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Cited by 1,532Healthcare professionals’ stress and burnoutSuicide and Self-Harm StudiesDiversity and Career in Medicine

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Burnout and Suicidal Ideation among U.S. Medical Students

Dyrbye, Liselotte N., Thomas, Matthew R., Massie, F. Stanford, Power, David V, Eacker, Anne, Harper, William, Durning, Steven, Moutier, Christine, Szydlo, Daniel W., Novotny, Paul J., Sloan, Jeff A., Shanafelt, Tait D.·2008·Annals of Internal Medicine
DOI 10.7326/0003-4819-149-5-200809020-00008
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Abstract

BACKGROUND: Little is known about the prevalence of suicidal ideation among U.S. medical students or how it relates to burnout. OBJECTIVE: To assess the frequency of suicidal ideation among medical students and explore its relationship with burnout. DESIGN: Cross-sectional 2007 and longitudinal 2006 to 2007 cohort study. SETTING: 7 medical schools in the United States. PARTICIPANTS: 4287 medical students at 7 medical schools, with students at 5 institutions studied longitudinally. MEASUREMENTS: Prevalence of suicidal ideation in the past year and its relationship to burnout, demographic characteristics, and quality of life. RESULTS: Burnout was reported by 49.6% (95% CI, 47.5% to 51.8%) of students, and 11.2% (CI, 9.9% to 12.6%) reported suicidal ideation within the past year. In a sensitivity analysis that assumed all nonresponders did not have suicidal ideation, the prevalence of suicidal ideation in the past 12 months would be 5.8%. In the longitudinal cohort, burnout (P < 0.001 for all domains), quality of life (P < 0.002 for each domain), and depressive symptoms (P < 0.001) at baseline predicted suicidal ideation over the following year. In multivariable analysis, burnout and low mental quality of life at baseline were independent predictors of suicidal ideation over the following year. Of the 370 students who met criteria for burnout in 2006, 99 (26.8%) recovered. Recovery from burnout was associated with markedly less suicidal ideation, which suggests that recovery from burnout decreased suicide risk. LIMITATION: Although response rates (52% for the cross-sectional study and 65% for the longitudinal cohort study) are typical of physician surveys, nonresponse by some students reduces the precision of the estimated frequency of suicidal ideation and burnout. CONCLUSION: Approximately 50% of students experience burnout and 10% experience suicidal ideation during medical school. Burnout seems to be associated with increased likelihood of subsequent suicidal ideation, whereas recovery from burnout is associated with less suicidal ideation.

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Crossref · 10.7326/0003-4819-149-5-200809020-00008

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Metadata

Authors
Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., Durning, S., Moutier, C., Szydlo, D. W., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D.
Affiliations
University of Minnesota (US)
ORCID
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
2008-09-02
Volume
149
Issue
5
Pages
334-341
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/0003-4819-149-5-200809020-00008
OpenAlex
W2163705978
Cited by
1,532
References
38
Citations by year
2026: 47 · 2025: 78 · 2024: 90 · 2023: 119 · 2022: 105 · 2021: 225 · 2020: 146 · 2019: 143 · 2018: 77 · 2017: 103 · 2016: 79 · 2015: 60 · 2014: 57 · 2013: 59 · 2012: 51
FWCI
59.13
Type
journal article
Language
en
Open access
closed
Licence
www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations
  • Annals of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Gender Studies › Diversity and Career in Medicine
Keywords
burnout, suicidal ideation, medical students, medical education, quality of life, depressive symptoms, burnout recovery, suicide risk, prevalence
MeSH terms
Adult, Burnout, Professional, Cross-Sectional Studies, Depression, Female, Humans, Longitudinal Studies, Male, Quality of Life, Stress, Psychological, Students, Medical, Suicide, United States, Prevalence

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