@article{ref1,
title="Challenges and potential solutions for physician's suicide risk factors in the CoViD-19 era: psychiatric comorbidities, medicine judicialization, and burnout",
journal="Trends in psychiatry and psychotherapy",
year="2021",
author="Duarte, Dante and El-Hagarassy, Mirret M. and Couto, Tiago and Gurgel, Wagner and Minuzzi, Luciano and Saperson, Karen and Correa, Humberto",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Suicide in physicians outlines a public health problem that deserves more consideration. A recently performed meta-analysis and systematic review evaluated suicide mortality in physicians by gender and investigated several related risk factors. It showed a post-1980 suicide mortality ratio 46% higher in female physicians than women in the general population and a 33% lower risk in male physicians than men in general, despite an overall contraction in physicians' mortality rates in both genders. <br><br>METHODS: This narrative review was conducted through a search and analysis of relevant articles/databases to address questions raised by the meta-analysis, and how they may be affected by COVID-19. The process included unstructured searches on physician suicide, burnout, medicine judicialization, healthcare organization and COVID-19 on Pubmed, and Google searches for relevant databases, medical society, expert and media commentaries on these topics. We focus on three factors critical to address physician suicides: epidemiological data limitations, psychiatric comorbidities, and professional overload. <br><br>RESULTS: We found relevant articles on suicide reporting, physician mental health, effects of healthcare judicialization and organization on physician and patient health, and how COVID-19 may impact such factors. This review addresses information sources, underreporting/misreporting of physicians' suicide rates, inadequate diagnosis and management of psychiatric comorbidities and chronic effects on physicians' work capacity, and finally, medicine judicialization and organization failure increasing physician &quot;burnout&quot;. We discuss these factors in general and in relation to the COVID-19 pandemic. <br><br>CONCLUSIONS: We describe an overview of the above factors, discuss possible solutions, and specifically address how COVID-19 may impact such factors.<p /> <p>Language: en</p>",
language="en",
issn="2237-6089",
doi="10.47626/2237-6089-2021-0293",
url="http://dx.doi.org/10.47626/2237-6089-2021-0293"
}