RESUMO
AIMS: To compare prevalence and risk factors for burnout, anxiety and depression among hospital psychiatrists and non-psychiatrists. METHOD: Regional online survey of psychiatric and non-psychiatric hospital physicians was performed including: a job-stress scale, the Hospital Anxiety and Depression Scale (HADS), the Copenhagen Burnout Inventory (CBI), a stressful work relationships list and a six items scale about work-related psychosocial risk factors (PRFs). The client-related burnout scale of the CBI has been changed to an interpersonal burnout scale. Cases were defined by a score of 8+ for the HADS-A/HADS-D and 50+ for the three CBI subscales. RESULTS: 285 psychiatrists and 326 non-psychiatrists participated. The prevalence of depression, personal burnout and work-related burnout did not differ between physicians. Anxiety was lower in psychiatrists and interpersonal burnout was higher in senior psychiatrists. Multivariate analysis showed two main PRFs, common to both groups of physicians: "work intensity and time" was associated with four of the five syndromes and "emotional demands" with the three burnout syndromes. Interpersonal burnout was associated with stressful relationships with leaders, but not with patients. CONCLUSION: Reducing the workload, improving the management of emotions and increasing managerial skills are important approaches for prevention.
Assuntos
Esgotamento Profissional/psicologia , Transtorno Depressivo/psicologia , Hospitais Psiquiátricos , Estresse Ocupacional/psicologia , Médicos/psicologia , Psiquiatria , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/terapia , Estudos Transversais , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/terapia , Feminino , Hospitais Psiquiátricos/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/terapia , Médicos/tendências , Psiquiatria/tendências , Fatores de Risco , Autorrelato , Carga de Trabalho/psicologiaRESUMO
After suicidal attempt, the rate of specialized out treatment engagement (SOTE) does not exceed 30-50%. We designed a multisite prospective naturalistic study, in order to investigate predictive factors of SOTE after emergency department discharge among 107 suicidal attempters without current psychiatric ambulatory care. Both bivariate and multivariate analyses highlighted that booking an appointment with a mental health professional before discharge was significantly associated with higher SOTE rate. Psychiatric caregivers of emergency departments should be informed that this approach is a simple, fast way to improve SOTE among this population.
