title: A comparison of risk and protective factors related to suicide ideation among residents and specialists in academic medicine.
abstract: BACKGROUND
  Physicians have an elevated risk of experiencing suicidal thoughts, which might be due to work-related factors. However, the hierarchical work positions as well as work-related health differ among resident and specialist physicians. As such, the correlates of suicide ideation may also vary between these two groups.
  
  
  METHODS
  In the present study, work- and health-related factors and their association with suicidal thoughts among residents (n=234) and specialists (n=813) working at a university hospital were examined using cross-sectional data.
  
  
  RESULTS
  Logistic regression analysis showed that having supportive meetings was associated with a lower level of suicide ideation among specialists (OR=0.68, 95% CI: 0.50-0.94), while an empowering leadership was related to a lower level of suicide ideation among residents (OR=0.55, 95% CI: 0.32-0.94). Having been harassed at work was associated with suicidal ideation among specialists (OR=2.26, 95% CI: 1.31-3.91). In addition, sickness presenteeism and work disengagement were associated with suicide ideation in both groups of physicians.
  
  
  CONCLUSIONS
  These findings suggest that different workplace interventions are needed to prevent suicide ideation in residents and specialists.
authors.forename: Mari
authors.initials: M
authors.lastname: Eneroth
authors.forename: Marie
authors.initials: M
authors.lastname: Gustafsson Sendén
authors.forename: Lise T
authors.initials: LT
authors.lastname: Løvseth
authors.forename: Karin
authors.initials: K
authors.lastname: Schenck-Gustafsson
authors.affiliation: Department of Psychology, Stockholm University, Stockholm, Sweden. ann.fridner@psychology.su.se.
authors.forename: Ann
authors.initials: A
authors.lastname: Fridner
mesh_terms: D000328:Adult; D017677:Age Distribution; D003430:Cross-Sectional Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data; D065840:Protective Factors; D012306:Risk; D012307:Risk Factors; D013038:Specialization / Q000706:statistics & numerical data*; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D013548:Sweden; D017132:Workplace / Q000523:psychology; D000092864:Suicide Prevention