Suicide mortality among physicians, dentists, veterinarians, and pharmacists as well as other high-skilled occupations in Austria from 1986 through 2020

ElsevierVolume 323, May 2023, 115170Psychiatry ResearchAuthor links open overlay panel, , , , Highlights•

Female health professionals have a higher suicide risk than the general population.

Male veterinarians have a higher suicide risk than the male general population.

Male physicians have a lower suicide risk than the male general population.

The gender difference in suicide rates is less drastic in high-skilled occupations.

Poisoning is the dominant suicide method in physicians, pharmacists, veterinarians.

Abstract

Some evidence puts health professionals at increased risk of suicide, especially females, whereas other research suggests a lower risk in high-skilled occupations. This study investigated the suicide risk of four health professions (physicians, dentists, veterinarians, pharmacists) and three other high-skilled occupations (notaries, lawyers, tax advisors/public accountants) in Austria compared to the general population, and analyzed suicide methods across occupations. Data was collected from professional associations and Austrian cause-of-death statistics to determine suicide cases. Gender-specific standardized mortality ratios (SMRs), crude and age-adjusted suicide rates and frequencies for suicide methods were calculated for each profession (maximum time span 1986–2020). Among males, only veterinarians had a significantly elevated suicide risk compared to the general population. Physicians and tax advisors/public accountants had a significantly lower suicide risk. Among females, the veterinarians, physicians, and pharmacists had a significantly elevated suicide risk; for dentists, it was also elevated, though non-significantly. Age-adjusted suicide rates showed a smaller gap between men and women in all professions compared to the general population. Poisoning was the predominant suicide method among health professions, except dentists. These findings are consistent with some of the prior literature and call for specific suicide prevention efforts in health professions, focusing on women.

Keywords

Suicide

Health occupations

Occupations

Women

© 2023 The Authors. Published by Elsevier B.V.

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