Table 4. Odds of Experiencing Suicidal Thoughts by Resident Characteristic, Adjusted for PGY, Relationship Status, Program Size, and Program Location.
| Characteristic | Residents with suicidal thoughts, No. (%) (N = 6721) | Odds ratio (99% CI) | |
|---|---|---|---|
| Excluding mistreatment measures | Including mistreatment measures | ||
| Overall | 159 (2.4) | NA | NA |
| Gender | |||
| Male | 104 (2.4) | 1 [Reference] | 1 [Reference] |
| Female | 55 (2.3) | 0.90 (0.58-1.40) | 0.54 (0.34-0.86) |
| Race/ethnicity | |||
| White | 102 (2.3) | 1 [Reference] | 1 [Reference] |
| Racial/ethnic minority groups | 57 (2.6) | 1.15 (0.73-1.79) | 0.99 (0.62-1.58) |
| Clinical PGY | |||
| 1 | 45 (2.0) | 1 [Reference] | 1 [Reference] |
| 2 | 60 (2.9) | 1.36 (0.84-2.21) | 1.22 (0.72-2.06) |
| 3-4 | 54 (2.2) | 0.99 (0.56-1.75) | 0.83 (0.46-1.49) |
| Residency format | |||
| PGY 1-3 | 108 (2.3) | 1 [Reference] | 1 [Reference] |
| PGY 1-4 | 51 (2.5) | 0.94 (0.57-1.55) | 0.89 (0.52-1.51) |
| Sexual orientation | |||
| Not LGBTQ+ | 136 (2.2) | 1 [Reference] | 1 [Reference] |
| LGBTQ+ | 23 (4.7) | 2.41 (1.29-4.50) | 2.04 (1.04-3.99) |
| Relationship status | |||
| Married or in a relationship | 116 (2.2) | 1 [Reference] | 1 [Reference] |
| No relationship | 37 (2.8) | 1.34 (0.92-1.96) | 1.23 (0.75-2.01) |
| Divorced or widowed | 6 (7.1) | 4.28 (1.91-9.62) | 3.36 (1.06-10.70) |
| Pregnancy or childcare | |||
| Yes | 126 (2.4) | 1.10 (0.59-2.04) | 1.11 (0.59-2.09) |
| No | 33 (2.4) | 1 [Reference] | 1 [Reference] |
| Other dependent(s) | |||
| Yes | 150 (2.3) | 1.62 (0.62-4.23) | 1.70 (0.65-4.48) |
| No | 9 (3.8) | 1 [Reference] | 1 [Reference] |
| Program sizea | |||
| Quartile 1 | 26 (2.2) | 1 [Reference] | 1 [Reference] |
| Quartile 2 | 17 (1.4) | 0.53 (0.25-1.14) | 0.59 (0.27-1.27) |
| Quartile 3 | 58 (2.9) | 1.16 (0.64-2.10) | 1.24 (0.68-2.27) |
| Quartile 4 | 58 (2.5) | 1.02 (0.55-1.91) | 0.99 (0.51-1.91) |
| Residency regionb | |||
| 1 | 28 (2.9) | 1 [Reference] | 1 [Reference] |
| 2 | 22 (3.2) | 1.12 (0.50-2.49) | 1.18 (0.53-2.66) |
| 3 | 16 (2.4) | 0.77 (0.36-1.64) | 0.93 (0.44-1.98) |
| 4 | 14 (1.5) | 0.53 (0.22-1.25) | 0.52 (0.23-1.21) |
| 5 | 26 (2.2) | 0.83 (0.40-1.72) | 0.86 (0.40-1.82) |
| 6 | 26 (2.5) | 0.81 (0.37-1.74) | 0.88 (0.40-1.92) |
| 7 | 27 (2.1) | 0.74 (0.37-1.48) | 0.65 (0.31-1.35) |
| Frequency of mistreatment | |||
| Never | 47 (1.3) | NA | 1 [Reference] |
| A few times per year | 42 (2.1) | NA | 1.69 (0.90-3.15) |
| A few times per month or more | 70 (5.8) | NA | 5.83 (3.70-9.20) |
Abbreviations: LGBTQ+, lesbian, gay, bisexual, transgender, queer, or other; NA, not applicable; PGY, postgraduate year.
a
Quartile 1 was less than 25 residents; quartile 2, 25 to 32 residents; quartile 3, 33 to 42 residents; and quartile 4, more than 42 residents.
b
Residency regions were the Medical Student Section Regions defined by the American Medical Association.