{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T21:09:43Z","timestamp":1790284183682,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T00:00:00Z","timestamp":1680048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Prior to the novel coronavirus (COVID\u201019) pandemic, nurses died by suicide more frequently than the general population. Antecedents prior to death include known job problems, such as disciplinary action; diversion of medications; inability to work due to chronic pain; and physical and mental illness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to explore the suicide experience of nurses who died with known job\u2010related problems during the early phase of the COVID\u201019 pandemic compared to what has been previously described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Deductive reflexive thematic analysis was used to analyze narratives of nurses with known job problems who died by suicide from the Centers for Disease Control and Prevention's National Violent Death Reporting System.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010three nurses with known job\u2010related problems completed suicide between March and December 2020. Factors associated with death were similar to previous findings with notable exceptions, increased prevalence of suicidal ideation and post\u2010traumatic stress prior to the event. Pandemic\u2010specific issues were noted including reduction in hours, fear of disease transmission, civil unrest, and grief\u2010related trauma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>Suicide prevention programs need to address both institutional and individual factors associated with nurse suicide. As previously recommended, transitions into retirement and job loss are vulnerable times warranting psychological support. Further, strategies to reduce the impact of stressors and increase support for nurses are needed at the organizational level. A systems level approach to hardwire coping strategies is indicated pre\u2010licensure and throughout nurses' careers. A new focus on how to process personal and professional grief is warranted. Resources are needed for nurses traumatized by life (rape, childhood trauma) or work\u2010related experiences.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12640","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T03:45:16Z","timestamp":1680147916000},"page":"96-106","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["A deductive thematic analysis of nurses with job\u2010related problems who completed suicide during the early <scp>COVID<\/scp>\u201019 pandemic: A preliminary report"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3444-3080","authenticated-orcid":false,"given":"Kristina E.","family":"James","sequence":"first","affiliation":[{"name":"Thornton 2 West Progressive Care Unit UC San Diego Health  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4208-1040","authenticated-orcid":false,"given":"Suzanne","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Multi\u2010specialty Oncology Clinics, Moores Cancer Center UC San Diego Health  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1070-7064","authenticated-orcid":false,"given":"Karen L.","family":"Armenion","sequence":"additional","affiliation":[{"name":"Jacobs Medical Center 5FG Medical Oncology &amp; Palliative Care Progressive Care Unit UC San Diego Health  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4588-9021","authenticated-orcid":false,"given":"Chris","family":"Clapp","sequence":"additional","affiliation":[{"name":"Jacobs Medical Center 3GH Medical &amp; Surgical ICU UC San Diego Health  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4893-1958","authenticated-orcid":false,"given":"Arianna","family":"Barnes","sequence":"additional","affiliation":[{"name":"Cardiac Intensive Care Unit, Barnes Jewish Hospital  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2105-6954","authenticated-orcid":false,"given":"Gordon Y.","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Psychiatry UC San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3341-9185","authenticated-orcid":false,"given":"Sidney","family":"Zisook","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine UC San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1459-181X","authenticated-orcid":false,"given":"Judy E.","family":"Davidson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine University of California San Diego Health, UC San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbab060"},{"key":"e_1_2_9_3_1","unstructured":"American Nurses Association. 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