2016 SAMSHA data suggests that a little more than one in 10 adults who experienced serious suicidal ideation actually made suicide attempts, let alone completed suicide. The surgeons and oncologists in the Shanafelt studies were asked whether they had contemplated suicide, not how serious the thoughts were, nor whether they had actually made plans. There is a huge gap between those who ever have thoughts of suicide (experience suicidal Ideation and those who actually complete suicide. What both studies actually found is that physicians with significant burnout are at increased risk for suicidal ideation. Neither study in fact concludes that burnout increases the risk for suicide. The authors state "Burnout is associated with increased risk for cardiovascular disease and shorter life expectancy, problematic alcohol use, broken relationships, depression, and suicide", citing two studies by Shanafelt and associates. While I applaud the effort by Panagioti et al to take a rigorous scientific look at the association between self assessed burnout and patient safety, I am disturbed that the authors reiterate in their opening paragraph a misperception that is becoming more and more widespread, without justification, by both scientific and lay writers. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.
Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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