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Physician Suicide
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24 August 2018

Physician Suicide examines the multiple risk factors
that account for the higher rates of burnout, depressive symptoms, and
suicide risk physicians experience compared with the general population.
Suicide is typically caused by a convergence of factors, chief among these
are untreated or inadequately managed mental health conditions. Physicians
are less likely to seek professional help for these conditions—in part,
because of fear of professional repercussions—and many seek to address their
symptoms by self-medicating with alcohol or drugs. Burnout is especially
common and is frequently due to workload, work inefficiency, lack of
autonomy and meaning, and work-home conflict. The author explores these
issues through the lens of a series of beautifully written and fascinating
case studies that allow the reader to get inside the minds of his subjects
and understand their lives and the stressors they face.
The only volume
of its kind, it provides an in-depth and nuanced approach to the topic of
physician suicide in the context of the broader topic of physician health
and wellbeing:
• The book covers the full range of physician mental health issues,
from lifestyle and professional expectations and burnout, through
depression, anxiety, addictions, personality disorders, and aging, carefully
noting the many interactions with suicide and suicidal behavior.
•
Prevention of these diverse problems—at the individual and organizational
level—is addressed, with emphasis on the response of health care
organizations and institutions to the issue of physician health and
wellbeing, and the impact that well-organized physician well-being
committees, taking on the function of a physician health program, can have
on individual physicians.
• The chapter-long case studies resemble short
stories that realistically capture the mental health challenges doctors
confront in the cultural context of medical training and professional
practice. These represent the core of the book, and they succeed in making
the issues discussed "personal" and engaging for the reader.
•
Accompanying each case study is a concise literature review that offers
commentary and emphasizes the most important points. A detailed reference
list is also offered for readers who want more extensive background
material.
• The author calls clearly upon the medical profession to take
serious actions to improve physician health and thereby reduce the number of
physicians who kill themselves each year.
• "Physician Suicide" is a
case-based textbook of physician health and wellbeing that can be used in
courses teaching physicians and medical students about self-care.
There is little mention in the health literature of the daily pressures inherent in the physician lifestyle, which may lead to unintended consequences, of which suicide is the most extreme. Physician Suicide is an attempt to document the pain and suffering that physicians are trained to deny, especially in front of their patients, in the hope that such discussion may improve the lives of current generations of physicians and prevent further suffering in future generations.
MEDICAL / Psychiatry / General
This book is the first to address the multiple aspects of physician mental health in an accessible and case-based manner. As a medical professional, is hard to read this book and not feel compelled to look at one's own workplace for ways to improve physician well-being.
— Brian P. Gomoll, M.D.
Peter Yellowlees, MBBS, M.D., is Professor of Psychiatry and Vice Chair for Faculty Development in the Department of Psychiatry at the University of California, Davis School of Medicine in Sacramento, California; and President of the American Telemedicine Association, headquartered in Washington, D.C.
About the Author
Preface
Acknowledgments
Chapter 1. Personal Stress Therapy
Chapter 2.
Trapped at Work
Chapter 3. The Second Victim
Chapter 4. Recovery One
Day at a Time
Chapter 5. The Conundrum of Treating the Physician
Addict
Chapter 6. Disruptive Behavior and Life as a Ponzi
Scheme
Chapter 7. A Sudden Disastrous Day
Chapter 8. The
Physician's Physician
Chapter 9. Caring for the Carers
Chapter 10.
Physician Heal Thyself
Index