Burnout and Suicidal Ideation among U.S. Medical Students

  title={Burnout and Suicidal Ideation among U.S. Medical Students},
  author={Liselotte N. Dyrbye and Matthew R. Thomas and F. Stanford Massie and David V. Power and Anne Eacker and William V. Harper and Steven J. Durning and Christine Yu Moutier and Daniel W. Szydlo and Paul J. Novotny and Jeff Sloan and Tait D. Shanafelt},
  journal={Annals of Internal Medicine},
Death by suicide is a major occupational hazard for physicians (1). The suicide rate among male physicians is more than 40% higher than among men in the general population, whereas that of female physicians is a staggering 130% higher than among women in the general population (1, 2). The increased risk for suicide among physicians may begin during medical school (3). Available studies suggest that the suicide rate among medical students is higher than in the age-matched population (35). Other… 
Suicidal Ideation Among Students and Physicians at a U.S. Medical School
A screening program at one medical center for identifying and referring physicians and students who may be at risk for suicide, and differences between groups with respect to depressive symptoms, suicidal ideation and behaviors, and utilization of mental health resources are explored.
Suicidal ideation among medical students of Pakistan: a cross-sectional study.
Suicidal ideation among medical students of Delhi
High prevalence of suicidal ideation amongst medical students suggests that there is an urgent need for a mental health program for medical students that provides counseling services and creates more opportunities for recreational activities.
A Study on Suicide Ideation among Medical Students in Mangalore
Characteristics such as being neglected by parents, being physically assaulted by seniors, having psychiatric illnesses were more statistically significant to have suicidal ideas than other characteristics.
Associations of Suicidality with Adverse Life Events, Psychological Distress and Somatic Complaints in a Chinese Medical Student Sample
Evidence linking severe psychological distress, general pain/fatigue, interpersonal stress and psychosocial factors with suicide risk among Chinese medical students is provided which provides targets for future psychological interventions.
Suicidal ideation and attempt among South African medical students.
A high prevalence of suicidal ideation and attempt among South African medical students from three universities is found, which is three times higher than the general age-appropriate South African population.
Addressing Mental Illness Stigma, Implicit Bias, and Stereotypes in Medical School
Recommendations include healthcare provider annual anonymous screenings for mood disorders, substance abuse disorders, and/or suicidality: learning how to self-assess for depression and suicideality; non-discriminatory state re-licensing based on professional performance; free institution wellness programs, medical education curricula on physician depression, suicide and protective factors, and data collection on mental health prevalence and treatment services.
A narrative review of suicide and suicidal behavior in medical students
It is found that medical student suicide is likely related to a number of social and environmental factors, including social isolation, the competitive nature of learning, and being away from home at an early age.
Suicidal ideation in medical students: recent insights
The most frequent factors associated with suicidal ideation in medical students were depression and depressive symptoms, a previous diagnosis of a psychiatric disorder, lower socioeconomic status/financial difficulties, having a history of drug use, and feeling neglected by parents.


Identifying suicidal ideation in general medical patients.
If the results from the four-item screen are reproduced in a clinical setting, general medical patients with a high likelihood for suicidal ideation may be identified with a brief screening questionnaire that would have greater sensitivity than would be achieved by assessing suicidal Ideation only in those patients who meet criteria for a distinct psychiatric disorder.
Incidence of suicidal ideation and behavior in the United States, 1994.
Estimating the 12-month incidence of suicidal ideation, planning, and attempts among U.S. adults using a random-digit-dialed telephone survey finds that suicidal behaviors are not uncommon and occur along a continuum ranging from ideation to completed suicides.
Attempted suicide among young adults: progress toward a meaningful estimate of prevalence.
The prevalence of self-reported attempted suicide is not representative of the prevalence ofSelf-injury and provides little information concerning the seriousness of the attempt.
Medical student suicide, 1989-1994.
The results demonstrate a lower suicide rate than that found in previous studies and emphasize the need for standardized reporting methods.
Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey.
All significant risk factors were more strongly related to ideation than to progression from ideation to a plan or an attempt, and prevention efforts should focus on planned attempts because of the rapid onset and unpredictability of unplanned attempts.
Depressed Medical Students' Use of Mental Health Services and Barriers to Use
  • J. Givens, J. Tjia
  • Medicine, Psychology
    Academic medicine : journal of the Association of American Medical Colleges
  • 2002
It is demonstrated that depression among medical students may be undertreated and medical schools can assist depressed students by addressing issues such as the stigma of using mental health services, confidentiality, and documentation.
Personal Life Events and Medical Student Burnout: A Multicenter Study
Despite the notion that burnout is primarily linked to work-related stress, personal life events also demonstrated a strong relationship to professional burnout, suggesting both personal and curricular factors are related to burnout among medical students.
A multicenter study of burnout, depression, and quality of life in minority and nonminority US medical students.
Efforts to improve minority students' well-being, QOL, and learning experience may help prevent attrition among minority medical students and promote diversification in the physician workforce.
Fifty-two medical student suicides.
The authors surveyed all U.S. medical schools to ascertain the frequency with which medical students attempt suicide, complete suicide, and seek psychiatric treatment and discuss four steps schools can take in suicidal prevention.