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Preventing Clinician Suicide

A Call to Action During the Covid-19 Pandemic and Beyond

Bibliographic Data

ID21612406
AuthorsChristine Moutier (0000-0002-3826-7160, American Foundation for Suicide Prevention, corresponding author), Christine Yu Moutier (C.Y. Moutieris chief medical officer, American Foundation for Suicide Prevention, New York, New York; ORCID:.), Michael F Myers (M.F. Myersis professor of clinical psychiatry, Department of Psychiatry, SUNY Downstate Health Sciences University, Brooklyn, New York; ORCID:.), Jennifer Breen Feist (J.B. Feistis cofounder, Dr. Lorna Breen Heroes’ Foundation, and president, Acorn Management, LLC, Charlottesville, Virginia.), J Corey Feist (0009-0007-7708-925X, J.C. Feistis cofounder, Dr. Lorna Breen Heroes’ Foundation, chief executive officer, University of Virginia Physicians Group, and adjunct faculty member, University of Virginia Darden School of Business, Charlottesville, Virginia.), Sidney Zisook (0000-0003-3341-9185, S. Zisookis distinguished professor, Department of Psychiatry, University of California, San Diego, School of Medicine, La Jolla, California; ORCID:.)
Year2021
Volume96
Issue5
Pages624-628
Publication date2021-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAcademic Medicine (JOURNAL)
Journal identifiersISSN: 1040-2446 • E-ISSN: 1938-808X
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0000000000003972
PMID33570850
OpenAlexW3127526262
LanguageEN
Citations received4
References cited23

In this commentary, the authors offer a call to action in the long-standing fight to prevent clinicians from dying by suicide. In April 2020, the nation was shocked by the suicide of New York City emergency physician Dr. Lorna Breen, who died while recovering from COVID-19. She joins an unknown number of clinicians who have taken their lives over the past year. The authors introduce Dr. Breen, a highly talented physician working on the frontlines of the COVID-19 pandemic, and examine how pervasive distress and suicide are in clinicians. Then, they explain the lived experience movement and highlight how clinicians speaking openly about their mental illness and treatment are making it easier for their colleagues to seek lifesaving help, despite the stigma still surrounding mental illness and treatment in medicine. The authors sort through the science of clinician distress; critique how the COVID-19 pandemic is affecting the lives of clinicians; and describe existing national initiatives to address clinician stress, burnout, and suicide. Finally, they recommend evidence-based actions to prevent clinician suicide that multiple stakeholder groups can take, including regulatory agencies, licensing boards, and hospital privileging boards; specialty boards, professional associations, and continuing education organizations; medical educators; and individual clinicians. Suicide is a complex but generally preventable cause of death. Those in medicine must forge ahead with collective momentum. Dr. Breen, so many other clinicians, and those they have left behind deserve nothing less

Call to action · Distress · Medical emergency · Mental health · Mental illness · Pandemic · Poison control · Psychiatry · Specialty · Suicide prevention · Clinical Psychology · COVID-19 and healthcare impacts · Healthcare professionals’ stress and burnout · Medicine · Nursing · Posttraumatic Stress Disorder Research · Psychology

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    Open Access•Kathleen M Carlos, Hedyeh Ahmadi et al.•Frontiers in Public Health•2023

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    Open Access•Sidney Zisook, Neal Doran et al.•Academic Medicine•2025

  • The Development of a Comprehensive Mental Health Service for Medical Trainees

    Open Access•Samia Hasan, Stacie L Pozdol et al.•Academic Medicine•2022

  • Residency Program Responses to Early Covid-19 Surges Highlight Tension as to Whether Residents Are Learners or Essential Workers

    Open Access•Shannon K Martin, Kathleen M Finn et al.•Academic Medicine•2022

  • Prevalence of Depression and Depressive Symptoms Among Resident Physicians

    Douglas A Mata, Marco Antonio Ramos et al.•JAMA•2015

  • Suicide Mortality and Coronavirus Disease 2019—A Perfect Storm?

    Mark A Reger, Ian H Stanley et al.•JAMA Psychiatry•2020

  • Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students

    Lisa S Rotenstein, Marco Antonio Ramos et al.•JAMA•2016

  • Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

    Open Access•Jianbo Lai, Simeng Ma et al.•JAMA Network Open•2020

Unique citing works4
Citations per year1
Citation span2022 - 2025 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4
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