{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:05:17Z","timestamp":1793318717530,"version":"4.5.0"},"reference-count":48,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T00:00:00Z","timestamp":1644192000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"NHMRC Emerging Leadership Investigator grant","award":["APP1195984"],"award-info":[{"award-number":["APP1195984"]}]},{"DOI":"10.13039\/100012504","name":"The Royal Melbourne Hospital Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012504","id-type":"DOI","asserted-by":"crossref"}]},{"name":"The Lord Mayor\u2019s Charitable Foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To identify the prevalence and predictors of (a) thoughts of suicide or self-harm among healthcare workers during the COVID-19 pandemic and (b) help-seeking among those healthcare workers with thoughts of suicide or self-harm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Analysis of data from the Australian COVID-19 Frontline Healthcare Workers Study, an online survey of healthcare workers conducted during the second wave of the COVID-19 pandemic in Australia. Outcomes of interest were thoughts of suicide or self-harm as measured through the Patient Health Questionnaire for depression and help-seeking behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 819 (10.5%) of 7795 healthcare workers reported thoughts of suicide or self-harm over a 2-week period. Healthcare workers with these thoughts experienced higher rates of depression, anxiety, post-traumatic stress disorder and burnout than their peers. In multivariable models, the odds of suicide or self-harm thoughts were higher among workers who had friends or family infected with COVID-19 (odds ratio\u2009=\u20091.24, 95% confidence interval\u2009=\u2009[1.06, 1.47]), were living alone (odds ratio\u2009=\u20091.32, 95% confidence interval\u2009=\u2009[1.06, 1.64]), younger (\u2a7d30\u2009years cf. &gt;50\u2009years; odds ratio\u2009=\u20091.70, 95% confidence interval\u2009=\u20091.36-2.13), male (odds ratio\u2009=\u20091.81, 95% confidence interval\u2009=\u2009[1.49, 2.20]), had increased alcohol use (odds ratio\u2009=\u20091.58, 95% confidence interval\u2009=\u2009[1.35, 1.86]), poor physical health (odds ratio\u2009=\u20091.62, 95% confidence interval\u2009=\u2009[1.36, 1.92]), increased income worries (odds ratio\u2009=\u20091.81, 95% confidence interval\u2009=\u2009[1.54, 2.12]) or prior mental illness (odds ratio\u2009=\u20093.27, 95% confidence interval\u2009=\u2009[2.80, 3.82]). Having dependent children was protective (odds ratio\u2009=\u20090.75, 95% confidence interval\u2009=\u2009[0.61, 0.92]). Fewer than half (388\/819) of the healthcare workers who reported thoughts of suicide or self-harm sought professional support. Healthcare workers with thoughts of suicide or self-harm were more likely to seek support if they were younger (\u2a7d30\u2009years cf. &gt;50\u2009years; odds ratio\u2009=\u20091.78, 95% confidence interval\u2009=\u2009[1.13, 2.82]) or had prior mental health concerns (odds ratio\u2009=\u20094.47, 95% confidence interval\u2009=\u2009[3.25, 6.14]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>One in 10 Australian healthcare workers reported thoughts of suicide or self-harm during the pandemic, with certain groups being more vulnerable. Most healthcare workers with thoughts of suicide or self-harm did not seek professional help. Strong and sustained action to protect the safety of healthcare workers, and provide meaningful support, is urgently needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674221075540","type":"journal-article","created":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T06:15:31Z","timestamp":1644214531000},"page":"1555-1565","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":54,"title":["Thoughts of suicide or self-harm among Australian healthcare workers during the COVID-19 pandemic"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0114-2388","authenticated-orcid":false,"given":"Marie","family":"Bismark","sequence":"first","affiliation":[{"name":"Centre for Health Policy, The University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Scurrah","sequence":"additional","affiliation":[{"name":"2 Centre for Mental Health, The University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3555-6856","authenticated-orcid":false,"given":"Amy","family":"Pascoe","sequence":"additional","affiliation":[{"name":"Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Willis","sequence":"additional","affiliation":[{"name":"Institute for Health and Sport and College of Health and Biomedicine, Victoria University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7371-5363","authenticated-orcid":false,"given":"Ria","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, The Alfred Hospital, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Smallwood","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, The Alfred Hospital, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"bibr1-00048674221075540","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2017.04.001"},{"key":"bibr2-00048674221075540","volume-title":"2018\/2019 Annual report. 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