Work Environment and Recent Suicidal Thoughts Among Male University Hospital Physicians in Sweden and Italy: The Health and Organization Among University Hospital Physicians in Europe (HOUPE) Study
2011 (English)In: Gender Medicine, ISSN 1550-8579, Vol. 8, no 4, 269-279 p.Article in journal (Refereed) Published
Background: Male and female physicians are at elevated suicide risk. The work environment has become a focus of attention as a possible contributor to this risk. The potential association between work environment and suicidal thoughts has been examined among female physicians in several countries, and significant findings have been reported. Objective: The purpose of this study was to examine the role of the work environment in relation to suicidal thoughts among male university hospital physicians in 2 European countries. Methods: Cross-sectional multivariate analysis was performed to identify significant associations between work-related factors and suicide risk among male physicians from the Health and Organization among University Hospital Physicians in Europe (HOUPE) study. The dependent variable was termed recent suicidal thoughts, which includes having thought about suicide and/or having thought about specific ways to commit suicide within the previous year. Adjusted odds ratios (ORs) and CIs are reported. Results: Of the 456 Swedish (56%) and 241 Italian (39%) male physicians who participated, 12% of the physicians from each country reported affirmatively regarding recent suicidal thoughts. Degrading work experiences were associated with recent suicidal thoughts for the Swedish and Italian physicians (OR = 2.1; 95% CI, 1.01–4.5; OR = 3.3; 95% CI, 1.3–8.0, respectively). Role conflict was associated with recent suicidal thoughts among the Swedish physicians (OR = 1.6; 95% CI, 1.1–2.2). Support at work when difficulties arose appeared to be protective for the Swedish physicians (OR = 0.7; 95% CI, 0.5–0.96). Italian physicians with little control over working conditions had an increased risk of recent suicidal thoughts, whereas confidential discussions about work experiences appeared to be protective (OR = 0.6; 95% CI, 0.4–0.9). Conclusion: Attention should be paid to the work environment as it relates to suicide risk among male university hospital physicians, particularly to bolstering social support and preventing harassment.
Place, publisher, year, edition, pages
2011. Vol. 8, no 4, 269-279 p.
academic medicine, harassment, male, physicians, suicide risk, work organization
Research subject Psychology
IdentifiersURN: urn:nbn:se:su:diva-62212DOI: 10.1016/j.genm.2011.05.009ISI: 000294031300007OAI: oai:DiVA.org:su-62212DiVA: diva2:440396
This work was supported by the Center for Gender Medicine of the Karolinska Institute, the Karolinska University Hospital, Vinnova (Grant Number 2002-01943, 2005-00749); the Stockholm City Council (Grant number LS 0212-05760); the Swedish Medical Association (Sveriges Läkarförbund); the Swedish National Board of Health and Welfare (Grant Numbers 2007-19796 and 2008-02262); and Signe och Olof Wallenius Stiftelse. The Swedish project was reviewed and approved by the Regional Ethics Board in Stockholm on December 8, 2004 (ref. no. 04-913/2). The Italian Project was reviewed and approved on September 5, 2005 by the Ethics Board of Padua University Hospital (Prot. 1039P).2011-09-122011-09-122012-02-01Bibliographically approved