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. 2001 May;55(5):296–300. doi: 10.1136/jech.55.5.296

Suicide in doctors: a study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, 1979-1995

K Hawton 1, A Clements 1, C Sakarovitch 1, S Simkin 1, J Deeks 1
PMCID: PMC1731901  PMID: 11297646

Abstract

STUDY OBJECTIVE—To investigate the suicide risk of doctors in England and Wales, according to gender, seniority and specialty.
DESIGN—Retrospective cohort study. Suicide rates calculated by gender, age, specialty, seniority and time period. Standardised mortality ratios calculated for suicide (1991-1995), adjusted for age and sex.
SETTING—England and Wales.
SUBJECTS—Doctors in the National Health Service who died by suicide between 1979 and 1995, identified by death certificates. Population at risk based on Department of Health manpower data.
MAIN RESULTS—Two hundred and twenty three medical practitioners in the National Health Service who died by suicide or undetermined cause were identified. The annual suicide rates in male and female doctors were 19.2 and 18.8 per 100 000 respectively. The suicide rate in female doctors was higher than in the general population (SMR 201.8; 95% CI 99.7, 303.9), whereas the rate in male doctors was less than that of the general population (SMR 66.8; 95% CI 46.6, 87.0). The difference between the mortality ratios of the female and male doctors was statistically significant (p=0.01), although the absolute suicide risk was similar in the two genders. There were significant differences between specialties (p=0.0001), with anaesthetists, community health doctors, general practitioners and psychiatrists having significantly increased rates compared with doctors in general hospital medicine. There were no differences with regard to seniority and time period.
CONCLUSIONS—There is an increased risk of suicide in female doctors, but male doctors seem to be at less risk than men in the general population. The excess risk of suicide in female doctors highlights the need to tackle stress and mental health problems in doctors more effectively. The risk requires particular monitoring in the light of the very large increase in the numbers of women entering medicine.


Keywords: suicide; doctors; medical specialties

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Selected References

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  1. Bergman J. The suicide rate among psychiatrists revisited. Suicide Life Threat Behav. 1979 Winter;9(4):219–226. doi: 10.1111/j.1943-278x.1979.tb00440.x. [DOI] [PubMed] [Google Scholar]
  2. Caplan R. P. Stress, anxiety, and depression in hospital consultants, general practitioners, and senior health service managers. BMJ. 1994 Nov 12;309(6964):1261–1263. doi: 10.1136/bmj.309.6964.1261. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Carpenter L. M., Swerdlow A. J., Fear N. T. Mortality of doctors in different specialties: findings from a cohort of 20000 NHS hospital consultants. Occup Environ Med. 1997 Jun;54(6):388–395. doi: 10.1136/oem.54.6.388. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Firth-Cozens J. Individual and organizational predictors of depression in general practitioners. Br J Gen Pract. 1998 Oct;48(435):1647–1651. [PMC free article] [PubMed] [Google Scholar]
  5. Firth-Cozens J. The five years after qualification. BMJ. 1994 Dec 10;309(6968):1524–1525. doi: 10.1136/bmj.309.6968.1524. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hawton K., Clements A., Simkin S., Malmberg A. Doctors who kill themselves: a study of the methods used for suicide. QJM. 2000 Jun;93(6):351–357. doi: 10.1093/qjmed/93.6.351. [DOI] [PubMed] [Google Scholar]
  7. Kelly S., Bunting J. Trends in suicide in England and Wales, 1982-96. Popul Trends. 1998 Summer;(92):29–41. [PubMed] [Google Scholar]
  8. Kelly S., Charlton J., Jenkins R. Suicide deaths in England and Wales, 1982-92: the contribution of occupation and geography. Popul Trends. 1995 Summer;(80):16–25. [PubMed] [Google Scholar]
  9. Lambert T. W., Goldacre M. J., Parkhouse J. Doctors who qualified in the UK between 1974 and 1993: age, gender, nationality, marital status and family formation. Med Educ. 1998 Sep;32(5):533–537. doi: 10.1046/j.1365-2923.1998.00244.x. [DOI] [PubMed] [Google Scholar]
  10. Lew E. A. Mortality experience among anesthesiologists, 1954-1976. Anesthesiology. 1979 Sep;51(3):195–199. doi: 10.1097/00000542-197909000-00003. [DOI] [PubMed] [Google Scholar]
  11. Lindeman S., Laara E., Hakko H., Lonnqvist J. A systematic review on gender-specific suicide mortality in medical doctors. Br J Psychiatry. 1996 Mar;168(3):274–279. doi: 10.1192/bjp.168.3.274. [DOI] [PubMed] [Google Scholar]
  12. Neil H. A., Fairer J. G., Coleman M. P., Thurston A., Vessey M. P. Mortality among male anaesthetists in the United Kingdom, 1957-83. Br Med J (Clin Res Ed) 1987 Aug 8;295(6594):360–362. doi: 10.1136/bmj.295.6594.360. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Rich C. L., Pitts F. N., Jr Suicide by psychiatrists: a study of medical specialists among 18,730 consecutive physician deaths during a five-year period, 1967-72. J Clin Psychiatry. 1980 Aug;41(8):261–263. [PubMed] [Google Scholar]

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