Philippe Mortier1,2, Gemma Vilagut1,2, Montse Ferrer1,2,3, Consol Serra2,4,5, Juan D Molina6,7,8,9, Nieves López-Fresneña10, Teresa Puig3,11,12,13, José M Pelayo-Terán14, José I Pijoan2,15, José I Emparanza2,16, Meritxell Espuga17, Nieves Plana2,18, Ana González-Pinto9,19, Rafael M Ortí-Lucas9,20, Alma M de Salázar21, Cristina Rius9,22, Enric Aragonès23,24, Isabel Del Cura-González25,26,27, Andrés Aragón-Peña27,28, Mireia Campos29, Mara Parellada9,10, Aurora Pérez-Zapata18, Maria João Forjaz30,31, Ferran Sanz32,33,34, Josep M Haro3,9,35, Eduard Vieta9,36, Víctor Pérez-Solà3,4,9, Ronald C Kessler37, Ronny Bruffaerts38, Jordi Alonso1,2,33. 1. Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain. 2. CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. 3. Universitat Autònoma de Barcelona (UAB), Barcelona, Spain. 4. Parc de Salut Mar PSMAR, Barcelona, Spain. 5. CiSAL-Centro de Investigación en Salud Laboral, IMIM/UPF, Barcelona, Spain. 6. Villaverde Mental Health Center, Clinical Management Area of Psychiatry and Mental Health, Psychiatric Service, Hospital Universitario 12 de Octubre, Madrid, Spain. 7. Research Institute Hospital 12 de Octubre (i+12), Madrid, Spain. 8. Faculty of Health Sciences, Francisco de Vitoria University, Madrid, Spain. 9. CIBER Salud Mental (CIBERSAM), Madrid, Spain. 10. Hospital General Universitario Gregorio Marañón, Madrid, Spain. 11. Department of Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. 12. Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain. 13. CIBER Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain. 14. Hospital El Bierzo, León, Spain. 15. Hospital Universitario Cruces/OSI EEC, Bilbao, Spain. 16. Hospital Universitario Donostia, San Sebastián, Spain. 17. Occupational Health Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain. 18. Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain. 19. Hospital Universitario Araba-Santiago, Vitoria-Gasteiz, Spain. 20. Hospital Clínic Universitari, Valencia, Spain. 21. UGC Salud Mental, Hospital Universitario Torrecárdenas, Almería, Spain. 22. Agència de Salut Pública de Barcelona, Barcelona, Spain. 23. Institut d'Investigació en Atenció Primària IDIAP Jordi Gol, Barcelona, Spain. 24. Atenció Primària Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain. 25. Research Unit, Primary Care Management, Madrid Health Service, Madrid, Spain. 26. Department of Medical Specialities and Public Health, King Juan Carlos University, Madrid, Spain. 27. Fundación Investigación e Innovación Biosanitaria de AP, Comunidad de Madrid, Madrid, Spain. 28. Epidemiology Unit, Regional Ministry of Health, Community of Madrid, Madrid, Spain. 29. Service of Prevention of Labor Risks, Medical Emergencies System, Generalitat de Catalunya, Barcelona, Spain. 30. National Center of Epidemiology, Instituto de Salud Carlos III (ISCIII), Madrid, Spain. 31. Health Services Research Network on Chronic Diseases (REDISSEC), Madrid, Spain. 32. Research Progamme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain. 33. Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain. 34. Instituto Nacional de Bioinformatica-ELIXIR-ES, Madrid, Spain. 35. Parc Sanitari Sant Joan de Déu, Barcelona, Spain. 36. Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain. 37. Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA. 38. Center for Public Health Psychiatry, Universitair Psychiatrisch Centrum, KU Leuven, Leuven, Belgium.
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). 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. 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%). 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.
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). 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. 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%). 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.
Authors: Judith Farrés; Jose Luis Ruiz; Jose Manuel Mas; Lilibeth Arias; Maria-Rosa Sarrias; Carolina Armengol; Pere-Joan Cardona; Jose A Munoz-Moreno; Miriam Vilaplana; Belen Arranz; Judith Usall; Antoni Serrano-Blanco; Cristina Vilaplana Journal: BMJ Open Date: 2021-11-26 Impact factor: 2.692
Authors: Emily Eyles; Paul Moran; Chukwudi Okolie; Dana Dekel; Catherine Macleod-Hall; Roger T Webb; Lena Schmidt; Duleeka Knipe; Mark Sinyor; Luke A McGuinness; Ella Arensman; Keith Hawton; Rory C O'Connor; Nav Kapur; Siobhan O'Neill; Babatunde Olorisade; Hung-Yuan Cheng; Julian P T Higgins; Ann John; David Gunnell Journal: J Affect Disord Rep Date: 2021-11-17
Authors: Ernesto González-Mesa; Jesus Salvador Jiménez-López; Marta Blasco-Alonso; Jose Ramon Anderica-Herrero; Daniel Lubián-López Journal: J Clin Med Date: 2021-12-15 Impact factor: 4.241
Authors: V Pérez; M Elices; G Vilagut; E Vieta; J Blanch; E Laborda-Serrano; B Prat; F Colom; D Palao; J Alonso Journal: Eur Neuropsychopharmacol Date: 2021-11-19 Impact factor: 5.415