Work environment and recent suicidal thoughts among male university hospital physicians in Sweden and Italy: The Health and Organization among University Hospital Physicians in Europe (HOUPE) study

Gender Medicine

Volumn 8, Issue 4, 2011, Pages 269-279

  Fridner, Ann ^a,b   Belkić, Karen ^b,c,d   Minucci, Daria ^e   Pavan, Luigi ^e   Marini, Massimo ^e   Pingel, Birgit ^a   Putoto, Giovanni ^e   Simonato, Pierluigi ^e   Løvseth, Lise T ^f   Schenck Gustafsson, Karin ^b  

^a STOCKHOLM UNIVERSITY   (Sweden)

^b KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^c CLAREMONT GRADUATE UNIVERSITY   (United States)

^d UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^e UNIVERSITY HOSPITAL OF PADOVA   (Italy)

^f TRONDHEIM UNIVERSITY HOSPITAL   (Norway)

Author keywords

academic medicine; harassment; male; physicians; suicide risk; work organization

Indexed keywords

ARTICLE; ITALY; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; SOCIAL SUPPORT; SUICIDAL BEHAVIOR; SWEDEN; UNIVERSITY HOSPITAL; WORK ENVIRONMENT;

ADULT; ATTITUDE OF HEALTH PERSONNEL; BURNOUT, PROFESSIONAL; CROSS-SECTIONAL STUDIES; FEMALE; HOSPITALS, UNIVERSITY; HUMANS; INTERPROFESSIONAL RELATIONS; ITALY; JOB SATISFACTION; MALE; MEDICAL STAFF, HOSPITAL; MIDDLE AGED; OCCUPATIONAL EXPOSURE; QUESTIONNAIRES; SOCIAL ENVIRONMENT; SUICIDE; SWEDEN; WORKPLACE;

EID: 79960981533     PISSN: 15508579     EISSN: 18787398     Source Type: Journal    
DOI: 10.1016/j.genm.2011.05.009     Document Type: Article

References (41)

1. Center C, Davis M, Detre T, et al. Confronting depression and suicide in physicians: a consensus statement. JAMA. 2003;289:3161-3166. (Pubitemid 37432892)
2. Herner B. High frequency of suicide among younger physicians. Unsatisfactory working situations should be addressed [in Swedish]. Lakartidningen. 1993;90:3449-3452.
3. Lindfors PM, Meretoja OA, Luukkonen RA, et al. Suicidality among Finnish anaesthesiologists. Acta Anaesthesiol Scand. 2009;53:1027-1035.
4. Petersen MR, Burnett CA. The suicide mortality of working physicians and dentists. Occup Med (Lond). 2008;58:25-29.
5. Schernhammer ES, Colditz GA. Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry. 2004;161:2295-2302. (Pubitemid 39587297)
6. Wolfersdorf M. Suicide and suicide prevention for female and male physicians. MMW Fortschr Med. 2007;28:149:34-36. (Pubitemid 47110526)
7. Fridner A, Belkić K, Marini M, et al. Survey on recent suicidal ideation among female university hospital physicians in Sweden and Italy (The HOUPE Study): cross-sectional associations with work stressors. Gend Med. 2009;6:314-328.
8. Legato M. Physician suicide: unnecessary losses. Gend Med. 2009;6:247-248.
9. Wallace JE, Lemaire JB, Ghali WA. Physician wellness: a missing quality indicator. Lancet. 2009;374:1714-1721.
10. Frank E, Dingle AD. Self-reported depression and suicide attempts among U.S. women physicians. Am J Psychiatry. 1999;156:1887-1894.
11. Fridner A, Pingel B, Hansen N. Health and working conditions of physicians at the Karolinska University Hospital [in Swedish]. Project Report, Center of Gender Related Medicine. Stockholm, Sweden: Karolinska Institute; 2006.
12. Gyorffy Z, Adám S, Csoboth C, Kopp M. The prevalence of suicide ideas and their psychosocial backgrounds among physicians [in Hungarian]. Psychiatr Hung. 2005;20:370-379.
13. Shanafelt TD, Balch CM, Dyrbye L, et al. Suicidal ideation among American surgeons. Arch Surg. 2011;146:54-62.
14. Løvseth LT, Aasland OG, Fridner A, et al. Confidentiality and physicians' health. A cross-sectional study of university hospital physicians in four European cities (the HOUPE study). J Occup Health. 2010;52:263-271.
15. Bergman B, Ahmad F, Stuart DE. Physician health, stress and gender at a university hospital. J Psychsom Res. 2003;54:171-178. (Pubitemid 36292430)
16. Riska E, Wegar K. Gender, Work and Medicine. London: Sage; 1993.
17. Risberg G, Johansson EE, Hamberg K. A theoretical model for analysing gender bias in medicine. Int J Equity Health. 2009;8:28.
18. Foster S, McMurray J, Linzer M, et al. Results of a gender climate and work environment survey at a mid-Western academic health center. Acad Med. 2000;75:653-660. (Pubitemid 30396549)
19. Wennerås C, Vald A. Nepotism and sexism in peer-review. Nature. 1997;387:341-343. (Pubitemid 27227180)
20. Fridner A. Career Paths and Career Patterns Among Physicians with a PhD. [dissertation]. Uppsala, Sweden: Uppsala University; 2004.
21. Andersen GR, Aasland OG, Fridner A, Løvseth LT. Harassment among university hospital physicians in four European cities. Results from a cross-sectional study in Norway, Sweden, Iceland and Italy (the HOUPE study). Work. 2010;37:99-110.
22. Karasek R, Theorell T. Healthy Work: Stress, Productivity and the Reconstruction of Working Life. New York: Basic Books, Inc; 1990.
23. Stansfield S, Candy B. Psychosocial work environment and mental health - a meta-analytic review. Scand J Work Environ Health. 2006;32:443-462. (Pubitemid 46075774)
24. Johnson JV, Hall EM, Ford DE, et al. The psychosocial work environment of physicians. The impact of demands and resources on job dissatisfaction and psychiatric distress in a longitudinal study of Johns Hopkins Medical School graduates. J Occup Environ Med. 1995;37:1151-1159.
25. Johnson JV, Hall EM. Job strain, workplace social support and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. Am J Public Health. 1988;78:1336-1342.
26. Belkić KL, Landsbergis PA, Schnall PL, Baker D. Is job strain a major source of cardiovascular disease risk? Scand J Work Environ Health. 2004;30:85-128. (Pubitemid 38568076)
27. Piko BF. Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey. Int J Nurs Studies. 2006;43:311-318. (Pubitemid 43213113)
28. Tunc T, Kutanis RO. Role conflict, role ambiguity, and burnout in nurses and physicians at a university hospital in Turkey. Nurs Health Sci. 2009;11:410-416.
29. Lindström K. User's Guide for the QPS Nordic General Nordic Questionnaire for Psychological and Social Factors at Work. Copenhagen, Denmark: Nordic Council of Ministers; 2000.
30. Meehan PJ, Lamb JA, Saltzman LE, O'Carroll PW. Attempted suicide among young adults: progress toward a meaningful estimate of prevalence. Am J Psychiatry. 1992;149:41-44.
31. Leymann H. The content and development of mobbing at work. Eur J Work Org Psychology. 1996;5:165-184.
32. Pingel B, Schenck-Gustafsson K, Fridner A. Gender equality among university hospital physicians. Report from the HOUPE study to Karolinska University Hospital. Stockholm, Sweden; 2009.
33. Løvseth LT, Gotestam KG. Organizational and health among physicians in four university hospitals in Europe. Report from the HOUPE study to St. Olafs University Hospital [in Norwegian]. Trondheim, Norway; 2006.
34. Frank E, Carrera JS, Stratton T, et al. Experiences of belittlement and harassment and their correlates among medical students in the United States: longitudinal survey. BMJ. 2006;333:682-687.
35. Compton M, Carrera JS, Frank E. Stress and depressive symptoms/dysphoria among U.S. medical students: results from a large, nationally-representative survey. J Nerv Ment Dis. 2008;196:891-897.
36. Hansen V, Jacobsen BK, Arnesen E. Prevalence of serious psychiatric morbidity in attenders and nonattenders to a health survey of a general population: the Tromsø Health Study. Am J Epidemiol. 2001;154:891-894. (Pubitemid 33069897)
37. Hem E, Grønvold NT, Aasland OG, Ekeberg Ø. The prevalence of suicidal ideation and suicidal attempts among Norwegian physicians. Results from a cross-sectional survey of a nationwide sample. Eur Psychiatry. 2000;15:183-189. (Pubitemid 30350554)
38. Galfalvy HC, Oquendo MA, Mann JJ. Evaluation of clinical prognostic models for suicide attempts after a major depressive episode. Acta Psychiatr Scand. 2008;117:244-252. (Pubitemid 351347469)
39. Mann JJ, Ellis SP, Waternaux CM, et al. Classification trees distinguish suicide attempters in major psychiatric disorders: a model of clinical decision making. J Clin Psychiatry. 2008;69:23-31. (Pubitemid 351281993)
40. Dyrbye LN, Thomas MR, Massie FS, et al. Burnout and suicidal ideation among US medical students. Ann Intern Med. 2008;149:334-341.
41. Tyssen R, Vaglum P, Grønvold N, Ekeberg Ø. Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. J Affect Dis. 2001;64:69-79. (Pubitemid 32268672)