthcare workers was similar throughout age and calendar year.
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spelling pubmed-105968512023-10-25 Suicide attempts among Swedish healthcare workers – a population-based cohort study Nevriana, A Brulin, E Almroth, M Pan, K-Y Bodin, T Kjellberg, K Hemmingsson, T Falkstedt, D Eur J Public Health Parallel Programme BACKGROUND: While there are abundant studies on healthcare workers’ (HCWs’) suicide risk, studies on HCWs’ suicide attempts are rarer. Most previous studies on HCWs’ suicide attempts were based on cross-sectional self-reported information among selected occupations, i.e., physicians, and did not consider potential multiple attempts. This study aimed to determine the risk of suicide attempts among a wide range of healthcare professions using information from Swedish nationwide population registers. METHODS: This population-based cohort study included 4.9 million Swedish workers aged 20 years and above residing in Sweden in 2005 who were followed until their death, emigration, age 65, or 31 December 2020. The suicide attempts rates (number of secondary care visits with ICD-10 codes X60-84 and Y10-34 during follow-up) among HCWs were identified and compared with the general working population. The following occupations were included: physicians, nurses, dentists and dental hygienists, psychologists, psychotherapists, counsellors, pharmacists and prescriptionists, therapists and other allied health professionals, assistant nurses, and healthcare administrators. Adjusted rate ratios (aRRs) were estimated using Poisson regression controlling for demographics, socioeconomic, and health status. RESULTS: Most HCWs have an increased risk of suicide attempts compared to other workers. The highest risk was observed among nurses (aRR 1.48, 95% CI 1.42-1.56) and assistant nurses (aRR 1.33, 95% CI 1.30-1.35). The association was stronger in males (aRR nurses 1.56, 95% CI 1.35-1.81) than in females (aRR nurses 1.41, 95% CI 1.34-1.48). The risks were similar over the age at follow-up and calendar year. CONCLUSIONS: Many HCWs were at increased risk of suicide attempts. Unlike patterns observed in the general population, male HCWs might have a higher increase in suicide attempt risk. Preventive efforts for suicide attempts within the healthcare system might need to be improved. KEY MESSAGES: • Healthcare workers were at increased risk for suicide attempts, and the risk might be stronger in male than female HCWs. • The risk for suicide attempts among healthcare workers was similar throughout age and calendar year. Oxford University Press 2023-10-24 /pmc/articles/PMC10596851/ http://dx.doi.org/10.1093/eurpub/ckad160.748 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Parallel Programme
Nevriana, A
Brulin, E
Almroth, M
Pan, K-Y
Bodin, T
Kjellberg, K
Hemmingsson, T
Falkstedt, D
Suicide attempts among Swedish healthcare workers – a population-based cohort study
title Suicide attempts among Swedish healthcare workers – a population-based cohort study
title_full Suicide attempts among Swedish healthcare workers – a population-based cohort study
title_fullStr Suicide attempts among Swedish healthcare workers – a population-based cohort study
title_full_unstemmed Suicide attempts among Swedish healthcare workers – a population-based cohort study
title_short Suicide attempts among Swedish healthcare workers – a population-based cohort study
title_sort suicide attempts among swedish healthcare workers – a population-based cohort study
topic Parallel Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10596851/
http://dx.doi.org/10.1093/eurpub/ckad160.748
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