Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-10T13:32:50.521Z Has data issue: false hasContentIssue false

La prevalencia de ideaci ó n suicida y los intentos de suicidio entre médicos noruegos. Resultados de un estudio transversal de una muestra nacional

Published online by Cambridge University Press:  12 May 2020

E. Hem
Affiliation:
Departamento de Ciencias Conductuales en Medicina, Facultad de Medicina, Universidad de Oslo, Noruega
N. T. Grønvold
Affiliation:
Departamento de Ciencias Conductuales en Medicina, Facultad de Medicina, Universidad de Oslo, Noruega
O. G. Aasland
Affiliation:
Instituto de Investigación, Asociación Médica Noruega y Centro para la Administración de la Salud, Universidad de Oslo, Noruega.
Ø. Ekeberg
Affiliation:
Departamento de Ciencias Conductuales en Medicina, Facultad de Medicina, Universidad de Oslo, Noruega
Get access

Resumen

Los médicos tienen una tasa de suicidio más alta que la población general u otros universita- rios. Se sabe poco sobre las razones que lo motivan. Analizar los factores de riesgo puede ser una manera útil de identificar razones para la elevada tasa de suicidio entre los médicos y, de este modo, llevar a tentativas de prevención. El presente estudio es uno de los primeros artículos sobre los pensamientos sui-cidas e intentos de suicidio entre los médicos. Mil sesenta y tres de 1.476 médicos noruegos en activo (72%) respondieron a un cuestionario sobre pensamientos suicidas (desarrollado por E. S. Paykel). La prevalencia vital iba de 51,1% para los sentimientos de que la vida no merece ser vivida a 1,6% para intento de suicidio. Los factores de riesgo eran ser mujer, vivir solo y la depresión. Sin embargo, los pensamientos suicidas no se atribuían apenas a las condiciones laborales. Una elevada tasa de suicidio y una tasa baja de intentos de suicidio apoya la hipótesis de que los médicos no dan un “grito de ayuda”, sino que tienden a materializar sus impulsos suicidas.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Aasland, OGEkeberg, OSchweder, T.Suicide rates from 1960 to 1989 in Norwegian physicians compared with other educational groups. Soc Sci Med 00; in press.Google Scholar
Aasland, OGOlff, MFalkum, ESchweder, TUrsin, H.Health complaints and job stress in Norwegian physicians: the use of an overlapping questionnaire design. Soc Sci Med 1997; 45: 1615–29.CrossRefGoogle ScholarPubMed
Arnetz, BBHórte, LGHedberg, ATheorell, TAllander, EMalker, H.Suicide patterns among physicians related to other academics as well as to the general population. Results from a national long-term prospective study and a retrospective study. Acta Psychiatr Scand 1987; 75: 139–43.CrossRefGoogle ScholarPubMed
Bergman, J.The suicide rate among psychiatrists revisited. Suicide Life Threat Behav 1979; 9: 219–26.CrossRefGoogle ScholarPubMed
Boxer, PABurnett, CSwanson, N.Suicide and occupation: a review of the literature. J Occup Environ Med 1995; 37: 442–52.CrossRefGoogle ScholarPubMed
Carpenter, LMSwerdlow, AJFear, NT.Mortality of doctors in different specialties: findings from a cohort of 20,000 NHS hospital consultants. Occup Environ Med 1997; 54: 388–95.CrossRefGoogle Scholar
Diekstra, RF.The epidemiology of suicide and parasuicide. Acta Psychiatr Scand 1993; 371 Suppl: 920.CrossRefGoogle ScholarPubMed
Diekstra, RFGamefski, N.On the nature, magnitude, and causality of suicidal behaviors: an International perspective. Suicide Life Threat Behav 1995; 25: 3657.Google Scholar
Frank, EDingle, AD.Self-reported depression and suicide attempts among U. S. women physicians. Am J Psychiatry 1999; 156: 1887–94.Google ScholarPubMed
Goldberg, DWilliams, P.A user’s guide to the general health questionnaire. Windsor: NFER-Nelson; 1988.Google Scholar
Goldney, RDSmith, SWinefield, AHTiggeman, MWinefield, HR.Suicidal ideation: its enduring nature and associated morbidity. Acta Psychiatr Sean 1991; 83: 115–20.CrossRefGoogle ScholarPubMed
Hall, AHarrington, JMAw, TC.Mortality study of British pathologists. Am J Ind Med 1991; 20: 83–9.CrossRefGoogle ScholarPubMed
Hállstróm, T.Life-weariness, suicidal thoughts and suicidal attempts among women in Gothenburg, Sweden. Acta Psychiatr Scand 1977; 56: 1520.CrossRefGoogle Scholar
Hjelmeland, HBjerke, T.Parasuicide in the country of Sør-Trøndelag, Norway. General epidemiology and psychological factors. Soc Psychiatry Psychiatr Epidemiol 1996; 31: 272–83.Google Scholar
Juel, KMosbech, JHansen, ES.Mortality and causes of death among Danish medical doctors 1973-1992. Int J Epidemiol 1999; 28: 456–60.CrossRefGoogle ScholarPubMed
Lamberts, HWood, MHofmans-Okkes, I, eds. The international classification of primary care in the European Community. Oxford: Oxford Medical Publications; 1993.Google Scholar
Lindeman, SLaara, EHakko, HLonnqvist, J.A systematic review on gender-specific suicide mortality in medical doctors. Br J Psychiatry 1996; 168: 274–9.CrossRefGoogle ScholarPubMed
Lindeman, SLaara, EVuori, ELonnqvist, J.Suicides among physicians, engineers and teachers: the prevalence of reported depression, admissions to hospital and contributory causes of death. Acta Psychiatr Scand 1997; 96: 6871.CrossRefGoogle ScholarPubMed
Madianos, MGMadianou-Gefou, DStefanis, CN.Changes in suicidal behavior among nation-wide general population samples across Greece. Eur Arch Psychiatry Clin Neurosci 1993; 243: 171–8.CrossRefGoogle ScholarPubMed
Neil, HAFairer, JGColeman, MPThurston, AVessey, MP.Mortality among male anaesthetists in the United Kingdom, 1957-83. BMJ 1987; 295: 360–2.CrossRefGoogle ScholarPubMed
Nordentoft, MMogensen, KEngsig, AWinther, AJohansson, MRonde, B, et al. Danske underordnede laegers arbejds- og livsvilkár. (Working and living conditions of Danish medical assistant - in Danish). Nord Med 1991; 106: 279–84.Google Scholar
Olkinuora, MAsp, SJuntunen, JKauttu, KStrid, LÄärimaa, M.Stress symptoms, burnout and suicidal thoughts in Finnish physicians. Soc Psychiatry Psychiatr Epidemiol 1990; 25: 81–6.Google ScholarPubMed
Paykel, ESMyers, JKLindenthal, JJTanner, J.Suicidal feelings in the general population. Br J Psychiatry 1994; 124: 460–9.CrossRefGoogle Scholar
Retterstol, N.Selvmord (Suicide - in Norwegian). Oslo: Universitetsforlaget; 1995.Google Scholar
Rich, CLPitts, FN Jr.Suicide by psychiatrists: a study of medical specialists among 18, 730 consecutive physician deaths during a five-year period, 1967-72. J Clin Psychiatry 1980; 41: 261–3.Google ScholarPubMed
Roy, A.Suicide in doctors. Psychiatr Clin North Am 1985; 8: 377–87.CrossRefGoogle ScholarPubMed
Sveriges, lakarfórbund.Lakares arbetsmiljó: en rapport frán Lakarforbundets arbetsmiljógrupp. (Physicians’ working conditions: a report from the occupational health group of the Swedish Medical Association - in Swedish). Stockholm: Sveriges lakarfórbund; 1988.Google Scholar
Torgersen, S.Hereditary-environmental differentiation of general neurotic, obsessive, and impulsive hysterical personality traits. Acta Genet Med Gemellol 1980; 29: 193207.CrossRefGoogle ScholarPubMed
Ursin, HEndresen, IMUrsin, G.Psychological factors and self-reports of muscle pain. Eur J Appl Physiol 1988; 57: 282–90.CrossRefGoogle ScholarPubMed
Warr, PCook, JWall, TScales for the measurement of some work attitudes and aspeets of psychological well-being. J Occup Psychol 1979; 52: 129–48.CrossRefGoogle Scholar