Skip to main content

Advertisement

Log in

The Suicide Prevention, Depression Awareness, and Clinical Engagement Program for Faculty and Residents at the University of California, Davis Health System

  • Empirical Report
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Objective

The authors replicated a program developed by UC San Diego, identified medical staff at risk for depression and suicide using a confidential online survey, and studied aspects of that program for 1 year.

Methods

The authors used a 35-item, online assessment of stress and depression depression developed and licensed by the American Foundation for Suicide Prevention that aims to identify and suicide risk and facilitate access to mental health services.

Results

During 2013/2014, all 1864 UC Davis residents/fellows and faculty physicians received an invitation to take the survey and 158 responded (8 % response rate). Most respondents were classified at either moderate (86 [59 %]) or high risk for depression or suicide (54 [37 %]). Seventeen individuals (11 %) were referred for further evaluation or mental health treatment. Ten respondents consented to participate in the follow-up portion of the program. Five of the six who completed follow-up surveys reported symptom improvement and indicated the program should continue.

Conclusions

This program has led to continued funding and a plan to repeat the Wellness Survey annually. Medical staff will be regularly reminded of its existence through educational interventions, as the institutional and professional culture gradually changes to promptly recognize and seek help for physicians’ psychological distress.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Jamison KR. Night falls fast. New York: Random House; 1999.

  2. Thomas MR, Dyrbye LN, Huntington JL, et al. How do distress and well-being relate to medical student empathy? A multicenter study. J Gen Intern Med. 2007;22:177–83.

    Article  PubMed Central  PubMed  Google Scholar 

  3. West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296:1071–8.

    Article  CAS  PubMed  Google Scholar 

  4. Schwartz C, Meisenhelder JB, Ma Y, et al. Altruistic social interest behaviors are associated with better mental health. Psychosom Med. 2003;65:778–85.

    Article  PubMed  Google Scholar 

  5. Boisaubin EV, Levine RE. Identifying and assisting the impaired physician. Am J Med Sci. 2001;322:31–6.

    Article  CAS  PubMed  Google Scholar 

  6. Baldisseri MR. Impaired healthcare professional. Crit Care Med. 2007;35(2 Suppl):S106–16.

    Article  PubMed  Google Scholar 

  7. Moutier C, Cornette M, Lehrmann J, Geppert C, Tsao C, DeBoard R, et al. When residents need health care: stigma of the patient role. Acad Psych. 2009;3.3(6):431–41.

    Article  Google Scholar 

  8. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81:354–73.

    Article  PubMed  Google Scholar 

  9. Stack S. Suicide risk among physicians: a multivariate analysis. Arch Suicide Res. 2004;8:287–92.

    Article  PubMed  Google Scholar 

  10. Schernhammer ES, Colditz GA. Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry. 2004;161:2295–302.

    Article  PubMed  Google Scholar 

  11. Gundersen L. Physician burnout. Ann Intern Med. 2001;135:145–8.

    Article  CAS  PubMed  Google Scholar 

  12. Frank E, Biola H, Burnett CA. Mortality rates and causes among U.S. physicians. Am J Prev Med. 2000;19:155–9.

    Article  CAS  PubMed  Google Scholar 

  13. Deckard G, Meterko M, Field D. Physician burnout: an examination of personal, professional, and organizational relationships. Med Care. 1994;32:745–54.

    Article  CAS  PubMed  Google Scholar 

  14. American Foundation for Suicide Prevention. http://www.afsp.org/content/search?SearchText=physicians+and+medical+students&SearchButton=Search Accessed May 5, 2014

  15. Mann JJ, Apter A, Bertolote J, et al. Suicide prevention strategies: a systematic review. JAMA. 2005;294:2064–74.

    Article  CAS  PubMed  Google Scholar 

  16. Gross CP, Mead LA, Ford DE, Klag MJ. Physician, heal thyself? Regular source of care and use of preventive health services among physicians. Arch Intern Med. 2000;160(21):3209–14.

    Article  CAS  PubMed  Google Scholar 

  17. Davidson SK, Schattner PL. Doctors’ health-seeking behavior: a questionnaire survey. Med J Aust. 2003;179:302–5.

    PubMed  Google Scholar 

  18. Tyssen R, Vaglum P, Gronvold NT, et al. Factors in medical school that predict postgraduate mental health problems in need of treatment: a nationwide and longitudinal study. Med Educ. 2001;35:110–20.

    Article  CAS  PubMed  Google Scholar 

  19. Brimstone R, Thistlethwaite JE, Quirk F. Behavior of medical students in seeking mental and physical health care: exploration and comparison with psychology students. Med Educ. 2007;41:74–83.

    Article  PubMed  Google Scholar 

  20. Hooper C, Meakin R, Jones M. Where students go when they are ill: how medical students access health care. Med Educ. 2005;39:588–93.

    Article  PubMed  Google Scholar 

  21. Tyssen R, Rovik JO, Vaglum P, et al. Help-seeking for mental health problems among young physicians: is it the most ill that seeks help? A longitudinal and nationwide study. Soc Psychiatry Psychiatr Epidemiol. 2004;39:989–93.

    Article  PubMed  Google Scholar 

  22. Roberts LW, Warner TD, Trumpower D. Medical students’ evolving perspectives on their personal health care: clinical and educational implications of a longitudinal study. Compr Psychiatry. 2000;41:303–14.

    Article  CAS  PubMed  Google Scholar 

  23. Moutier C, Norcross W, Jong P, Norman M, Kirby B, McGuire T, et al. The suicide prevention and depression awareness program at the University of California, San Diego School of Medicine. Acad Med. 2012;87(3):320–6.

    Article  PubMed  Google Scholar 

  24. Downs N, Feng W, Norcross W, Ilanit T, McGuire T, Kirby B, et al. Listening to depression & suicidal risk in medical students: the HEAR Program. Acad Psychiatry. 2014;38(5):547–53.

    Article  PubMed  Google Scholar 

  25. Interactive screening program manual. New Your, New York: The American Foundation of Suicide Prevention; 2011.

  26. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA. 1999;282:1737–44.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to thank Ann Haas, Ph.D., Senior Consultant, American Foundation for Suicide Prevention, and Maggie Mortali, Director of The American Foundation for Suicide Prevention’s Interactive Screening Program, for all their knowledge and support with this program. The authors also wish to thank UC Davis Medical Center’s Medical Staff Well-Being Committee for its dedication in improving physician well-being, UCDHS Administration and Human Resources for their financial support of this project, and all UC Davis Health System’s Department Chairs and our physicians and residents/fellows who took the time to complete the Wellness Survey.

This project was funded by the University of California, Davis Health System.

Disclosures

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jessica Haskins.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Haskins, J., Carson, J.G., Chang, C.H. et al. The Suicide Prevention, Depression Awareness, and Clinical Engagement Program for Faculty and Residents at the University of California, Davis Health System. Acad Psychiatry 40, 23–29 (2016). https://doi.org/10.1007/s40596-015-0359-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40596-015-0359-0

Keywords

Navigation