Suicidal behavior among Turkish physicians: Associations with negative life-events, psychological distress, and attitudes towards suicide

J Psychiatr Res. 2024 Dec:180:234-242. doi: 10.1016/j.jpsychires.2024.10.016. Epub 2024 Oct 18.

Abstract

Background: Suicidal behavior among physicians is a significant concern globally, with various factors contributing to increased risk. Physicians in Türkiye are a group facing significant psychological distress due to challenging work conditions, economic instability, and violence in the healthcare system. Understanding the specific risk factors and attitudes contributing to this elevated suicidal behavior can inform the development of targeted interventions and support mechanisms for improving the well-being of physicians in Türkiye. This study aims to investigate suicidal behavior among Turkish physicians and its associations with adverse life events, psychological distress, and attitudes toward suicide.

Method: In the present study, 512 Turkish physicians from diverse demographics and professional backgrounds participated. Suicidal behavior, psychological distress, stressful life events, and attitudes toward suicide were explored through tailored instruments. Logistic regression analysis was conducted to identify independent risk factors for suicidal behavior.

Results: The results demonstrated that among Turkish physicians, psychological distress and suicidal behavior were frequent. One in five individuals (22.3%) reported experiencing one of the suicidal behaviors within the past month. Nearly one in ten (8.6%) have attempted suicide at some point in their lives. The average number of suicidal behaviors reported was .48 (SD = 1.1), and the average severity score for suicidal ideation was .51 (SD = 1.2). Young age, single marital status, low social support, psychological distress, the number of stressful life events, and the acceptability of suicide were identified as independent risk factors for suicidal behavior. Having a diagnosis of a psychiatric disorder and the number of stressful life events were factors associated with suicide attempts.

Conclusion: The intricate associations between several factors that influence suicidal behavior among Turkish physicians are elucidated by this study. The results highlight the critical need for focused interventions and systems of support within the Turkish healthcare system to deal with this serious public health concern. Future studies and therapeutic practices can better meet the mental health requirements of this vulnerable demographic by considering the complex nature of suicidal behavior among physicians.

Keywords: Attitudes; Physicians; Psychological distress; Stressful life events; Suicidal behavior; Türkiye.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Female
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Physicians* / psychology
  • Physicians* / statistics & numerical data
  • Psychological Distress*
  • Stress, Psychological / epidemiology
  • Suicidal Ideation*
  • Suicide / psychology
  • Suicide / statistics & numerical data
  • Suicide, Attempted / statistics & numerical data
  • Turkey / epidemiology
  • Young Adult