Autolytic ideation among medical residents in spain: a cross-sectional study.

Introduction: Several studies have shown an increase in suicidal ideation among physicians and medical students, but there is a lack of information concerning medical residents. This population has high prevalence of depression, anxiety disorders, burnout, bullying and face a tough work-life balance well known risk factors for suicidal thoughts. Objectives: To study the prevalence and characteristics of suicidal thoughts of medical residents in Spain. Methods: We conducted a cross-sectional online survey directed to all medical residents in Spain. We analysed the proportion of passive and active suicidal ideation and its association with relevant clinical and sociodemographic variables. Results: From a total of 653 medical residents, 13.69% (CI 95% 11.05-16.34%) reported passive suicidal ideation, from which 22.47% were rated as strong. Active suicidal ideation prevalence was 3.52% (CI 95% 2.11-4.94), 13.04% of high intensity. Passive suicidal thoughts were higher in the 3rd year and active in 4th, being the 2nd the one with lowest prevalence in both. Between the different specialities groups the rates of active suicidal ideation was estimated to be Central Services: 6.45% (0.33-12.57%); Clinical Specialities 4.03% (2.10-5.96%); Psychiatrist 2.12% (0-5.04%) and Surgical 1.00% (0-2.95%). the proportion of residents with suicidal ideation was attended to mental health consultation was 78.26%. Conclusions: The prevalence of passive an active suicidal ideation among medical residents in Spain is 13.69% (CI 95% 11.05-16.34%) and 3.52% (CI 95% 2.11-4.94%) respectively. The highest risk of active suicidal ideation was founded in last year of the residency program. Central Services specialities had the highest rates. [ABSTRACT FROM AUTHOR]