Suicide patterns among physicians related to other academics as well as the general population: Results from a national long-term prospective study and a retrospective study
Harvard School of Public Health, Occupational Health Program, Boston, USA Acta Psychiatrica Scandinavica
(Impact Factor: 5.61).
03/1987; 75(2):139-43. DOI: 10.1111/j.1600-0447.1987.tb02765.x
ABSTRACT— In the present study, we have followed a national cohort of physicians, academics and the general population (part of the compulsory census in 1960) for a period of 10 years and identified all cases of suicide during the period 1961 - 1970. Furthermore, we have carried out a retrospective study of suicides among the four major medical specialist groups (general practioners, internists, psychiatrists and general surgeons) and compared these rates with other medical specialists.
Results show an elevated standardized mortality ratio (SMR) for suicide among female physicians compared to other academics as well as to the general population. Furthermore, male doctors exhibit an elevated suicide rate only when compared to other academics. Among the various specialists, general surgeons alone exhibited a significantly elevated suicide rate. The study clearly shows that female physicians are more prone to suicide than most other women, but that male physicians are also at risk compared to other male academics. Furthermore, at least in Sweden, general surgeons, not psychiatrists, have the highest suicide rate of all physicians.
Available from: Javad Moamai
- "Although several studies      found a moderately higher risk of suicide among male physicians and a significantly higher risk of suicide among female physicians than in the general population, others have reported different results. Arnetz et al.  determined that only Swedish female physicians were more prone to suicide than the general population. In a Finnish study, Lindeman et al.  reported standardized suicide mortality ratios of 0.9 for male physicians and 2.4 for female physicians. "
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ABSTRACT: Objective. To describe a psychiatric profile and characteristics of physicians who killed themselves in Quebec between 1992 and 2009. Method. The cases of 36 physicians (7 females and 29 males) and 36 nonphysicians who committed suicide were matched for age and gender and examined in a nested case control design. All subjects were judged as definite suicide by the Quebec Coroner Head Office. Consensus regarding DSM-IV diagnoses was established by two forensic psychiatrists. Results. Rates of all Axis I diagnoses were 83% for physicians and 91% for nonphysicians at the time of suicide. Major depressive disorders were the most frequently observed pathology in both groups (61% and 56%, resp.). Conclusions. Physicians and nonphysicians who committed suicide in Quebec suffered from the same type of psychiatric disorder at the time of killing themselves. The findings advocate strongly for more efficient suicide prevention measures including early detection and treatment of mood disorders for the physicians.
Available from: rmu.org.uy
Available from: rmu.org.uy
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