Abstract
Background: Research shows that there is a high prevalence of suicide among nurses. Despite this, it has been 15 years since the last literature review on the subject was published. Aim: The aim of this article is to review the knowledge currently available on the risk of suicide among nurses and on contributory risk factors. Method: A search was conducted in electronic databases using keywords related to prevalence and risk factors of suicide among nurses. The abstracts were analyzed by reviewers according to selection criteria. Selected articles were submitted to a full-text review and their key elements were summarized. Results: Only nine articles were eligible for inclusion in this review. The results of this literature review highlight both the troubling high prevalence of suicide among nurses as well as the persistent lack of studies that examine this issue. Conclusion: Considering that the effects of several factors related to nurses' work and work settings are associated with high stress, distress, or psychiatric problems, we highlight the relevance of investigating work-related factors associated with nurses' risk of suicide. Several avenues for future studies are discussed as well as possible research methods.
References
2007). Suicide and occupation: The impact of socio-economic, demographic and psychiatric differences. Psychological Medicine, 37(08), 1131–1140.
(2004). La psychodynamique du travail et le paradigme du stress: Une saine et utile complémentarité en faveur du développement des connaissances dans le champ de la santé au travail [The psychodynamic of work and the stress paradigm: a sound and useful complementarity in favor of the development of knowledge in the field of health at work]. Santé mentale au Québec, 29(1), 261–280.
(2006). Lorsque l’organisation du travail en unités de soins de longue durée menace la santé mentale des infirmières: Une enquête en psychodynamique du travail [When work organization in long-term care units affects the mental health of nurses: an inquiry into the psychodynamic of work]. Canadian Journal of Community Mental Health, 25(2), 105–119.
(2008). Work structure in the chronic care setting: Possible consequences for nurses’ mental health. Canadian Journal of Nursing Research, 40(3), 161–178.
(2010). Analyse psychodynamique du travail infirmier. Une enquête en psychodynamique du travail en Centre d’Hébergement et de Soins de Longue Durée: Entre plaisir et souffrance [Analyzing the psychodynamics of nursing. Investigating the psychodynamic of work in residential and long-term care centers: between pleasure and pain]. Saarbrücken, Germany: Editions Universitaires Européennes.
(2011). When paradoxes hamper the search for meaning: The psychodynamics of work of nurses in a residential and long-term care facility. Journal of Nursing Care, 1(1), 102. doi: 10.4172/2167-1168.1000102
(2010). Antecedents and consequences of intra-group conflict among nurses. Journal of Nursing Management, 18(8), 981–992.
(2010). Suicide in selected occupations in Queensland: Evidence from the state suicide register. Australian and New Zealand Journal of Psychiatry, 44(3), 243–249.
(2007). The Job Demands-Resources model: State of the art. Journal of Managerial Psychology, 22(3), 309–328.
(1997). Psychometric characteristics of the Scale for Suicide Ideation with psychiatric outpatients. Behaviour Research and Therapy, 35(11), 1039–1046.
(2014). Nurses managing patients’ pain may experience moral distress. Clinical Nursing Research. doi: 10.1177/1054773814533124
(2003). Confronting depression and suicide in physicians: A consensus statement. Journal of the American Medical Association (JAMA), 289(23), 3161–3166.
(2012). Predicting nurses’ well-being from job demands and resources: A cross-sectional study of emotional labour. Journal of Nursing Management, 20(4), 502–511.
(1990). Grounded theory research: procedures, canons, and evaluative criteria. Qualitative Sociology, 13(1), 3–21.
(1993). Travail: Usure mentale. De la psychopathologie à la psychodynamique du travail. Nouvelle édition augmentée [Mental exhaustion at work: from psychopathology to the psychodynamic of work]. Paris, France: Bayard.
(2013). Moral distress and avoidance behavior in nurses working in critical care and noncritical care units. Nursing Ethics, 20(5), 589–603.
(1999). Aggression in clinical settings: Nurses’ views – a follow up study. Journal of Advanced Nursing, 29(3), 532–541.
(2006). Scoping workplace aggression in nursing: Findings from an Australian study. Journal of Advanced Nursing, 55(6), 778–787.
(2002). Stress and suicide in the Nurses’ Health Study. Journal of Epidemiology and Community Health, 56(2), 95–98.
(2014). Work-related suicide: An analysis of US government reports and recommendations for human resources. Employee Relations, 36(2), 148–164.
(2007). Organizational climate and nurse health outcomes in the United States: A systematic review. Industrial Health, 45(5), 622–636.
(2007). Engaging health care workers in improving their work environment. Journal of Nursing Management, 15(3), 313–320.
(2011). Risk of suicide in medical and related occupational groups: A national study based on Danish case population-based registers. Journal of Affective Disorders, 134(1–3), 320–326.
(2004). Suicide in doctors: A psychological autopsy study. Journal of Psychosomatic Research, 57(1), 1–4.
(2002). Suicide in female nurses in England and Wales. Psychological Medicine, 32(2), 239–250.
(1999). Suicide in nurses. Suicide and Life-Threatening Behavior, 29(1), 86–95.
(1991). Job stressors and coping in health professions. Psychotherapy and Psychosomatics, 55(2–4), 90–99.
(2005). Suicide rates according to education with a particular focus on physicians in Norway 1960–2000. Psychological Medicine, 35(6), 873–880.
(2013). Suicide in medical doctors and nurses: An analysis of the Queensland Suicide Register. The Journal of Nervous and Mental Disease, 201(11), 987–990.
(2014). To be or not to be empathic: The combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Family Practice, 15(15). doi: 10.1186/1471-2296-15-15
(2010a). Stress and coping in Singaporean nurses: A literature review. Nursing & Health Sciences, 12(2), 251–258.
(2010b). Stress and coping in Australian nurses: A systematic review. International Nursing Review, 57(1), 22–31.
(2006). Suicide Attempt Self-Injury Interview (SASII): Development, reliability, and validity of a scale to assess suicide attempts and intentional self-injury. Psychological Assessment, 18(3), 303–312.
(2012). Occupational stress, job characteristics, coping, and the mental health of nurses. British Journal of Health Psychology, 17(3), 505–521.
(2010). Perceived occupational stress in nurses working in Ireland. Occupational Medicine, 60(8), 604–610.
(2010). An institutional ethnography of nurses’ stress. Qualitative Health Research, 20(10), 1353–1378.
(2008). Patterns of suicide by occupation in England and Wales: 2001–2005. The British Journal of Psychiatry, 193(1), 73–76.
(2010). Suicidality and risk of suicide-definition, drug safety concerns, and a necessary target for drug development: A brief report. Journal of Clinical Psychiatry, 71(8), 1040–1046.
(2004). Work organization, area labor-market characteristics, and depression among US nursing home workers: A cross-classified multilevel analysis. International Journal of Occupational and Environmental Health, 10(4), 392–400.
(2012). La difficile prévention des suicides au travail [The challenges of suicide prevention at work]. Gestion, 37(4), 6–14.
(2010). Depression in nurses. Canadian Journal of Nursing Research, 42(3), 66–82.
(2010). Systematic review of the prevalence of suicide in veterinary surgeons. Occupational Medicine, 60(6), 436–446.
(2007). Factors in the assessment of suicidality in youth. CNS Spectrums, 12(2), 156–162.
(2011). The relationship between nurses’ stress and nurse staffing factors in a hospital setting. Journal of Nursing Management, 19(6), 714–720.
(2013, 7 5). Le décès de deux infirmières à l’Hôtel-Dieu de Lévis préoccupe [The death of two nurses at the Hôtel Dieu Hospital in Lévis is cause for concern]. Retrieved from ici.radio-canada.ca/regions/quebec/2013/07/05/004-suicide-infirmieres-hopital.shtml
. (2000). Nurse stress associated with aggression in people with dementia: Its relationship to hardiness, cognitive appraisal and coping. Journal of Advanced Nursing, 31(1), 172–180.
(2010, 8 13). Quatre cas de suicides confirmés par la direction du CHUQ? Le Soleil [Four cases of suicide confirmed by the CHUQ administration?]. Retrieved from www.lapresse.ca/le-soleil/actualites/sante/201008/12/01-4306168-quatre-cas-de-suicides-confirmes-par-la-direction-du-chuq.php?utm_categorieinterne=trafficdrivers&utm_contenuinterne=cyberpresse_vous_suggere_4306166_article_POS2
(2004). Suicide rates among physicians: A quantitative and gender assessment (meta-analysis). American Journal of Psychiatry, 161(12), 2295–2302.
(1995). Counting the cost. Nursing Times, 91, 24–26.
(2006). Findings from the 2005 national survey of the work and health of nurses. Ottawa, Canada: Minister of Industry. Retrieved from secure.cihi.ca/free_products/NHSRep06_ENG.pdf
(2010). Suicide by occupation: Does access to means increase the risk? Australian and New Zealand Journal of Psychiatry, 44(5), 429–434.
(1993). Depression among female registered nurses. Nursing Management, 24(8), 42–45.
(2001). Occupation and suicide. Social Science Quarterly, 82(2), 384–396.
(2007). Organizational climate and occupational health outcomes in hospital nurses. Journal of Occupational and Environmental Medicine, 49(1), 50–58.
(2001). Leadership, organizational stress, and emotional exhaustion among hospital nursing staff. Journal of Advanced Nursing, 35(4), 533–542.
(2011). A longitudinal examination of generic and occupational specific job demands, and work-related social support associated with burnout among nurses in Sweden. Work, 38(4), 389–400.
(2013). Stress, positive affectivity, and work engagement among nurses: An integrative literature review. Singapore Nursing Journal, 40(1), 24–33.
(2013). Nurse practice environment, workload, burnout, job outcomes, and quality of care in psychiatric hospitals: A structural equation model approach. Journal of Advanced Nursing, 69(7), 1515–1524.
(2013). Moral distress: Levels, coping and preferred interventions in critical care and transitional care nurses. Journal of Clinical Nursing, 22(9–10), 1455–1466.
(2007). Relationship between burnout and occupational stress among nurses in China. Journal of Advanced Nursing, 59(3), 233–239.
(2012). Burnout and empathy in primary care: Three hypotheses. British Journal of General Practice, 62(600), 346–347.
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