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Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic

2022; Elsevier BV; Volume: 149; Linguagem: Inglês

10.1016/j.jpsychires.2022.02.009

1879-1379

Philippe Mortier, Gemma Vilagut, Itxaso Alayo, Montse Ferrer, Franco Amigo, Enric Aragonès, Andrés Aragón Peña, Ángel Asúnsolo, Miguel T. Campos, Meritxell Espuga, Ana González‐Pinto, Josep M. Haro, Nieves López‐Fresneña, Alma Martínez de Salázar, Juan D. Molina, Rafaël Lucas, Mara Parellada, José María Pelayo‐Terán, Beatriz Pérez‐Gómez, Aurora Pérez‐Zapata, José Ignacio Pijoán, Nieves Plana, Elena Polentinos-Castro, Ana Portillo-Van Diest, Maria Teresa Puig, Cristina Rius, Ferrán Sanz, Consol Serra, I. Urreta-Barallobre, Ronald C. Kessler, Ronny Bruffaerts, Eduard Vieta, Víctor Pérez, Jordi Alonso, Jordi Alonso, Itxaso Alayo, Manuel Alonso, Mar Álvarez, Benedikt L. Amann, Franco Amigo, Gerard Anmella, Andrés Aragón Peña, Núria Aragonés, Enric Aragonès, Ana Isabel Arizón, Ángel Asúnsolo, Alfons Ayora, Laura Ballester, Puri Barbas, Josep Basora, Elena Bereciartúa, Inés Bravo Ignasi Bolibar, Xavier Bonfill, Alberto Cotillas, Andrés Cuartero, Concha de Paz, Isabel del Cura-González, María Jesús del Yerro, Domingo Díaz, José L. Domingo, José Ignacio Emparanza, Mireia Espallargues, Meritxell Espuga, Patricia Estevan, M. Isabel Fernández, Tania Miñes Fernández, Montse Ferrer, Yolanda Ferreres, Giovanna Fico, María João Forjaz, Rosa Garcia Barranco, J. Manuel Garcia TorrecillasC Garcia-Ribera, Araceli Garrido, Elisa Gil, M del Olivo Valle Gómez, J. J. Carrasco Gómez, Ana González‐Pinto, Josep Maria Haro, Margarita Hernando, Maria Giola Insigna, Milagros Iriberri, Nuria Jiménez, X. A. Ortiz Jiménez, Amparo Larrauri, Fernando Leon, Nieves López‐Fresneña, C. Medrano Lopez, Juan A. López-Rodríguez, Germán López-Cortacans, Alba Marcos, Jesús Martín, Vicente Martín, Mercedes Martínez-Cortés, Raquel Martinez-Martinez, Martín Sánchez, Isabel Martinez, Marco Marzola, Nelva Mata, Josep María Molina, Juan de Dios Molina, Emilia Molinero, Philippe Mortier, Carmen Muñoz, Andréa Murru, Jorge Andrés Izaguirre Olmedo, Rafaël Lucas, Rafael Padrós, Meritxell Pallejà, R. Elizabeth Aguilar Parra, Julio Pascual, Jose Maria Pelayo, Rosa Corcoy i Plá, Nieves Plana, Coro Pérez Aznar, Beatriz Pérez‐Gómez, Aurora Pérez Zapata, José Ignacio Pijoán, Elena Polentinos-Castro, Beatriz Puértolas, Maria Teresa Puig, Alex Quílez, M. Jesus Quintana, Antonio Quiroga, David Rentero, Cristina Rodríguez Rey, Cristina Rius, Carmen Rodríguez‐Blázquez, Maritza Rojas, Yamina Romero, Gabriel Rubio, Mercedes Rumayor, Pedro Ruiz, Margarita Sáenz-Herrero, J.G. Sanchez, Ignacio Sánchez-Arcilla, Ferrán Sanz, Consol Serra, Victoria Serra-Sutton, Manuela Serrano, Silvia Sola, Sara Solera, Miguel del Valle Soto, Alejandra Tarrago, Natividad Tolosa, Mireia Vázquez, Margarita Viciola, Eduard Vieta, Gemma Vilagut, Sara Yago, J García Yanez, Yolanda Zapico, Luis Maria Zorita, Eric P. Zorrilla, S. López Zurbano, Víctor Pérez,

Healthcare professionals’ stress and burnout

Healthcare workers (HCW) are at high risk for suicide, yet little is known about the onset of suicidal thoughts and behaviors (STB) in this important segment of the population in conjunction with the COVID-19 pandemic. We conducted a multicenter, prospective cohort study of Spanish HCW active during the COVID-9 pandemic. A total of n = 4809 HCW participated at baseline (May–September 2020; i.e., just after the first wave of the pandemic) and at a four-month follow-up assessment (October–December 2020) using web-based surveys. Logistic regression assessed the individual- and population-level associations of separate proximal (pandemic) risk factors with four-month STB incidence (i.e., 30-day STB among HCW negative for 30-day STB at baseline), each time adjusting for distal (pre-pandemic) factors. STB incidence was estimated at 4.2% (SE = 0.5; n = 1 suicide attempt). Adjusted for distal factors, proximal risk factors most strongly associated with STB incidence were various sources of interpersonal stress (scaled 0–4; odds ratio [OR] range = 1.23–1.57) followed by personal health-related stress and stress related to the health of loved ones (scaled 0–4; OR range 1.30–1.32), and the perceived lack of healthcare center preparedness (scaled 0–4; OR = 1.34). Population-attributable risk proportions for these proximal risk factors were in the range 45.3–57.6%. Other significant risk factors were financial stressors (OR range 1.26–1.81), isolation/quarantine due to COVID-19 (OR = 1.53) and having changed to a specific COVID-19 related work location (OR = 1.72). Among other interventions, our findings call for healthcare systems to implement adequate conflict communication and resolution strategies and to improve family-work balance embedded in organizational justice strategies.