Table 1 –

Psychosocial factors predisposing clinicians to burnout in consultation-liaison psychiatry.

Systems-Related	Personal
External locus of control leading to diminished control over practices by the individual (Responsibility without authority)	Difficulty balancing work, family, and other areas of life
Lack of authority and disempowerment attitude from leadership	Clinician’s interests and goals are not aligned with the work environment
Excessive caseload responsibilities with complex presentations in short-term relationships	Obsessive-compulsive personality traits signaling perfectionism and interpersonal control
Excessive time devoted for paperwork, billing, and accuracy of electronic medical records	Post-Traumatic Stress Disorder
Frequent changes in documentation requirements and expectation to be accessible from home	Anxiety disorders
High regulatory demands	Depressive disorders
Lack of rewards and devaluation of contribution when addressing unstable organizational dynamics	Overidentification with patients
Sub-optimal conditions for the practice of medicine (e.g., access to PPE)	Conflicting values when required to practice in stressful conditions
An increasing number of patients with diagnoses of personality disorders and/or substance use disorders	Dissociative experiences with the perception of an unrewarding practice
Witnessing clinical deterioration of patients with risk for death	Difficulties to maintain proper work-life balances due to personal needs (e.g., parental responsibilities, caring for disabled family members)
Poor communication among hospital staff and/or clinicians