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Robert P. Discuss this article at www. G, a second-year surgical resident, becomes depressed when his girlfriend abruptly ends their relationship. His phone calls and e-mails seeking an explanation go unanswered.

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Robert P. Discuss this article at www. G, a second-year surgical resident, becomes depressed when his girlfriend abruptly ends their relationship. His phone calls and e-mails seeking an explanation go unanswered. Having long struggled with his self-esteem, Dr. G interprets this rejection as confirmation of his self-criticism. Because of his work schedule, Dr. G feels that there is no way to see a therapist or psychiatrist and believes that asking for time off to do so would adversely affect his evaluations.

G has spent the past 2 years moonlighting at the local emergency room and thinks it would be humiliating to go there for psychiatric help. His work performance and attendance decline until eventually his residency director forces him to take a medical leave of absence.

G feels that his pain will never end. He writes goodbye letters to his family, makes arrangements for his possessions and funeral, and hangs himself from the balcony outside his apartment.

These depressed residents made 6. Personality traits common among physicians—such as perfectionism and self-criticism—may increase depression risk. After completing residency, the risk of depression persists. Firth-Cozens 7 found a range of factors that predict depression among general practitioners; relationships with senior doctors and patients were the main stressors Table 1.

Certain personality traits common among physicians, such as self-criticism and perfectionism, may increase risk for depression and substance abuse. A depressed physician might enter a downward spiral. Feelings of hopelessness and worthlessness frequently lead to declining professional performance. Professional and personal relationships are strained as internal dysphoria manifests as irritability and anger.

Signs that suggest a physician may be suffering from depression or another mental illness appear in Table 2. A review of 14 studies found that the relative risk of suicide in physicians compared with the general population is between 1. A study showed that white male physicians have a higher risk for suicide than other white male professionals.

Skip to main content. Coronavirus News Center. Evidence-Based Reviews. Depression and suicide among physicians. Current Psychiatry. By Robert P. Bright, MD. Author and Disclosure Information Robert P. Stigma, licensing concerns, other barriers to treatment can be overcome.

Clinical Point Personality traits common among physicians—such as perfectionism and self-criticism—may increase depression risk. Menu Menu Presented by. Menu Close. Erratic behavior at the office or hospital ie, performing rounds at 3 am or not showing up until noon.

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Depression and suicide among physicians

Nevertheless, research on alcohol abuse among the university population has been less explored, particularly as regards the identification of the variables that predict excessive alcohol consumption. A review of the international literature on factors associated with alcohol abuse in this type of population indicates that it is among university students that high or explosive consumption tends to be largest, even among young people who do not attend school, and that the period of higher consumption is between 17 and 21 years of age. Other factors that have been identified include exposure to negative life events, inappropriate coping styles, personality variables, resorting to alcohol to reduce tension, and environmental and socio-cognitive variables, foremost among which are expectations of the positive effects of alcohol. These expectations not only predict alcohol consumption but also differentiate between problem and non-problem drinking. For example, while social drinkers tend to harbor more social expectations when drinking alcohol, excessive drinkers expect alcohol to increase their aggressive and social behavior, while reducing stress or tension. This paper seeks to evaluate the impact of expectations regarding alcohol, in predicting alcohol abuse among students at public and private universities in Mexico City.

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Global Assessment of Functioning

The Global Assessment of Functioning GAF is a numeric scale used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of an individual, e. Scores range from extremely high functioning to 1 severely impaired. The main advantage of the GAF would be its brevity. Interest in a quantifiable global rating of functioning dates back to as early as with the publication of the Health-Sickness Rating Scale which was rated 0 to by Luborsky et al. Some versions of the scale stopped at 90 as the maximum score, and others extended to Because the scale was most often used with people seeking health services, it would be rare to have scores over 90, as they would indicate not just a lack of symptoms, but also "superior functioning. Montalvo attempts to substitute "social, occupational, or school functioning" for "overall level of functioning and carrying out activities of daily living".

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Ronald J. Goldman, MD

The journal is oriented to the study of mental illnesses, their pathological processes, and their psychosocial consequences, and has as its aim to disseminate the scientific advances in all fields related to the illness and mental health. It accepts unpublished works on psychiatry and mental health, and its medical and social repercussions. For this reason, space is provided in the Journal for works in the biological, clinical and psychosocial field. Manuscripts are evaluated, before being accepted, by external reviewers peer-review.

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ISBN 13: 9789684269392

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