{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:18:54Z","timestamp":1785417534813,"version":"3.56.0"},"reference-count":28,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec id=\"S2056472425109101_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mental health difficulties affect the well-being of doctors and compromise the delivery of healthcare. However, large-scale data on doctors\u2019 mental health needs are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109101_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Describe patterns of self-referrals for mental health support among doctors in England and explore associations with demographic factors, speciality, neurodevelopmental and mental health indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109101_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Observational study using data from doctors who self-referred for mental health difficulties to a national service in England over a 4-year period. Logistic regression was used to explore associations between speciality and mental health indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109101_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 16 815 doctors who self-referred during the study period, 80% were under the age of 49 and 70.6% were female with the two largest ethnicities being 65.1% White and 22.7% Asian. Women were more likely to report higher scores for depression (odds ratio 0.90, 95% CI = 0.84 to 0.97), anxiety (odds ratio 0.78, 95% CI = 0.72 to 0.84) and psychological distress (odds ratio 0.78, 95% CI = 0.70 to 0.87), but males were more likely to screen positive for attention-deficit hyperactivity disorder (ADHD) symptoms. Doctors in general practice accounted for 46.3% of referrals. Compared with them, doctors in most other specialities had higher odds of elevated mental health scores across all measures, including ADHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109101_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings highlight a significant mental health burden among self-referring doctors, particularly for females and doctors in non-general practice specialities. Tailored and easily accessible support strategies that account for both demographic and professional contexts are essential to address the diverse mental health needs of the medical workforce.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2025.10910","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T01:19:57Z","timestamp":1782695997000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Who seeks help? Characteristics of doctors accessing mental health support in England: 4-year national review"],"prefix":"10.1192","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9316-9312","authenticated-orcid":false,"given":"Bhathika","family":"Perera","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02jx3x895","id-type":"ROR","asserted-by":"publisher"}],"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Memta","family":"Jagtiani","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02jx3x895","id-type":"ROR","asserted-by":"publisher"}],"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa","family":"Dallmeyer","sequence":"additional","affiliation":[{"name":"NHS Practitioner 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e1"}}