How to tackle the risk of suicide amongst medicos

Proudly supported by

  Last updated December 13, 2018 at 5:46 pm

Topics:  

One of the Australian medical profession’s dirty secrets is the risk of suicide by its workers. Now a doctor has spoken out, with system-wide changes needed to protect our healthcare workers.


Rates of suicide among female doctors are 2.27 times the rate of the general population, and male doctors only a little less often at 1.41 times the general population.


A SYSTEM-wide change, involving individuals, medical schools and colleges, which supports doctors’ physical and mental health is required to tackle the problem of suicide in the health workforce, according to the author of a Perspective published in the Medical Journal of Australia.


Dr Ann McCormack, a staff specialist in endocrinology at St Vincent’s Hospital Sydney, was prompted to write by the suicides of three doctors in her circle.


“Over a matter of months, two female junior doctors committed suicide at our hospital, and more recently, suicide entered my inner circle with the death of one my close male colleagues,” she wrote. “Such stories are not unusual in our profession.”


Rates of suicide among female doctors are 2.27 times the rate of the general population, and male doctors only a little less often at 1.41 times the general population.


“In recent Australian surveys, one in five medical students reported suicidal ideation in the preceding 12 months, while 50% of junior doctors experience moderate to high levels of distress,” she wrote.


“What seems clear to me is that inherent traits in the individuals who choose a career in medicine, and often create excellent doctors, also set them up for high rates of distress.


“Perfectionism is rife among doctors. However, the very character trait that can contribute to success can also be a downfall in others. Maladaptive perfectionism refers to individuals experiencing distress over perceived personal or family failings (often unrealistic), and is associated with anxiety, depression, perceived burdensomeness and suicidal behaviour.


“Among the medical workforce, work–life balance is poorly practised and modelled,” Dr McCormack wrote. “In fact, there is a subtle undertone rampant within the medical fraternity, in which late-night emails, missing a child’s school concert, publishing multiple articles a year, and not taking annual leave become unvoiced indicators of a truly committed doctor.”


The problem was particularly thorny for female doctors juggling motherhood and training — “this has been correlated with increased risk of depression and burnout and reduced career advancement for women within medicine”.


Substantial barriers prevent doctors seeking help


Despite a recent meeting of the Council of Australian Governments Health Council which agreed to remove mandatory reporting of doctors by their treating health professionals, “substantial barriers exist in affected doctors accessing help”.


“An ingrained fear of showing weakness and burdening others is juxtaposed against a deep-seated drive to help others. Lack of time, fear of stigma and being reported to medical authorities are other barriers — which are not irrational, given studies revealing that medical professionals hold concerns over the competency of colleagues with mental health disorders,” wrote Dr McCormack.


She suggested system-wide changes, such as:



  • doctors should invest in activities that will support their physical and mental health, and model such behaviour to junior colleagues;

  • doctors need to learn how to be kinder to themselves and extend compassion towards the struggles of both junior and senior colleagues;

  • medical students should be selected not just on academic performance but increasingly sophisticated aptitude testing should be used;

  • regular enquiry into the mental health of medical students should be a high priority, and ongoing support should be offered;

  • doctors should teach and model resilience;

  • doctor wellbeing programs should be mandated, including peer support networks;

  • workforce planning should avoid the growing bottleneck at the advanced training level; and

  • collegiality should be built back into medical and health workplaces.


“Helping doctors build resilience may be protective against burnout and suicide in times of personal hardship.”




About the Author

Australia's Science Channel Editors

Published By

Science and technology is as much a part of our cultural fabric as art, music, theatre and literature. They play a significant role in our daily lives, yet, in a world dependent on science, we often take them for granted. Australia’s Science Channel believes every citizen has a right, and a responsibility, to be informed, and our mission is to create programs to bring that about.


Featured Videos

Placeholder
SCINEMA 2020 opens with new Indigenous filmmaking award
Placeholder
Sean Geoghegan - Meet a Medical Physicist
Placeholder
Bringing Japan's breakthrough cancer technology to Australia
Placeholder
Columbia: NASA blew it
Placeholder
The Face of a Stranger
Placeholder
Where Does Space Begin?
Placeholder
The Rarest Drug on Earth
Placeholder
Why is blue so rare in nature
Placeholder
Ant Sisters
Placeholder
Jeremy the Lefty Snail and Other Asymmetrical Animals
Placeholder
Tracking Snow
Placeholder
Smart Slime?
Placeholder
Good in the machine
Placeholder
Kessler Syndrome: What happens when satellites collide?
Placeholder
Why This Skateboarding Trick Should Be Impossible
Placeholder
Charles Camarda on becoming an astronaut
Placeholder
Alan Duffy on what it took to get humans to the Moon
Placeholder
Do aliens exist? Brian Cox explains
Placeholder
From Apollo to Pulsars: Parkes still dishing out the discoveries
Placeholder
Brian Cox on black holes
Placeholder
Australia's 60,000 years of space history
Placeholder
In Class With… Jane Goodall
Placeholder
Etienne Rastoin-Laplane - What's fishy about the Galapagos?
Placeholder
Kit Prendergast - Flowers to keep native bees buzzing
Placeholder
Rebecca Wellard - Eavesdropping on killer whales
Placeholder
Hossein Tavassoli - Mending broken hearts
Placeholder
Dilan Seckiner - Forensic gait analysis
Placeholder
Samuel Bladwell - A new spin on electronics
Placeholder
Sathana Dushyanthen - The double-edged cancer sword
Placeholder
Dwan Price - Nuts and Guts
Placeholder
Catriona Nguyen-Robertson - Exercise takes your immune system for a ride
Placeholder
Thimo Ruethers - The deadly danger of crocs on a plate
Placeholder
Amanda Tauber - Slamming the brakes on metastatic cancer
Placeholder
Hayley Teasdale – The ball that prevents falls (FameLab Australia 2019 Runner-up)
Placeholder
In the Shadow of a Black Hole
Placeholder
In Class With... Monica Gagliano
Placeholder
In Class With... Brian Cox
Placeholder
Start your FameLab 2019 journey now
Placeholder
Nural Cokcetin - It all starts with FameLab
Placeholder
Erinn Fagan-Jeffries - It all starts with FameLab
Placeholder
Ronald Yu - It all starts with FameLab
Placeholder
Noushin Nasiri - It all starts with FameLab
Placeholder
Grassroots
Placeholder
What is machine learning?
Placeholder
Mythbusting artificial intelligence with expert Anton van den Hengel
Placeholder
Using machine learning to predict medical outcomes
Placeholder
KCLOC
Placeholder
Nature Calls
Placeholder
Mexican Fishing Bats
Placeholder
Bittersweet
Placeholder
Timelapse
Placeholder
Invisible Blanket
Placeholder
Look
Placeholder
The Anomalies: Venom Race
Placeholder
Science Meets Making
Placeholder
Spiral
Placeholder
Looking Out There
Placeholder
Protectors of the Penguins
Placeholder
Astroturf
Placeholder
Virtual Humans
Placeholder
Rancheros del Jaguar
Placeholder
Searching For Dark Matter
Placeholder
Finding prehistoric mega-shark fossils on Victoria's coast
Placeholder
The Grandfather of computers
Placeholder
James Cameron talks science
Placeholder
In Class With.....David Suzuki - The Environment
Placeholder
In Class With.....David Suzuki - Career
Placeholder
Sustainable water use with Doug Green
Placeholder
Why is Indigenous science important?
Placeholder
Vanessa Pirotta - Using drones to collect whale snot (FameLab Australia 2018 Winner)
Placeholder
Toby Hendy - Poking Plants (FameLab Australia 2018 Runner-Up)
Placeholder
Muthu Vignesh Vellayappan - Groovy Patches (FameLab Australia 2018 Audience Choice)
Placeholder
Taryn Laubenstein - The Tail of Two Fishes
Placeholder
Richard Charlesworth - Coeliac disease diagnosis can be a pain in the posterior
Placeholder
Pegah Maasoumi - Solar Windows
Placeholder
James Wong - Breathing while you hop: How do kangaroos do it?
Placeholder
Ben McAllister - The ORGAN Experiment: Shining a light on dark matter
Placeholder
Mortaza Rezae - Empowering beautiful minds
Placeholder
Zane Stromberga - Can allergy drugs beat bladder disease?
Placeholder
Working In.....Art - Astrophotography
Placeholder
What's the best way to move - springs or muscles?
Placeholder
FameLab Australia Semi-Final Highlights
Placeholder
Saving lives with platypus milk
Placeholder
Australian astronomers witness death throes of a cocooned star
Placeholder
How Australia's politicians see our future in space
Placeholder
Keeping satellites in the loop
Placeholder
Tim Flannery talks about COP
Placeholder
Tim Jarvis & Tim Flannery talk Climate Change
Placeholder
Andy's Week in Science - robo baby, university rankings, and cancer on circadian rhythms
Placeholder
From chocolate factory to surgery - the milliDelta robot
Placeholder
Andy's Week in Science: video games, low tech transition windows and a new CRISPR technique
Placeholder
Science lessons useful in Art Restoration career
Placeholder
Are drones the future of racing?
Placeholder
The future of esports according to the experts
Placeholder
Seeing is believing with artist Eugenie Lee
Placeholder
The human impact of Art Science collaboration
Placeholder
Follow your Interests in Robotics
Placeholder
Zoz on 3D Printing
Placeholder
Flavia Tata Nardini on women in engineering
Placeholder
Flavia Tata Nardini on the future of the internet
Placeholder
Explore the ocean floor and Antarctic biodiversity
Placeholder
Follow your interests in Medical Research
Placeholder
Artists on Science
Placeholder
What is Space Archaeology?
Placeholder
Follow your Interests
Placeholder
Scientists on Art
Placeholder
3D Printing in Medical Research
Placeholder
Ethical Issues
Placeholder
Problem Solving - Robotics at Dermatec
Placeholder
Problem Solving with CSI
Placeholder
Tamarah King - Earthquake Geologist
Placeholder
True or False with Bajo and Rad BONUS ROUND
Placeholder
True or False with Bajo & Rad
Placeholder
Andy's Week in Science - Cats vs Dogs
Placeholder
FameLab 2018 - Get Involved!
Placeholder
Nural Cokcetin - How FameLab changed my life
Placeholder
Erinn Fagan-Jeffries - How FameLab changed my life
Placeholder
Noushin Nasiri - How FameLab changed my life
Placeholder
Ronald Yu - How FameLab changed my life
Placeholder
Alan Duffy's Top 5 Science Communication Tips
Placeholder
A Judge's Top Tips for FameLab Australia
Placeholder
Brain Candy - Why, Why, Why Michael Stevens?
Placeholder
The Past, Present, and Future of Malaria
Placeholder
This is a video of poo pills being made!
Placeholder
Mind Games - Sports Psychology
Placeholder
Fuel to Win - Sports Nutrition
Placeholder
Fifty years since Australia beat the world to space
Placeholder
ECR Network: Talk Your Science with Alan Duffy
Placeholder
Andy's Week in Science - chimps, klompen, and clouds
Placeholder
Our robot medicine future - heart huggers and micro biohybrids
Placeholder
Six Awkward Cancer Questions
Placeholder
How do you tell if a whale is left-handed?
Placeholder
She Flies - Turning Girls into Drone Pilots
Placeholder
Andy's Week in Science - Magnetic Fabric, Cancer Treatments, and Echolocation
Placeholder
The Science of Sexuality
Placeholder
Sailing Through Space with Bill Nye
Placeholder
Using Sports Science to Help Olympic Athletes
Placeholder
Three and a Half Minutes of Top Shelf Career Advice
Placeholder
New Space Tech with Andrea Boyd
Placeholder
Kelly Meets the Mars Curiosity Rover
Placeholder
Hearts, Opera, and Tough Conversations - Andy's Week in Science
Placeholder
Bill Nye on Science, Girls, and Saving the World!
Placeholder
2017 Prime Minister's Prizes for Science Part 2
Placeholder
2017 Prime Minister's Prizes for Science Part 1
Placeholder
Who Decides the Law in Space?
Placeholder
Scientists Watch Collision That Created Gravitational Waves
Placeholder
Getting Cold Feet Leads to a Whole New Career
Placeholder
ECR Network - Why Every Scientist Should Be on Twitter - The Benefits
Placeholder
ECR Network - Why Every Scientist Should Be On Twitter - The Fears
Placeholder
Live Podcast - Life Vs Science
Placeholder
Origami Robots, Babies, and Kidneys - Andy's Week in Science
Placeholder
Namira Salim and the Zero-G Peace Summit
Placeholder
Elon Musk's Mars Plan: Expert Analysis
Placeholder
SPACE AF - Thursday
Placeholder
My Time in Space
Placeholder
IAC TV Daily Broadcast - Wednesday
Placeholder
SPACE AF - Wednesday
Placeholder
IAC TV Daily broadcast - Tuesday
Placeholder
SPACE AF - Tuesday
Placeholder
IAC TV daily broadcast - Monday
01:00:41
Placeholder
SPACE AF - Monday
Placeholder
Live from IAC 2017
Placeholder
Brew Ha Ha - Technology Rewrites History
Placeholder
Methamphetamine - Gateway Drug to Parkinson's Disease
Placeholder
Concussion, 3D BioPrinting, and The Universe - Andy's Week in Science
Placeholder
Pulsars, Clearwigs, and Pacemakers - Andy's Week in Science
Placeholder
Revolutions - The Quest to Transform HPV Racing
Placeholder
Brew Ha Ha - Hurricane Irma Blows Away Tesla's Rip Off
Placeholder
Brew Ha Ha - The Limit of Your Lifespan
Placeholder
The Recipient
Placeholder
Think Like a Scientist: Natural Selection in an Outbreak
Placeholder
The End of Snow
Placeholder
The Next Rembrandt
Placeholder
The Discarded
Placeholder
The Spectators
Placeholder
Test Tube Babes
Placeholder
Pangolins in Peril- A Story of Rare Scales
Placeholder
Rock Art Project
Placeholder
Pork.0
Placeholder
OWSIA (Darkened Water)
Placeholder
Nex
Placeholder
Northern Quolls
Placeholder
Dish Life
Placeholder
At Street Level
Placeholder
Custom Love
Placeholder
Adrift
Placeholder
A Story from Space
Placeholder
Brew Ha Ha - The Most Dangerous Thing in Boxing May Be the Gloves
Placeholder
ECR Network 2017 – Get Interdisciplinary!
01:27:00
Placeholder
Chris Hadfield: The Future of Space Exploration
Placeholder
Chris Hadfield: Life After Space
Placeholder
Chris Hadfield: Life in Space
Placeholder
Brew Ha Ha - Let's Make Algae Australian of the Year
Placeholder
Brew Ha Ha - Australia's Energy Showdown
Placeholder
Nine Awkward Astrophysicist Questions
Placeholder
Brew Ha Ha - There's No Such Thing as an Exercise Pill
Placeholder
National Science Week Awards Show
Placeholder
Brew Ha Ha - Your 5 Step Asteroid Success Plan
Placeholder
National Science Week Forecast
Placeholder
Open Doors. Open Future. Open Day.
Placeholder
Brew Ha Ha - Lose a Little to Gain Millions
Placeholder
Brew Ha Ha - Crowd Sourcing Origami Astronaut Protection
Placeholder
Brew Ha Ha - T-Rex's Prehistoric Power Walk
Placeholder
True or False with Kale Brock
Placeholder
The Grandfather Paradox
Placeholder
Brew Ha Ha - The Hidden Heroes Tackling Mozzies
Placeholder
Brew Ha Ha - Emergency AI Assistance
Placeholder
Brew Ha Ha - Frogs Forever, Dinosaurs Never!
Placeholder
Brew Ha Ha - Australia, Let's Go To Space
Placeholder
Brew Ha Ha - Welcome to the Microbiome, Archaea!
Placeholder
Brew Ha Ha - Roos Blindside Driverless Cars
Placeholder
Biodiversity of Antarctica Under Threat From Increase In Ice-Free Areas
Placeholder
Brew Ha Ha - The Future of the Census
Placeholder
Tell Me! Brian Cox
Placeholder
Crash, Burn, Tweak, Repeat
Placeholder
Brew Ha Ha - Humans Just Got Older and Wiser
Placeholder
Brew Ha Ha - Cheers to Brain Health?
Placeholder
Gene Therapy Could Cure Allergies
Placeholder
Brew Ha Ha - iHeart Hacking
Placeholder
Ridiculology - New Hubble
Placeholder
Brew Ha Ha - Trees Alone Can't Save Us
Placeholder
Brew Ha Ha - Earth's Accidental Force Field
Placeholder
Dinosaurs on the Big Screen
Placeholder
Brew Ha Ha - Farewell MP3
Placeholder
Kids Beat Grown-ups on Pneumonia Vaccines
Placeholder
Brew Ha Ha - The Booger Conspiracy
Placeholder
FameLab 2017 National Final - Part 2
Placeholder
FameLab 2017 National Final - Part 1
Placeholder
2017 Budget Response
Placeholder
What Are Animal Weapons?
Placeholder
If You Love Both Art and Science, Be a Scientific Illustrator
Placeholder
Getting Personal With Skinks
Placeholder
Brew Ha Ha - CSIRO Email Leaks
Placeholder
FameLab 2017 Western Australia Semi-Final Highlights
Placeholder
Brew Ha Ha - New Hope for Premmies
Placeholder
Brew Ha Ha - Britain Goes Coal-Free
Placeholder
Brew Ha Ha - Naked Mole-Rats (SFW)
Placeholder
Brew Ha Ha - Easter Reminders
Placeholder
Meet Andrea Boyd - Space Flight Controller
Placeholder
Brew Ha Ha - Sperm Drug Smugglers
Placeholder
FameLab 2017 New South Wales Semi-Final Highlights
Placeholder
The Science of Fiction
Placeholder
Brew Ha Ha - Liquorice Poisoning
Placeholder
Brew Ha Ha - Crowdsourcing Science
Placeholder
FameLab 2017 Queensland Semi-Final Highlights
Placeholder
Brew Ha Ha - SpaceX Preps for Relaunch
Placeholder
Poly Cystic Ovary Syndrome Breakthrough
Placeholder
Brew Ha Ha - Surviving a Media Storm
Placeholder
Will This Aussie Team Win the Race to Create the Ultimate Malaria Vaccine?
Placeholder
Brew Ha Ha - New Dino Family Tree
Placeholder
How to fix things with Kyle Wiens
Placeholder
Repair or replace? iFixit co-founder Kyle Wiens