Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic.
Por:
Mortier P, Gemma Vilagut Saiz, Alayo I, Ferrer M, Amigo F, Aragonès E, Aragón-Peña A, Asúnsolo Del Barco A, Campos M, Espuga M, González-Pinto A, Haro JM, López Fresneña N, Martínez de Salázar A, Molina JD, Ortí-Lucas RM, Parellada M, Pelayo-Terán JM, Pérez-Gómez B, Pérez-Zapata A, Pijoan JI, Plana N, Polentinos-Castro E, Portillo-Van Diest A, Puig MT, Rius C, Sanz F, Serra C, Urreta-Barallobre I, Kessler RC, Bruffaerts R, Vieta E, Pérez-Solá V, Alonso J and MINDCOVID Working group
Publicada:
1 may 2022
Ahead of Print:
17 feb 2022
Resumen:
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.
Filiaciones:
Mortier P:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Gemma Vilagut Saiz:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Alayo I:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
Amigo F:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Aragonès E:
Institut d'Investigació en Atenció Primària IDIAP Jordi Gol, Barcelona, Spain
Atenció Primària Camp de Tarragona, Institut Català de la Salut, Spain
Aragón-Peña A:
Epidemiology Unit, Regional Ministry of Health, Community of Madrid, Madrid, Spain
Fundación Investigación e Innovación Biosanitaria de AP, Comunidad de Madrid, Madrid, Spain
Asúnsolo Del Barco A:
Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, University of Alcala, Alcalá de Henares, Spain
Ramón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain
Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, The City University of New York, New York, NY, United States
Campos M:
Service of Prevention of Labor Risks, Medical Emergencies System, Generalitat de Catalunya, Spain
Espuga M:
Occupational Health Service. Hospital Universitari Vall d'Hebron, Barcelona, Spain
González-Pinto A:
Hospital Universitario Araba-Santiago, Vitoria-Gasteiz, Spain
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Haro JM:
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Parc Sanitari Sant Joan de Déu, Barcelona, Spain
Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
López Fresneña N:
Hospital General Universitario Gregorio Marañón, Madrid, Spain
Martínez de Salázar A:
UGC Salud Mental, Hospital Universitario Torrecárdenas, Almería, Spain
Molina JD:
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Villaverde Mental Health Center. Clinical Management Area of Psychiatry and Mental Health, Psychiatric Service, Hospital Universitario 12 de Octubre, Madrid, Spain
Research Institute Hospital 12 de Octubre (i+12), Madrid, Spain
Faculty of Health Sciences, Francisco de Vitoria University, Madrid, Spain
Ortí-Lucas RM:
Hospital Clínic Universitari, Valencia, Spain
Parellada M:
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Hospital General Universitario Gregorio Marañón, Madrid, Spain
Pelayo-Terán JM:
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Servicio de Psiquiatría y Salud Mental. Hospital el Bierzo, Gerencia de Asistencia Sanitaria del Bierzo (GASBI), Gerencia Regional de Salud de Castilla y Leon (SACYL), Ponferrada, León, Spain
Area de Medicina Preventiva y Salud Pública. Universidad de León, León, Spain
Pérez-Gómez B:
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
National Center of Epidemiology, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Pérez-Zapata A:
Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain
Pijoan JI:
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Hospital Universitario Cruces/ OSI EEC, Bilbao, Spain, Biocruces-Bizkaia Health Research Institute
Plana N:
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain
Polentinos-Castro E:
Fundación Investigación e Innovación Biosanitaria de AP, Comunidad de Madrid, Madrid, Spain
Research Unit. Primary Care Management. Madrid Health Service, Madrid, Spain
Department of Medical Specialities and Public Health. King Juan Carlos University, Madrid, Spain
Health Services Research Network on Chronic Diseases (REDISSEC), Madrid, Spain
Portillo-Van Diest A:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Puig MT:
Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
Department of Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
CIBER Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
Rius C:
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Agència de Salut Pública de Barcelona, Barcelona, Spain
Sanz F:
Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
Research Progamme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
Instituto Nacional de Bioinformatica - ELIXIR-ES, Barcelona, Spain
Serra C:
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Parc de Salut Mar PSMAR, Barcelona, Spain
CiSAL-Centro de Investigación en Salud Laboral, IMIM/UPF, Barcelona, Spain
Urreta-Barallobre I:
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Osakidetza Basque Health Service, Donostialdea Integrated Health Organisation, Donostia University Hospital, Clinical Epidemiology Unit, San Sebastián, Spain
Biodonostia Health Research Institute, Clinical Epidemiology, San Sebastián, Spain
Kessler RC:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Bruffaerts R:
Center for Public Health Psychiatry, Universitair Psychiatrisch Centrum, KU Leuven, Leuven, Belgium
Vieta E:
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Institute of Neuroscience, Hospital Clinic, University of Barcelona, IDIBAPS, Barcelona, Spain
Pérez-Solá V:
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
Parc de Salut Mar PSMAR, Barcelona, Spain
Alonso J:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
Green Published, hybrid
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