Thirty‐day suicidal thoughts and behaviors among hospital workers during the first wave of the Spain COVID‐19 outbreak

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 assess...

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Published inDepression and anxiety Vol. 38; no. 5; pp. 528 - 544
Main Authors Mortier, Philippe, Vilagut, Gemma, Ferrer, Montse, Serra, Consol, Molina, Juan D., López‐Fresneña, Nieves, Puig, Teresa, Pelayo‐Terán, José M., Pijoan, José I., Emparanza, José I., Espuga, Meritxell, Plana, Nieves, González‐Pinto, Ana, Ortí‐Lucas, Rafael M., Salázar, Alma M., Rius, Cristina, Aragonès, Enric, Cura‐González, Isabel, Aragón‐Peña, Andrés, Campos, Mireia, Parellada, Mara, Pérez‐Zapata, Aurora, Forjaz, Maria João, Sanz, Ferran, Haro, Josep M., Vieta, Eduard, Pérez‐Solà, Víctor, Kessler, Ronald C., Bruffaerts, Ronny, Alonso, Jordi
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.05.2021
John Wiley and Sons Inc
Subjects
Online AccessGet full text
ISSN1091-4269
1520-6394
1520-6394
DOI10.1002/da.23129

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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.
AbstractList 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). 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. 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%). 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.
BackgroundHealthcare 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).MethodsData 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.ResultsThirty‐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 RelevanceThirty‐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.
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).BACKGROUNDHealthcare 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).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.METHODSData 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.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%).RESULTSThirty-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%).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.CONCLUSIONS AND RELEVANCEThirty-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.
Author Puig, Teresa
Pelayo‐Terán, José M.
González‐Pinto, Ana
Salázar, Alma M.
Rius, Cristina
Kessler, Ronald C.
Mortier, Philippe
Molina, Juan D.
Aragonès, Enric
Bruffaerts, Ronny
Ortí‐Lucas, Rafael M.
Pijoan, José I.
Emparanza, José I.
Pérez‐Solà, Víctor
Aragón‐Peña, Andrés
Haro, Josep M.
Vieta, Eduard
Campos, Mireia
Pérez‐Zapata, Aurora
Sanz, Ferran
Vilagut, Gemma
Parellada, Mara
López‐Fresneña, Nieves
Forjaz, Maria João
Plana, Nieves
Cura‐González, Isabel
Ferrer, Montse
Espuga, Meritxell
Serra, Consol
Alonso, Jordi
AuthorAffiliation 14 Hospital El Bierzo León Spain
18 Príncipe de Asturias University Hospital Alcalá de Henares Madrid Spain
24 Atenció Primària Camp de Tarragona Institut Català de la Salut Tarragona Spain
11 Department of Epidemiology and Public Health Hospital de la Santa Creu i Sant Pau Barcelona Spain
27 Fundación Investigación e Innovación Biosanitaria de AP Comunidad de Madrid Madrid Spain
1 Health Services Research Unit IMIM‐Institut Hospital del Mar d'Investigacions Mèdiques Barcelona Spain
31 Health Services Research Network on Chronic Diseases (REDISSEC) Madrid Spain
16 Hospital Universitario Donostia San Sebastián Spain
32 Research Progamme on Biomedical Informatics (GRIB) Hospital del Mar Medical Research Institute (IMIM) Barcelona Spain
29 Service of Prevention of Labor Risks Medical Emergencies System, Generalitat de Catalunya Barcelona Spain
19 Hospital Universitario Araba‐Santiago Vitoria‐Gasteiz Spain
15 Hospital Universitario Cruces/OSI EEC Bilbao Spain
17 Occupational Health Service Hospital Un
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/33393724$$D View this record in MEDLINE/PubMed
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Issue 5
Keywords hospital workers
suicidal thoughts and behaviors
COVID-19 outbreak
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2020 The Authors. Depression and Anxiety Published by Wiley Periodicals LLC.
This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
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– ident: e_1_2_11_43_1
  doi: 10.1016/j.bbi.2020.05.048
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Snippet Background Healthcare workers are a key occupational group at risk for suicidal thoughts and behaviors (STB). We investigated the prevalence and correlates of...
Healthcare workers are a key occupational group at risk for suicidal thoughts and behaviors (STB). We investigated the prevalence and correlates of STB among...
BackgroundHealthcare workers are a key occupational group at risk for suicidal thoughts and behaviors (STB). We investigated the prevalence and correlates of...
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SubjectTerms Anxiety disorders
Coronaviruses
COVID-19
COVID‐19 outbreak
Disease Outbreaks
Epidemics
hospital workers
Hospitals
Humans
Medical personnel
Mood
Pandemics
Prevalence
Risk Factors
SARS-CoV-2
Spain - epidemiology
Students
Suicidal Ideation
suicidal thoughts and behaviors
Suicide
Suicide, Attempted
Suicides & suicide attempts
Workers
Title Thirty‐day suicidal thoughts and behaviors among hospital workers during the first wave of the Spain COVID‐19 outbreak
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fda.23129
https://www.ncbi.nlm.nih.gov/pubmed/33393724
https://www.proquest.com/docview/2518629675
https://www.proquest.com/docview/2475094435
https://pubmed.ncbi.nlm.nih.gov/PMC8246904
Volume 38
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