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Suicide Amongst Professionals
Louise Stanger Ed.d, LCSW, CDWF
2019
Name Commercial
Interests
Relevant
Financial
Relationships:
What Was
Received
Relevant
Financial
Relationships:
For What R...
ABOUT DR. WALTON
KUDOS AND THANK YOU
▸ Lauren Walton MD, ASAM, APA
▸ President Los Angeles American
Society of Suicide and...
ABOUT DR. LOUISE
▸ Clinician-Educator- Speaker
▸ Author, Falling Up!A Memoir of Renewal
▸ Author- The Definitive Guide to A...
OBJECTIVES
▸ Examine the history of suicide in the medical professional
and how that differs from other groups
▸ Look at v...
OBJECTIVES
▸ State statistics as it relates to physicians and suicide including the
“July’ Effect
▸ Explain the correlatio...
WHY DO YOU VISIT YOUR DOCTOR??
WHAT DO YOU THINK ABOUT?
▸ You are going because :
▸ You need a check up
▸ Something Is bot...
DOCTOR SUICIDE-
THE ELEPHANT IN
THE MIDDLE OF THE
EXAMINING ROOM
LEGHA, R. A HISTORY OF PHYSICAL SUICIDE IN AMERICA, 2012
HISTORY OF PHYSICIAN SUICIDE
▸ 1897 Philadelphia Medical Surgical...
HISTORY OF SUICIDE
GOLDEN AGE AND BEYOND
▸ 1900-1950- thought suicide was a
complicated thought driven from within
▸ 1960-...
TEXT
HISTORY OF SUICIDE
▸ 1999 US Surgeon General “Call to
Action to Prevent Suicide”
▸ Paucity of knowledge -growing
body...
HISTORY OF SUICIDE
SUICIDE AND PHYSICIANS
▸ 1980 Sakinosky- Doctors wives have higher rate
of suicide in comparison with o...
DID YOU KNOW ?
▸ More then 920,000 Americans lose
their doctors to suicide each year
▸ Approximately 400 doctors
commit su...
STATISTICS
DID YOU KNOW ?
▸ Female completion rate is higher then
male physicians and exceeds general
population by 4 time...
▸ In every population suicide is the
result of untreated or inadequately
treated depression
▸ Depression is as common amon...
PHYSICIAN BURNOUT RATES- MAYO CLINIC PROCEEDINGS
MALASH BURNOUT INVENTORY
▸ Emergency Medicine
▸ Family Medicine
▸ General...
A CONFLUENCE OF ISSUES
▸ Educational Demand
▸ Extended Workdays
▸ Increasing Computerization Of Practice
▸ Chronic Stress
...
CONFLUENCE OF ISSUES
▸Lack of Institutional Support
▸Availability of Addictive Substances
▸“Conspiracy of Silence”
▸Underr...
NURSES 3.4 MILLION PRACTICING NURSES
UNDER THE RADAR
▸ Stigma not mental health
▸ No Procedures
▸ Second Victim Trauma
▸ F...
RISK FACTORS INCLUDE-PAST HISTORY OF
SUICIDE ATTEMPT, SUICIDAL IDEATION , PAST
OR PRESENT SERIOUS MENTAL ILLNESS SUCH
AS D...
MEDICAL SCHOOL CULTURE-“HAZING ,
BULLYING, & NAME CALLING THAT
RESULTS IN “OCCUPATIONAL
DEPRESSION & POORER HEALTH CARE”
P...
AMERICAN FOUNDATION SUICIDE PREVENTION
▸ DRIVERS OF BURNOUT :
▸ WORKLOAD INEFFICIENCY
▸ LACK OF AUTONOMY
▸ LACK OF MEANING...
“THERE IS A STRANGE MACHISMO …
DRS LIKE ME,FEEL PRESSURE TO
PROJECT INTELLECTUAL PROWESS…
OUR EXPECTATIONS SKYROCKET AS
IF...
UNPACKING DEPRESSION IN RESIDENTS DOCTORS
▸ Under reported -Under recognized &
Untreated :
▸ Drs may be reluctant to seek ...
ASSESSMENT QUESTIONS
BIO-PSYCH0
▸ Is their Family History MH ?
▸ Is there FH of Suicide?
▸ Has there been previous episode...
TEXT
MORE QUESTIONS
▸ Past experience with prescription & non
prescription drugs ?
▸ Been treated for any disease per ASAM...
RATES OF DEPRESSION -BRIGHT AND KAHN MAYO CLINIC
PREDICTORS OF DEPRESSION
▸ Relational Difficulties withdrs, staff
or paren...
THE NEW C0HORT OF RESIDENTS 36,000
THE JULY EFFECT
IN HOSPITALS AND PRIVATE PRACTICE
POLICIES & PRACTICES HR & WELL BEING
▸ HR Policies on Substance Misuse ,
Depression, Anx...
GOAL OF WORKPLACE WELLNESS
▸ Healthy Behaviors are promoted,
encouraged and Supported
▸ Employees have easy access to help...
CENTER FOR PROFESSIONAL RECOVERY
WELL BEING COMMITTEES
▸ Evaluation of complaints or
allegations to determine validity
▸ M...
CENTE FOR PROFESSIONAL PROGRAMS
DIVERSION PROGRAMS-PHP
▸ Referral of Individual by patient, partner or
family

Evaluation ...
TEXT
CONTINUING CARE PHP
▸ After Care Programming -PHP-IOP
▸ Long Term Monitoring- Including Counseling and Drug Testing
▸...
EFFECTS OF SUICIDE
EFFECTS OF SUICIDE
HAVE YOU EVER FELT
▸ If only I could of
▸ Confusion
▸ Guilt
Humiliation- Embarrassment
The Act of Making
Someone Inferior or
Foolish
“ Your Father Committed
Suicide!”
Anxiety and Depression
Grief and Loss
Creating Services For All
Prevention
Intervention
Treatment
RESOURCES
DR. LOUISE STANGER
▸ Doctor Suicide The Elephant in the Middle
of The Examining Roomhttps://
www.huffingtonpost.c...
Sept. 16, 2019
RESOURCES
▸ Details on Suicide among Us Physicians: Data from the National Violent Death
Reporting System, Gold MD, Sen, P...
RESOURCES
▸ Physician Suicide Letters, Pamela Wible https://www.amazon.com/
Physician-Suicide-Letters-Answered-Pamela/dp/0...
RESOURCES
▸ The Tennis Partner, Abraham Verghese https://www.amazon.com/Tennis-Partner-
Abraham-Verghese/dp/0062116398
▸ A...
RESOURCES
▸ American Foundation for Suicide Preventionhttps://
afsp.org/our-work/education/healthcare-professional-
burnou...
Resources for healthcare professionals and medical educators
Accreditation Council for Graduate Medical Education (ACGME) ...
Make the Difference: Preventing Medical Trainee Suicide (Video) – A 4-minute PSA from Mayo Clinic and the American Foundat...
Prevention programs
Interactive Screening Program (ISP) – AFSP’s signature intervention program, the ISP is an online tool...
DOCTOR SUICIDE-
THE ELEPHANT IN
THE EXAMINING
ROOM
Louise Stanger
Ed.D,LCSW,CDWF,CIP
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
Suicide Medical Conference Oct 2019
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Suicide Medical Conference Oct 2019

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OBJECTIVES:
Examine the history of suicide in the medical professional and how that differs from other groups
Look at variables which contribute to physician burn out
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
Describe how Addiction, Depression and Anxiety and Suicide Effect Families

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Suicide Medical Conference Oct 2019

  1. 1. Suicide Amongst Professionals Louise Stanger Ed.d, LCSW, CDWF 2019
  2. 2. Name Commercial Interests Relevant Financial Relationships: What Was Received Relevant Financial Relationships: For What Role No Relevant Financial Relationships with Any Commercial Interests Louise Stanger None None None None CONFLICT OF INTEREST / DISCLOSURES 1
  3. 3. ABOUT DR. WALTON KUDOS AND THANK YOU ▸ Lauren Walton MD, ASAM, APA ▸ President Los Angeles American Society of Suicide and Prevention ▸ Head of Addiction Medicine Kaiser-Downey, Ca ▸ “You inspire me daily with your goodness”LAS
  4. 4. ABOUT DR. LOUISE ▸ Clinician-Educator- Speaker ▸ Author, Falling Up!A Memoir of Renewal ▸ Author- The Definitive Guide to Addiction Intervention-Routledge 2018 ▸ 2019 “ Interventionist of the Year”DB Resources London and McLean Hospital, an affiliate of Harvard University ▸ Widow-Wife-Mother-Grandmother- Suicide Survivor ▸ Adventurer ▸ email -DrStanger@allaboutinterventions.com ▸ www.allaboutinterventions.com- ▸ 619-507-1699
  5. 5. OBJECTIVES ▸ Examine the history of suicide in the medical professional and how that differs from other groups ▸ Look at variables which contribute to physician burn out ▸ Describe and Discuss Depression, Stress and Anxiety in the Medical Community ▸ Describe how Addiction, Depression and Anxiety and Suicide Effect Families
  6. 6. OBJECTIVES ▸ State statistics as it relates to physicians and suicide including the “July’ Effect ▸ Explain the correlation between depression and addiction as it manifests itself in this population ▸ Demonstrate the efficacy of a robust bio-psycho-social and questions ▸ Recommend strategies within medical practices and hospitals to reduce risk ▸ Discuss Effects of Suicide on Family, Friends, Co-workers etc
  7. 7. WHY DO YOU VISIT YOUR DOCTOR?? WHAT DO YOU THINK ABOUT? ▸ You are going because : ▸ You need a check up ▸ Something Is bothering ▸ You expect an exam, your vitals checked , sample of blood, tests run ▸ But do you ever think about what’s going on with your doctor?
  8. 8. DOCTOR SUICIDE- THE ELEPHANT IN THE MIDDLE OF THE EXAMINING ROOM
  9. 9. LEGHA, R. A HISTORY OF PHYSICAL SUICIDE IN AMERICA, 2012 HISTORY OF PHYSICIAN SUICIDE ▸ 1897 Philadelphia Medical Surgical Reporter published first article ▸ 1900-1970- physicals were viewed as “expendable deviants” ▸ Physical suicide “would go from a forgivable mister committed by downtrodden people to a reprehensible crime committed by those society consider the best and the brightest “. ▸ 1970s and beyond (Doctors vulnerable human beings deserving of respect)
  10. 10. HISTORY OF SUICIDE GOLDEN AGE AND BEYOND ▸ 1900-1950- thought suicide was a complicated thought driven from within ▸ 1960- was viewed as individual pathology ▸ 1970s -1980s saw replacement of physical leadership to corporate leadership ▸ Psychiatry became more mainstream and medical profession was able to acknowledge mental illness on its own ▸ 1987 The American Suicide Foundation was founded
  11. 11. TEXT HISTORY OF SUICIDE ▸ 1999 US Surgeon General “Call to Action to Prevent Suicide” ▸ Paucity of knowledge -growing body of knowledge on physicians and addiction ▸ Caregiver failing to care for himself ▸ Environmental factors- Pathological Nature of the Profession ▸ Punishment not treatment
  12. 12. HISTORY OF SUICIDE SUICIDE AND PHYSICIANS ▸ 1980 Sakinosky- Doctors wives have higher rate of suicide in comparison with other professionals ▸ AMA 1982 demanded better care of its own-how to reconcile personal stress with professional demands ▸ 2002 AMA issued a consensus statement “Confronting Suicide in Physicians ▸ “Problem of Physical suicide is not solely a matter of whether it takes place or not at a higher rate than the general public. That a professional caregiver can fall ill and not receive adequate care and support demand careful assessment what it happens at all.”
  13. 13. DID YOU KNOW ? ▸ More then 920,000 Americans lose their doctors to suicide each year ▸ Approximately 400 doctors commit suicide each year ▸ Physicians are more then twice likely to commit suicide then non- physicians ▸ Female physicians three times more likely then their male counterpart to complete
  14. 14. STATISTICS DID YOU KNOW ? ▸ Female completion rate is higher then male physicians and exceeds general population by 4 times the rate ▸ After accidents suicide is the most common form of death amongst medical students ▸ Common psychiatric diagnoses are depression, anxiety , bipolar disease and other untreated mental illness ▸ Substance misuse and abuse ▸ Also easy access to lethal means
  15. 15. ▸ In every population suicide is the result of untreated or inadequately treated depression ▸ Depression is as common amongst physicians as the general population-12% ▸ More common in residents 15% ▸ This is a global phenomena _Finland, Norway, Australia, Singapore, China , Taiwan, SirLanka , Australia etc . U.S .LOSES THE EQUIVALENT OF ONE SMALL MEDICAL SCHOOL TO SUICIDE EACH YEAR OR ONE LARGE MEDICAL SCHOOL CLASS DID YOU KNOW?
  16. 16. PHYSICIAN BURNOUT RATES- MAYO CLINIC PROCEEDINGS MALASH BURNOUT INVENTORY ▸ Emergency Medicine ▸ Family Medicine ▸ General Pediatrics ▸ Urology ▸ Orthopedic Surgery ▸ Physical Medicine & Rehabilitation ▸ Pathology ▸ Radiation ▸ General Surgery Subspecialties
  17. 17. A CONFLUENCE OF ISSUES ▸ Educational Demand ▸ Extended Workdays ▸ Increasing Computerization Of Practice ▸ Chronic Stress ▸ Lack of Institutional Support ▸ Income not High Enough ▸ Feeling Like a Cog in a wheel ▸ Too Many Difficult Patients
  18. 18. CONFLUENCE OF ISSUES ▸Lack of Institutional Support ▸Availability of Addictive Substances ▸“Conspiracy of Silence” ▸Underreporting when a Physician is in Trouble ▸A Spiderweb of Silence ▸Perfectionism ▸Family Issues ▸Conflicting Societal Messages ▸Stigma
  19. 19. NURSES 3.4 MILLION PRACTICING NURSES UNDER THE RADAR ▸ Stigma not mental health ▸ No Procedures ▸ Second Victim Trauma ▸ Few Statistics , Little Literature ▸ UCSD Healer Education and Assessment Program -identifies high risk nurses https://nam.edu/nurse-suicide-breaking-the-silence/
  20. 20. RISK FACTORS INCLUDE-PAST HISTORY OF SUICIDE ATTEMPT, SUICIDAL IDEATION , PAST OR PRESENT SERIOUS MENTAL ILLNESS SUCH AS DEPRESSION OR BI-POLAR..NURSES ARE NO LESS IMMUNE THEN ANY ONE ELSE Sidney Ziook MD UCSD NURSES AND OTHER MEDICAL PERSONAL
  21. 21. MEDICAL SCHOOL CULTURE-“HAZING , BULLYING, & NAME CALLING THAT RESULTS IN “OCCUPATIONAL DEPRESSION & POORER HEALTH CARE” Pamela Wible MD ,”Why Doctors Kill Themselves”
  22. 22. AMERICAN FOUNDATION SUICIDE PREVENTION ▸ DRIVERS OF BURNOUT : ▸ WORKLOAD INEFFICIENCY ▸ LACK OF AUTONOMY ▸ LACK OF MEANING IN WORK ▸ WORK-HOME CONFLICT
  23. 23. “THERE IS A STRANGE MACHISMO … DRS LIKE ME,FEEL PRESSURE TO PROJECT INTELLECTUAL PROWESS… OUR EXPECTATIONS SKYROCKET AS IF THE CONFERRAL OF A DEGREE WERE AN ENCHANTMENT OF INFALLIBILITY .. LITTLE CHANGES , APART FROM OUR LEGAL ABILITY TO WRITE A PRESCRIPTION Pranay Sinah MD, NY Times
  24. 24. UNPACKING DEPRESSION IN RESIDENTS DOCTORS ▸ Under reported -Under recognized & Untreated : ▸ Drs may be reluctant to seek treatment ▸ Have no time to seek treatment because of grueling work weeks ▸ Easy access to prescription drugs ▸ Fearful of stigma ▸ Relational Issues ▸ Doctors if they do seek treatment get VIP treatment feeding into Narcissistic tendencies ▸ Prevalence of depression higher in residents then general population
  25. 25. ASSESSMENT QUESTIONS BIO-PSYCH0 ▸ Is their Family History MH ? ▸ Is there FH of Suicide? ▸ Has there been previous episode of depression? ▸ Is there FH process disorder or addiction? ▸ FH- sudden death, abuse, multiple moves, et? ▸ Does Dr have hx. of substance misuse?
  26. 26. TEXT MORE QUESTIONS ▸ Past experience with prescription & non prescription drugs ? ▸ Been treated for any disease per ASAM 2011 Criteria for addiction ▸ Any treatment for anxiety or insomnia ? ▸ Any Learning difficulties? ▸ Current Relationships ▸ What are views on getting and seeking help? Self & Families ▸ Cultural and Religious view on MH, Association, Suicide etc
  27. 27. RATES OF DEPRESSION -BRIGHT AND KAHN MAYO CLINIC PREDICTORS OF DEPRESSION ▸ Relational Difficulties withdrs, staff or parents ▸ Lack of Sleep ▸ Making Mistakes ▸ Loneliness ▸ 24 hour responsibility ▸ Self-Criticism
  28. 28. THE NEW C0HORT OF RESIDENTS 36,000 THE JULY EFFECT
  29. 29. IN HOSPITALS AND PRIVATE PRACTICE POLICIES & PRACTICES HR & WELL BEING ▸ HR Policies on Substance Misuse , Depression, Anxiety and Action ▸ Review of Work Hours ▸ Education & Resources about Impairments common to medical community ▸ Self-Referral Processes for Help ▸ Confidential Referral Process
  30. 30. GOAL OF WORKPLACE WELLNESS ▸ Healthy Behaviors are promoted, encouraged and Supported ▸ Employees have easy access to help them make better life style choices ▸ Employees have opportunity to practice healthy lifestyle behaviors ▸ organizational Programs must ensure that leadership, policies , practices & the physical environment are supportive & conducive to healthy behavior changes
  31. 31. CENTER FOR PROFESSIONAL RECOVERY WELL BEING COMMITTEES ▸ Evaluation of complaints or allegations to determine validity ▸ Monitoring of professional to protect safety of patients until rehabilitation is completed ▸ Proper reporting to appropriate leadership when patient safety might be compromised ▸ Initiating proper protocols if impaired physician fails to complete prescribe rehabilitation program
  32. 32. CENTE FOR PROFESSIONAL PROGRAMS DIVERSION PROGRAMS-PHP ▸ Referral of Individual by patient, partner or family
 Evaluation of initial referral ▸ Notification is given to MD with option to enter treatment & monitoring ▸ Comprehensive assessment ▸ Referral to Appropriate Treatment center ▸ Referral to Counselor ▸ AfterCare that includes ongoing counseling, drug testing etc ▸ Involvement of Family in Treatment process
  33. 33. TEXT CONTINUING CARE PHP ▸ After Care Programming -PHP-IOP ▸ Long Term Monitoring- Including Counseling and Drug Testing ▸ Family , Friends & Medical Team Counseling ▸ Routine Reports To Medical Board ▸ Reassessments and Evaluations ▸ Lifestyle Coaching & Trigger (Relapse) Prevention ▸ Finding Joy
  34. 34. EFFECTS OF SUICIDE
  35. 35. EFFECTS OF SUICIDE HAVE YOU EVER FELT ▸ If only I could of ▸ Confusion ▸ Guilt
  36. 36. Humiliation- Embarrassment The Act of Making Someone Inferior or Foolish “ Your Father Committed Suicide!”
  37. 37. Anxiety and Depression Grief and Loss
  38. 38. Creating Services For All Prevention Intervention Treatment
  39. 39. RESOURCES DR. LOUISE STANGER ▸ Doctor Suicide The Elephant in the Middle of The Examining Roomhttps:// www.huffingtonpost.com/entry/doctor- suicide-the-elephant-in-the-examining- room_us_596d04c4e4b05561da5a5992 ▸ All About Interventions www.allaboutinterventions.com ▸ Thrive Global Louise https:// www.thriveglobal.com/authors/3258-louise- stanger-ed-d-lcsw-cdwf-cip-roger-porter ▸ Huffington Post https:// www.huffingtonpost.com/author/louise- stanger-edd-lcsw-bri-ii-cip
  40. 40. Sept. 16, 2019
  41. 41. RESOURCES ▸ Details on Suicide among Us Physicians: Data from the National Violent Death Reporting System, Gold MD, Sen, PHD, Schwenk, MD . General Hospital Psychiatry ▸ Physical Mental Health-An Evidenced Based Approach to Change. Moutier, MD. Journal of Medical Regulation. Vol 104, No.2/7 ▸ Wellness Committee Guide http://www.shawhankins.com/wp-content/uploads/ 2014/11/Wellness-Committee-Guide-2-1.pdf ▸ Creating A WorkPlace Wellness Committee A Toolkit for Employers https:// msdh.ms.gov/msdhsite/_static/resources/6663.pdf ▸ Wellness Tool Kit https://www.cigna.com/assets/docs/wht/wellness-committee- toolkit.pdf ▸ Center for Professional Recovery https://www.centerforprofessionalrecovery.com/? gclid=EAIaIQobChMI5rb9gL3J2gIVi8pkCh2nagIkEAAYASAAEgJHMvD_BwE
  42. 42. RESOURCES ▸ Physician Suicide Letters, Pamela Wible https://www.amazon.com/ Physician-Suicide-Letters-Answered-Pamela/dp/0985710322 ▸ Match Day 2017 https://www.statnews.com/2017/03/17/match- day-residency-international/ ▸ Match dayhttp://www.nrmp.org/main-residency-match-data/ ▸ Headed to the Hospital? Beware the July Effect https:// health.usnews.com/health-news/patient-advice/articles/ 2014/07/21/headed-to-the-hospital-beware-the-july-effect ▸
  43. 43. RESOURCES ▸ The Tennis Partner, Abraham Verghese https://www.amazon.com/Tennis-Partner- Abraham-Verghese/dp/0062116398 ▸ A History of Physical Suicide in America, Legha, J Med Humanit (2013 33:219-244 ▸ Hidden Epidemic Of Doctor Suicide https://www.fastcompany.com/3056015/the- hidden-epidemic-of-doctor-suicides ▸ Why Do Doctors Commit Suicide ? Pranay sinhahttps://www.nytimes.com/ 2014/09/05/opinion/why-do-doctors-commit-suicide.html?_r=0 ▸ Kahn on Depression https://www.khanacademy.org/test-prep/mcat/behavior/ psychological-disorders/v/depression-and-major-depressive-disorder ▸ https://www.mdedge.com/psychiatry/article/64274/depression/depression-and- suicide-among-physicians
  44. 44. RESOURCES ▸ American Foundation for Suicide Preventionhttps:// afsp.org/our-work/education/healthcare-professional- burnout-depression-suicide-prevention/
  45. 45. Resources for healthcare professionals and medical educators Accreditation Council for Graduate Medical Education (ACGME) Resources – Resources to share with programs, institutions, residents, and fellows that promote a culture of physician well-being and provide support in the case of burnout, depression, or suicide. Breaking the Culture of Silence on Physician Suicide – A sharable graphic and information about physician suicide from the National Academy of Medicine. Creating a Safety Net: Preventing Physician Suicide – An article by AFSP Chief Medical Officer Christine Moutier, M.D., for the Association of American Medical Colleges’ AAMC News. Reducing the Stigma: Faculty Speak Out About Suicide Rates Among Medical Students, Physicians – An article by Dana Cook Grossman, for the Association of American Medical Colleges’ AAMC News. Preventing Suicide in Physicians, Residents and Medical Students (Video) – Dr. Christine Moutier addresses the American Psychiatric Association, May 20, 2016. Symposium on Physician Well-Being – A symposium held on November 17-18, 2015 by The Accreditation Council for Graduate Medical Education (ACGME). Leaders in Academic Medicine Address Physician Well-being and Resilience – A news release from the Association of American Medical Colleges. Preventing Physician Distress and Suicide – Tools for identifying at-risk physicians and facilitating access to care from the American Medical Association. Make the Difference: Preventing Medical Trainee Suicide (Video) – A 4-minute PSA from Mayo Clinic and the American Foundation for Suicide Prevention that explains how everyone can help prevent suicide by being alert for the signs of depression and escaping stress and how to be most helpful. This film can be used in medical school physician wellness, humanism and professionalism curricula. Featured at top of this page. Why Physicians Die by Suicide – Dr. Michael Myers guides readers through the variety of factors that contribute to physician suicide. He then makes practical, across-the-board recommendations in an effort to prevent this tragedy, arriving at the encouraging conclusion that everyone has a role to play in saving a doctor’s life. Struggling in Silence: Physician Depression and Suicide (DVD) – An award-winning, one-hour documentary from AFSP, that sheds light on the topic of physician mental health and suicide prevention, featured on public television stations nationwide. This film can be used in medical school physician wellness, humanism and professionalism curricula.
  46. 46. Make the Difference: Preventing Medical Trainee Suicide (Video) – A 4-minute PSA from Mayo Clinic and the American Foundation for Suicid Prevention that explains how everyone can help prevent suicide by being alert for the signs of depression and escaping stress and how to be most helpful. This film can be used in medical school physician wellness, humanism and professionalism curricula. Featured at top of this page. Why Physicians Die by Suicide – Dr. Michael Myers guides readers through the variety of factors that contribute to physician suicide. He then makes practical, across-the-board recommendations in an effort to prevent this tragedy, arriving at the encouraging conclusion that everyone has a role to play in saving a doctor’s life. Struggling in Silence: Physician Depression and Suicide (DVD) – An award-winning, one-hour documentary from AFSP, that sheds light on th topic of physician mental health and suicide prevention, featured on public television stations nationwide. This film can be used in medical school physician wellness, humanism and professionalism curricula. Collateral Damage: The Impact of Patient Suicide on the Physician, a DVD film of several physicians speaking about their experience of patient loss to suicide, and group discussion. Psychiatrists featured in this educational film include Drs. Glen Gabbard, Sidney Zisook, and Jim Lomax. This resource can be used to facilitate an educational session for physicians, psychologists, residents or other trainees.  Please contact education@afsp.org to request the DVD. American Medical Student Association – The oldest and largest independent association of physicians-in-training in the United States. Suicide Risk in Physicians – Emergency Physician Dr. Mel Herbert produces a popular podcast called EMRAP for healthcare professionals in Emergency Medicine. In this 26-minute podcast he speaks with Dr. Christine Moutier about suicide risk and prevention for physicians and trainees. Nurse Suicide: Breaking the Silence – The National Academy of Medicine released a landmark paper in 2018 as a call for action regarding nurse suicide.
  47. 47. Prevention programs Interactive Screening Program (ISP) – AFSP’s signature intervention program, the ISP is an online tool used by medical schools across the country as a method of connecting to students, residents and faculty, and encouraging them to utilize available mental health services before crises emerge. ISP is listed as a Best Practice for Suicide Prevention and is an integral part of a comprehensive suicide prevention and mental health promotion strategy.1, 2, 3, 4 Web-Based Cognitive Behavioral Therapy for Medical Trainees (Guille, C., et al., JAMA Psychiatry, 2015) Intervention to Promote Physician Well-being (West, C.P., et al. JAMA Intern Med., 2014) Stanford’s Burnout Prevention Approach (Schulte, B., Washington Post, 2015)
  48. 48. DOCTOR SUICIDE- THE ELEPHANT IN THE EXAMINING ROOM Louise Stanger Ed.D,LCSW,CDWF,CIP

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