@article{ref1,
title="Thirty-day suicidal thoughts and behaviors among hospital workers during the first wave of the Spain COVID-19 outbreak",
journal="Depression and anxiety",
year="2021",
author="Kessler, Ronald C. and Vieta, Eduard and Alonso, Jordi and Aragón-Peña, Andrés and Del Cura-González, Isabel and Aragonès, Enric and Sanz, Ferran and Forjaz, Maria João and Pérez-Zapata, Aurora and Parellada, Mara and Campos, Mireia and Rius, Cristina and de Salázar, Alma M. and Orti-Lucas, Rafael M. and Gonzalez-Pinto, Ana and Plana, Nieves and Espuga, Meritxell and Emparanza, José I. and Pijoan, José I. and Pelayo-Terán, José M. and Puig, Teresa and López-Fresneña, Nieves and de Dios Molina, Juan and Haro, Josep M. and Serra, Consol and Ferrer, Montse and Vilagut, Gemma and Mortier, Philippe and Pérez-Solà, Victor and Bruffaerts, Ronny",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Healthcare workers are a key occupational group at risk for suicidal thoughts and behaviors (STB). We investigated the prevalence and correlates of STB  among hospital workers during the first wave of the Spain COVID-19 outbreak  (March-July 2020). <br><br>METHODS: Data come from the baseline assessment of a cohort of  Spanish hospital workers (n = 5450), recruited from 10 hospitals just after the  height of the coronavirus disease 2019 (COVID-19) outbreak (May 5-July 23, 2020). Web-based self-report surveys assessed 30-day STB, individual characteristics, and  potentially modifiable contextual factors related to hospital workers' work and  financial situation. <br><br>RESULTS: Thirty-day STB prevalence was estimated at 8.4% (4.9%  passive ideation only, 3.5% active ideation with or without a plan or attempt). A  total of n = 6 professionals attempted suicide in the past 30 days. In adjusted  models, 30-day STB remained significantly associated with pre-pandemic lifetime mood  (odds ratio [OR] = 2.92) and anxiety disorder (OR = 1.90). Significant modifiable  factors included a perceived lack of coordination, communication, personnel, or  supervision at work (population-attributable risk proportion [PARP] = 50.5%), and  financial stress (PARP = 44.1%). <br><br>CONCLUSIONS AND RELEVANCE: Thirty-day STB among  hospital workers during the first wave of the Spain COVID-19 outbreak was high. Hospital preparedness for virus outbreaks should be increased, and strong  governmental policy response is needed to increase financial security among hospital  workers.<p /> <p>Language: en</p>",
language="en",
issn="1091-4269",
doi="10.1002/da.23129",
url="http://dx.doi.org/10.1002/da.23129"
}