title: Understanding doctors' attitudes towards self-disclosure of mental ill health.
abstract: BACKGROUND
  Understanding of doctors' attitudes towards disclosing their own mental illness has improved but assumptions are still made.
  
  
  OBJECTIVE
  To investigate doctors' attitudes to disclosing mental illness and the obstacles and enablers to seeking support.
  
  
  METHODS
  An anonymous, UK-wide online survey of doctors with and without a history of mental illness. The main outcome measure was likelihood of workplace disclosure of mental illness.
  
  
  RESULTS
  In total, 1954 doctors responded and 60% had experienced mental illness. There was a discrepancy between how doctors think they might behave and how they actually behaved when experiencing mental illness. Younger doctors were least likely to disclose, as were trainees. There were multiple obstacles which varied across age and training grade.
  
  
  CONCLUSIONS
  For all doctors, regardless of role, this study found that what they think they would do is different to what they actually do when they become unwell. Trainees, staff and associate speciality doctors and locums appeared most vulnerable, being reluctant to disclose mental ill health. Doctors continued to have concerns about disclosure and a lack of care pathways was evident. Concerns about being labelled, confidentiality and not understanding the support structures available were identified as key obstacles to disclosure. Addressing obstacles and enablers is imperative to shape future interventions.
authors.affiliation: Centre for Medical Education, School of Medicine, Cardiff University, Cardiff CF10 3AT, UK, CohenDA@cardiff.ac.uk.
authors.forename: D
authors.initials: D
authors.lastname: Cohen
authors.affiliation: Centre for Medical Education, School of Medicine, Cardiff University, Cardiff CF10 3AT, UK.
authors.forename: S J
authors.initials: SJ
authors.lastname: Winstanley
authors.affiliation: Division of Population Medicine, School of Medicine, Cardiff University, Cardiff CF10 3AT, UK.
authors.forename: G
authors.initials: G
authors.lastname: Greene
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy*; D008875:Middle Aged; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data; D057566:Self Report; D011795:Surveys and Questionnaires; D006113:United Kingdom
keywords: Health behaviour; mental health; physician health; physician impairment; survey.