TY  - JOUR
PY  - 2020//
TI  - The impact of gender and institutional factors on depression and suicidality in urology residents
JO  - Canadian journal of urology
A1  - Marchalik, Daniel
A1  - Goldman, Charlotte
A1  - Alger, Jordan
A1  - Rodríguez, Ariel
A1  - Catomeris, Andrew
A1  - Lynch, John H.
A1  - Padmore, Jamie
A1  - Mete, Mihriye
A1  - Krasnow, Ross
SP  - 10471
EP  - 10479
VL  - 27
IS  - 6
N2  - INTRODUCTION Surgical trainees experience high rates of depression and suicidal ideation (SI). However, there remain a gap in knowledge on the drivers of depression and SI in trainees, especially within the field of urology.     MATERIALS AND METHODS: We conducted a national study of urology trainees using a 50-item questionnaire in May 2018. The survey included demographic, depression (Patient Health Questionnaire-9 (PHQ-9)), burnout (Maslach Burnout Inventory (MBI)), and quality of life (QoL) questions.     RESULTS: Overall, 37 (17.6%) endorsed depression; 24 residents endorsed SI (11%). SI was higher in those with depression (p < 0.001). Burnout was also higher among depressed residents (97.3% versus 61.8%, p < 0.001) and those endorsing SI (16.1% versus 1.5%, p < 0.001). Depression was associated with female gender (29.2% versus 12.4%, p = 0.005), fatigue (29.5% versus 7.8%, p < 0.001), and lack of structured mentorship (23.7% versus 9.8%, p = 0.010). Access to mental health services was protective (p = 0.016). Older age, low QoL, dissatisfaction with work-life-balance (WLB), and fatigue were associated with SI. On adjusted analysis, gender (OR 3.1 [95%CI 1.4-6.9], p = 0.006), fatigue (OR 3.8[95%CI 1.6-9.0], p = 0.002), and burnout (OR 16.7 [95%CI 2.2-127.5], p = 0.007) increased the odds of depression. On exploratory analysis, self-reported burnout alone was predictive of SI (OR 7.6 [95%CI 2.5-23]), and performed similarly to an adjusted model (AUC Area 0.718 [95%CI 0.634-0.802] versus 0.825 [0.753-0.897]).     CONCLUSIONS: Urology trainees experience high rates of depression and SI. Female residents have significantly higher risk of depression. A single-item appears useful to screen for SI. Further investigation is needed to understand and promote urology resident wellness.<p />  <p>Language: en</p>
LA  - en
SN  - 1195-9479
UR  - http://dx.doi.org/
ID  - ref1
ER  -