Interventions to reduce symptoms of common mental disorders and suicidal ideation in physicians: a systematic review and meta-analysis

Publication date: Available online 8 February 2019Source: The Lancet PsychiatryAuthor(s): Katherine Petrie, Joanna Crawford, Simon T E Baker, Kimberlie Dean, Jo Robinson, Benjamin G Veness, Janette Randall, Patrick McGorry, Helen Christensen, Samuel B HarveySummaryBackgroundAn increased prevalence of common mental disorders and suicide has been reported among physicians worldwide. We aimed to assess which, if any, interventions are effective at reducing or preventing symptoms of common mental health disorders or suicidality in physicians.MethodsFor this systematic review and meta-analysis MEDLINE, EMBASE, PsycINFO, and Cochrane CENTRAL (database inception to March 26, 2018), reference lists of included studies, and additional sources were systematically searched and screened by two independent reviewers. We included randomised controlled studies or controlled before–after studies of interventions to reduce depression, anxiety, or suicidality in physicians, as assessed by a validated outcome measure. Both organisation-level and physician-directed interventions were considered. Our primary outcome was differences in symptoms of common mental health disorders following intervention. We used random-effects modelling for the main meta-analyses and planned subgroup and sensitivity analyses. The study protocol is registered with PROSPERO, number CRD42018091646.FindingsWe identified 2992 articles for screening, of which eight were included in the systematic review (n=1023 physician...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research