Résumé :
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[BDSP. Notice produite par INIST 8qR0x9K8. Diffusion soumise à autorisation]. Study objective-To investigate the suicide risk of doctors in England and Wales, according to gender, seniority and specialty. Design-Retrospective cohort study. Suicide rates calculated by gender, age, specialty, seniority and time period. Standardised mortality ratios calculated for suicide (1991-1995), adjusted for age and sex. Setting-England and Wales. Subjects-Doctors in the National Health Service who died by suicide between 1979 and 1995, identified by death certificates. Population at risk based on Department of Health manpower data. Main results-Two hundred and twenty three medical practitioners in the National Health Service who died by suicide or undetermined cause were identified. The annual suicide rates in male and female doctors were 19.2 and 18.8 per 100 000 respectively. The suicide rate in female doctors was higher than in the general population (SMR 201.8 ; 95% CI 99.7,303.9), whereas the rate in male doctors was less than that of the general population (SMR 66.8 ; 95% CI 46.6,87.0). The difference between the mortality ratios of the female and male doctors was statistically significant (p=0.01), although the absolute suicide risk was similar in the two genders. There were significant differences between specialties (p=0.0001), with anaesthetists, community health doctors, general practitioners and psychiatrists having significantly increased rates compared with doctors in general hospital medicine. (...)
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