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

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...

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Autores: Mortier, Philippe, Vilagut Saiz, Gemma, 1975-, Alayo, Itxaso, Ferrer Forés, Maria Montserrat, Amigo, Franco, Portillo-Van Diest, Ana, Sanz, Ferran, Serra, Consol, Pérez Solà, Víctor, Alonso Caballero, Jordi, MINDCOVID Working group
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/52868
Acceso en línea:http://hdl.handle.net/10230/52868
http://dx.doi.org/10.1016/j.jpsychires.2022.02.009
Access Level:acceso abierto
Palabra clave:COVID-19
Epidemiology
Healthcare workers
Incidence
Risk factors
Spain
Suicide
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spelling Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemicMortier, PhilippeVilagut Saiz, Gemma, 1975-Alayo, ItxasoFerrer Forés, Maria MontserratAmigo, FrancoPortillo-Van Diest, AnaSanz, FerranSerra, ConsolPérez Solà, VíctorAlonso Caballero, JordiMINDCOVID Working groupCOVID-19EpidemiologyHealthcare workersIncidenceRisk factorsSpainSuicideHealthcare 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.Elsevier202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/52868http://dx.doi.org/10.1016/j.jpsychires.2022.02.009reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésJ Psychiatr Res. 2022 May;149:10-7© 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by- nc-nd/4.0/)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/528682026-06-12T07:21:37Z
dc.title.none.fl_str_mv Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic
title Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic
spellingShingle Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic
Mortier, Philippe
COVID-19
Epidemiology
Healthcare workers
Incidence
Risk factors
Spain
Suicide
title_short Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic
title_full Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic
title_fullStr Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic
title_full_unstemmed Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic
title_sort Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic
dc.creator.none.fl_str_mv Mortier, Philippe
Vilagut Saiz, Gemma, 1975-
Alayo, Itxaso
Ferrer Forés, Maria Montserrat
Amigo, Franco
Portillo-Van Diest, Ana
Sanz, Ferran
Serra, Consol
Pérez Solà, Víctor
Alonso Caballero, Jordi
MINDCOVID Working group
author Mortier, Philippe
author_facet Mortier, Philippe
Vilagut Saiz, Gemma, 1975-
Alayo, Itxaso
Ferrer Forés, Maria Montserrat
Amigo, Franco
Portillo-Van Diest, Ana
Sanz, Ferran
Serra, Consol
Pérez Solà, Víctor
Alonso Caballero, Jordi
MINDCOVID Working group
author_role author
author2 Vilagut Saiz, Gemma, 1975-
Alayo, Itxaso
Ferrer Forés, Maria Montserrat
Amigo, Franco
Portillo-Van Diest, Ana
Sanz, Ferran
Serra, Consol
Pérez Solà, Víctor
Alonso Caballero, Jordi
MINDCOVID Working group
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COVID-19
Epidemiology
Healthcare workers
Incidence
Risk factors
Spain
Suicide
topic COVID-19
Epidemiology
Healthcare workers
Incidence
Risk factors
Spain
Suicide
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/52868
http://dx.doi.org/10.1016/j.jpsychires.2022.02.009
url http://hdl.handle.net/10230/52868
http://dx.doi.org/10.1016/j.jpsychires.2022.02.009
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv J Psychiatr Res. 2022 May;149:10-7
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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