{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:25:42Z","timestamp":1786116342397,"version":"build-2736575974"},"reference-count":25,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nurs. Rep.","Nursing Reports"],"abstract":"<jats:p>Background: Burnout, defined by emotional exhaustion, depersonalization, and reduced personal accomplishment, is a major occupational health concern among healthcare professionals. Burnout has been linked to depression, anxiety, and medical errors, but its association with suicidality in healthcare settings remains insufficiently explored. Objective: To investigate the association between burnout dimensions and suicidality among healthcare professionals, and to identify occupational and demographic factors influencing this relationship. Methods: A cross-sectional study was conducted among 195 healthcare professionals in Romania, recruited through voluntary participation in an anonymized online survey. Burnout was assessed using an adapted tool inspired by the Maslach Burnout Inventory, while suicidality outcomes included suicidal ideation, self-harm, and suicide attempts. Descriptive statistics were calculated for demographic and professional variables. Pearson correlations and multivariable linear regression analyses, adjusted for age, professional experience, and shift work, were performed to evaluate associations between burnout dimensions and suicidality. Results: Emotional exhaustion (r = 0.42, p &lt; 0.001) and depersonalization (r = 0.37, p &lt; 0.001) were positively correlated with suicidality, while reduced personal accomplishment was negatively correlated (r = \u22120.29, p = 0.002). In multivariable regression, emotional exhaustion remained the only statistically significant independent predictor of suicidality after adjustment for demographic and occupational characteristics. Younger age and rotating\/night-shift work were associated with higher suicidality in unadjusted analyses but were not independent predictors after multivariable adjustment. Strong correlations between burnout dimensions and physical symptoms highlighted the interplay between psychosocial strain and somatic health. Conclusions: Burnout, particularly emotional exhaustion, was independently associated with suicidality among healthcare professionals, while depersonalization demonstrated a significant unadjusted association that did not remain statistically significant after multivariable adjustment. Younger clinicians, shift workers, and those with less experience appear especially vulnerable. These findings emphasize that burnout is a multifactorial construct with both psychological and somatic dimensions, shaped by systemic workplace stressors. These findings support further evaluation of systematic screening, organizational reforms, mentorship programs, and confidential mental health support as potential components of suicide-prevention strategies for healthcare professionals.<\/jats:p>","DOI":"10.3390\/nursrep16080276","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T08:08:02Z","timestamp":1786003682000},"page":"276","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Can Burnout Be Linked to Suicide Among Healthcare Professionals? A Cross-Sectional Study"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8354-9280","authenticated-orcid":false,"given":"Alexandru","family":"Ungurianu","sequence":"first","affiliation":[{"name":"Doctoral School of Biomedical Sciences, \u201cDun\u0103rea de Jos\u201d University of Galati, 47 Str. Domneasc\u0103, 800146 Galati, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0516-734X","authenticated-orcid":false,"given":"Virginia","family":"Marina","sequence":"additional","affiliation":[{"name":"Medical Department of Occupational Health, Faculty of Medicine and Pharmacy, Dun\u0103rea de Jos\u201d University, 47 Str. Domneasc\u0103, 800201 Galati, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Macaron, M.M., Segun-Omosehin, O.A., Matar, R.H., Beran, A., Nakanishi, H., Than, C.A., and Abulseoud, O.A. (2023). A systematic review and meta-analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis. Front. Psychiatry, 13.","DOI":"10.3389\/fpsyt.2022.1071397"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Taranu, S.M., Ilie, A.C., Turcu, A.-M., Stefaniu, R., Sandu, I.A., Pislaru, A.I., Alexa, I.D., Sandu, C.A., Rotaru, T.-S., and Alexa-Stratulat, T. (2022). Factors associated with burnout in healthcare professionals: A meta-analysis. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192214701"},{"key":"ref_3","unstructured":"World Health Organization (WHO) (2025, April 11). Suicide. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/suicide."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e078964","DOI":"10.1136\/bmj-2023-078964","article-title":"Suicide rates among physicians compared with the general population in studies from 20 countries: Gender stratified systematic review and meta-analysis","volume":"386","author":"Zimmermann","year":"2024","journal-title":"BMJ"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"57","DOI":"10.15585\/mmwr.mm6903a1","article-title":"Suicide Rates by Industry and Occupation\u2014National Violent Death Reporting System, 32 States, 2016","volume":"69","author":"Peterson","year":"2020","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_6","unstructured":"Abelson, R. (2025). Young Doctors\u2019 Working Conditions Come Under Scrutiny After Resident\u2019s Suicide. Wall Street Journal, Dow Jones & Company, Inc.. Available online: https:\/\/www.wsj.com\/health\/medical-residents-working-conditions-young-doctor-suicide-3dc61495."},{"key":"ref_7","unstructured":"Joiner, T. (2005). Why People Die by Suicide, Harvard University Press."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e2028780","DOI":"10.1001\/jamanetworkopen.2020.28780","article-title":"Association of physician burnout with suicidal ideation and medical errors","volume":"3","author":"Dyrbye","year":"2020","journal-title":"JAMA Netw. Open"},{"key":"ref_9","unstructured":"Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V.G., Papoutsi, E., and Katsaounou, P. (2023). The relationship between physician burnout and depression, anxiety, and suicidality: A systematic review and meta-analysis. Front. Public Health, 11."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1037\/0021-9010.86.3.499","article-title":"The job demands-resources model of burnout","volume":"86","author":"Demerouti","year":"2001","journal-title":"J. Appl. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1037\/0003-066X.44.3.513","article-title":"Conservation of resources: A new attempt at conceptualizing stress","volume":"44","author":"Hobfoll","year":"1989","journal-title":"Am. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.2147\/JMDH.S466044","article-title":"Spectrum of Magnetic Resonance Imaging Findings in Acute Pediatric Traumatic Brain Injury\u2014A Pictorial Essay","volume":"17","author":"Popescu","year":"2024","journal-title":"J. Multidiscip. Healthc."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Ungurianu, A., and Marina, V. (2025). Melatonin and Cortisol Suppression and Circadian Rhythm Disruption in Burnout Among Healthcare Professionals: A Systematic Review. Clin. Pract., 15.","DOI":"10.3390\/clinpract15110199"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"757","DOI":"10.12680\/balneo.2024.757","article-title":"The role of Kegel exercises in reducing involuntary loss of urine in overactive bladder and mixed urinary incontinence","volume":"15","author":"Rotar","year":"2024","journal-title":"Balneo PRM Res. J."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Surdu, T.-V., Surdu, M., Surdu, O., Franciuc, I., Tucmeanu, E.-R., Tucmeanu, A.-I., \u0218erb\u0103nescu, L., and Tica, V.I. (2025). Microvascular Responses in the Dermis and Muscles After Balneotherapy: Results from a Prospective Pilot Histological Study. Water, 17.","DOI":"10.3390\/w17121830"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Moscu, C.A., Marina, V., Dragomir, L., Anghele, A.D., and Anghele, M. (2022). The impact of burnout syndrome on job satisfaction among emergency department nurses. Medicina, 58.","DOI":"10.3390\/medicina58111516"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"5487","DOI":"10.2147\/IJGM.S353405","article-title":"Did personality type influence burnout syndrome manifestations during the COVID-19 pandemic?","volume":"2022","author":"Moscu","year":"2022","journal-title":"Int. J. General. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1824","DOI":"10.1016\/S0140-6736(13)62631-8","article-title":"Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study","volume":"383","author":"Aiken","year":"2014","journal-title":"Lancet"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"5","DOI":"10.70594\/brain\/v10.s1\/1","article-title":"The Effects of Blue Light in Modern Society?","volume":"10","author":"Sabina","year":"2019","journal-title":"BRAIN Broad Res. Artif. Intell. Neurosci."},{"key":"ref_20","first-page":"40","article-title":"A Systematic Review of Burnout and Its Relation to Work-Life Balance and Scheduling among United States Physicians","volume":"8","author":"Reinhart","year":"2020","journal-title":"Southwest Respir. Crit. Care Chron."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/job.4030020205","article-title":"The measurement of experienced burnout","volume":"2","author":"Maslach","year":"1981","journal-title":"J. Occup. Behav."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1177\/107319110100800409","article-title":"The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples","volume":"8","author":"Osman","year":"2001","journal-title":"Assessment"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. General. Intern. Med."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Ungurianu, A., and Marina, V. (2025). The Biological Clock Influenced by Burnout, Hormonal Dysregulation and Circadian Misalignment: A Systematic Review. Clocks Sleep, 7.","DOI":"10.3390\/clockssleep7040063"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/8\/276\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T09:03:42Z","timestamp":1786007022000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/8\/276"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":25,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["nursrep16080276"],"URL":"https:\/\/doi.org\/10.3390\/nursrep16080276","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,6]]}}}