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Mental illness and suicide among physicians

The COVID-19 pandemic has heightened interest in how physician mental health can be protected and optimised, but uncertainty and misinformation remain about some key issues. In this Review, we discuss the current literature, which shows that despite what might be inferred during training, physicians...

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Autores principales: Harvey, Samuel B, Epstein, Ronald M, Glozier, Nicholas, Petrie, Katherine, Strudwick, Jessica, Gayed, Aimee, Dean, Kimberlie, Henderson, Max
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618683/
https://www.ncbi.nlm.nih.gov/pubmed/34481571
http://dx.doi.org/10.1016/S0140-6736(21)01596-8
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author Harvey, Samuel B
Epstein, Ronald M
Glozier, Nicholas
Petrie, Katherine
Strudwick, Jessica
Gayed, Aimee
Dean, Kimberlie
Henderson, Max
author_facet Harvey, Samuel B
Epstein, Ronald M
Glozier, Nicholas
Petrie, Katherine
Strudwick, Jessica
Gayed, Aimee
Dean, Kimberlie
Henderson, Max
author_sort Harvey, Samuel B
collection PubMed
description The COVID-19 pandemic has heightened interest in how physician mental health can be protected and optimised, but uncertainty and misinformation remain about some key issues. In this Review, we discuss the current literature, which shows that despite what might be inferred during training, physicians are not immune to mental illness, with between a quarter and a third reporting increased symptoms of mental ill health. Physicians, particularly female physicians, are at an increased risk of suicide. An emerging consensus exists that some aspects of physician training, working conditions, and organisational support are unacceptable. Changes in medical training and health systems, and the additional strain of working through a pandemic, might have amplified these problems. A new evidence-informed framework for how individual and organisational interventions can be used in an integrated manner in medical schools, in health-care settings, and by professional colleagues is proposed. New initiatives are required at each of these levels, with an urgent need for organisational-level interventions, to better protect the mental health and wellbeing of physicians.
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spelling pubmed-96186832022-10-31 Mental illness and suicide among physicians Harvey, Samuel B Epstein, Ronald M Glozier, Nicholas Petrie, Katherine Strudwick, Jessica Gayed, Aimee Dean, Kimberlie Henderson, Max Lancet Review The COVID-19 pandemic has heightened interest in how physician mental health can be protected and optimised, but uncertainty and misinformation remain about some key issues. In this Review, we discuss the current literature, which shows that despite what might be inferred during training, physicians are not immune to mental illness, with between a quarter and a third reporting increased symptoms of mental ill health. Physicians, particularly female physicians, are at an increased risk of suicide. An emerging consensus exists that some aspects of physician training, working conditions, and organisational support are unacceptable. Changes in medical training and health systems, and the additional strain of working through a pandemic, might have amplified these problems. A new evidence-informed framework for how individual and organisational interventions can be used in an integrated manner in medical schools, in health-care settings, and by professional colleagues is proposed. New initiatives are required at each of these levels, with an urgent need for organisational-level interventions, to better protect the mental health and wellbeing of physicians. Elsevier Ltd. 2021 2021-09-02 /pmc/articles/PMC9618683/ /pubmed/34481571 http://dx.doi.org/10.1016/S0140-6736(21)01596-8 Text en © 2021 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Review
Harvey, Samuel B
Epstein, Ronald M
Glozier, Nicholas
Petrie, Katherine
Strudwick, Jessica
Gayed, Aimee
Dean, Kimberlie
Henderson, Max
Mental illness and suicide among physicians
title Mental illness and suicide among physicians
title_full Mental illness and suicide among physicians
title_fullStr Mental illness and suicide among physicians
title_full_unstemmed Mental illness and suicide among physicians
title_short Mental illness and suicide among physicians
title_sort mental illness and suicide among physicians
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618683/
https://www.ncbi.nlm.nih.gov/pubmed/34481571
http://dx.doi.org/10.1016/S0140-6736(21)01596-8
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