Suicide Risk Among Nurses Higher than Non-Nurses

Nurses are at a higher risk of suicide than the general population according to the findings of the first national investigation into nurse suicide in over twenty years.

Nurses are at a higher risk of suicide than the general population according to the findings of the first national investigation into nurse suicide in more than two decades.

The study, which was published in Archives of Psychiatric Nursing, found that suicide incidence was 11.97 per 100,000 female nurses and even higher among male nurses, with suicide claiming 39.8 per 100,000. Both figures are significantly higher than that of the general population, which is 7.58 per 100,000 women and 28.2 per 100,000 men. Overall, the suicide rate was 13.9 per 100,000 nurses versus 17.7 per 100,000 for the general population.

In all, over 400 nurses per year die by suicide, and according to the study, nurse anesthetists and retired nurses were at the highest risk.

“We are overworked and stressed, and on the edge of the breaking point at any given moment,” said Ariel Begun, BSN, RN, who was willing to speak with us regarding the alarming rate of nurse suicides. “In the last 10 years I have seen the expectations of nurses increase and the staffing and quality of supplies decrease. Nurses have been told they need to do more with less for years and it keeps getting worse.”

When asked how the healthcare industry and its employers can better support the mental health of nurses, Begun had a lot to offer.

“First, fix the systemic problems in healthcare. Starting with patient to nurse ratios being lowered, and increased staffing for support of the department and to ensure someone is available to help in emergencies. We should not consider barebones staffing to be the norm. We also need to provide better resources for nurses to care for patients without having to use the cheapest thing on the market. Additionally, we need better hours and shift options. We should not need to work to the point of jet lag mental conditions, where our basic thought capacity is diminished to the point where we have trouble remembering to care for ourselves.

“Guilt is also a driving factor for nurses. We don’t call out when we are sick because we know the department will be hurt by us not being there. We don’t get decent breaks and we work to the point of dehydration and kidney failure potential. Toss in Neurogenic Nurse Bladder, a condition that develops because of the nurse’s lack of bathroom break time. Can’t pee, I might miss a call from the doc, or my patient might code while I am away.

“In regards to mental health specifically, it would be nice to have group support sessions where nurses can get together and talk about the issues they have. Resources for home-work balance need to be available, too. I always thought that a group yoga session would be a nice thing to have as a way to get your day started in a healthy manner. The first lesson I learned in nursing school was, now is not the time to try to quit any vices you have, in fact you might as well double down on them, because they are going to be what helps you get through your day. Nurses are taught to do the things that we then need to teach our patients not to do. Nurses are not taught coping strategies for how to handle their stress. They are only taught that it is a thing and you can’t escape it.”

If you are having thoughts of hurting yourself or others, we encourage you to seek help by calling the National Suicide Prevention Lifeline at 800-273-8255 or by texting 741741 to have a conversation with a trained crisis counselor via the Crisis Text Line.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Physicians and Suicidality: Identifying Risks and How to Help

Despite often being known as the healers, those who aim to save lives, it is estimated that as many as 400 physicians die by suicide in the U.S. each year.

Our physicians are unwell. Despite often being known as the healers, those who aim to save lives, it is estimated that as many as 400 physicians die by suicide in the U.S. each year. The profession has the highest suicide rate of any job, and one that is reportedly 1.4 to 2.3 times higher than the suicide rate of the general population—a rate that is, itself, up 33% since 1999.

The American Foundation for Suicide Prevention reports that physicians are less likely to seek help due to several barriers, including time constraints, not wanting to draw attention to self-perceived weakness, and fears regarding their reputation and confidentiality.

Knowing the risks and warning signs associated with suicide can help physicians identify colleagues who may need help, but are not asking for it.

A recent systemic review found that physicians whose career is in transition, such as having recently completed medical school or residency, or those who are approaching retirement, are often the most vulnerable, and that anesthesiologists and psychiatrists are at a higher risk of attempting suicide. Other identified factors of risk include being female, identifying as a member of the LGBTQ+ community, or those who have a prior history of mental illness or substance abuse.

Warning signs to look for include:

If a person talks about:

  • Killing themselves
  • Feeling hopeless
  • Having no reason to live
  • Being a burden to others
  • Feeling trapped
  • Unbearable pain

Behaviors that may signal risk, especially if related to a painful event, loss, or change:

  • Increased use of alcohol or drugs
  • Looking for a way to end their lives, such as searching online for methods
  • Withdrawing from activities
  • Isolating from family and friends
  • Sleeping too much or too little
  • Visiting or calling people to say goodbye
  • Giving away prized possessions
  • Aggression
  • Fatigue

People who are considering suicide often display one or more of the following moods:

  • Depression
  • Anxiety
  • Loss of interest
  • Irritability
  • Humiliation/Shame
  • Agitation/Anger
  • Relief/Sudden Improvement

Suicide is preventable. Help is possible. We encourage any physician that may be struggling with their mental health to seek help.

If you are in crisis, or want to speak to someone regarding a colleague who may be exhibiting signs of suicidality, we urge you to call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or contact the Crisis Text Line by texting TALK to 741741.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

First National Physician Suicide Awareness Day

The day places a priority on mental health awareness in an effort to allow physicians to better care for themselves and their patients

Today is the first ever National Physician Suicide Awareness Day. Founded by the American Foundation for Suicide Prevention, the nation’s leading organization dedicated to suicide prevention, the day places a priority on mental health awareness in an effort to allow healthcare professionals to better care for themselves and their patients.

It has been found that, on average, one doctor per day will take their own life in the United States, making it the highest suicide rate of any profession and more than twice that of the general population. According to resources provided by the AFSP, suicide generally is caused by the convergence of multiple risk factors — the most common being untreated or inadequately managed mental health conditions.

Suicide is preventable. Help is possible. We encourage any physician that may be struggling with their mental health to seek help.

If you are in crisis, please call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or contact the Crisis Text Line by texting TALK to 741741.

To learn more about National Physician Suicide Awareness Day, including facts, figures, and scores of resources for physicians, please visit afsp.org/physician.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Nurses Need to Stop “Eating Their Young”

As it was first said in 1986, “nurses eat their young,” and last week, that adage proved true for one young nurse who took her own life. Now is the time to end nurse bullying.

As it was first said by nursing professor Judith Meissner in 1986, “nurses eat their young,” and last week, that adage proved true for one young nurse who took her own life. Rhian Collins, a 30-year-old nurse and mother of two, committed suicide after being bullied by her coworkers at a U.K. psychiatric hospital.

In light of this tragic news, we find it is our responsibility to have a frank and open discussion regarding nurse bullying and suicide. Because, at its core, the nursing profession is a caring one. It takes certain levels of empathy and heart to do what nurses do, day in and day out, and that should not only be reserved for patients, but also for your fellow nurses.

Stress and burnout among nurses are, understandably, pervasive. Shifts are long, hospitals are understaffed, and tensions are high, but to put it in perspective, research suggests that at least 85% of nurses have been bullied at some point in their nursing career, and the number could actually be higher, as it is often speculated that incidents are under-reported. One study has stated that depressive symptoms among nurses clock in at 18%, and another shows that number as high as 41%. Even more alarming, a U.K.-based study published last year found nurses are 23% more likely to commit suicide than women in general, and the BBC has reported that nurses are four times more likely to commit suicide than people working outside of medicine.

All of those staggering numbers, and yet, the culture of nurse-on-nurse bullying has not changed much, if at all, since it was first said that “nurses eat their young.” However, there is hope, as many younger nurses have been put through the paces of school-based anti-bullying initiatives as they have grown up and stigmas of mental health issues have began to lessen. But unless and until a different mindset takes over the nursing profession, the problem will persist.

You cannot eat your young and expect them to survive.

We know you are stressed out. We know your hours are long, your back is aching, and you probably didn’t get to have a real lunch break today. We are not negating those stresses in any way. However, it doesn’t take much effort to just be kind—to yourselves and to your fellow nurses. You may just save another life in doing so, and that is what nursing is all about, saving lives.

If you are having thoughts of hurting yourself or others, we encourage you to seek help by calling the National Suicide Prevention Lifeline at 800-273-8255 or by texting 741741 to have a conversation with a trained crisis counselor via the Crisis Text Line.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

Doctors Are Human Too

One doctor openly discusses the often-overlooked epidemic of suicide among physicians, and what can be done to stop it.

from The New York Times

When I started working as a doctor last year in a metropolitan public hospital in Sydney, rotating through the emergency department and the surgical and medical wards, as all doctors do in their first year of practice in Australia, my experiences were no better or worse than those of any of my colleagues. Nor are they dissimilar to the experiences of junior doctors around the world. But we are speaking about these things now, where I am from, because my colleagues are killing themselves.

Read More →

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.