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Master Thesis

Suicide des externes, internes, docteurs en médecine, en France, entre 2007 et 2017 : un gradient nord-sud ?

Abstract : Introduction: faced to the tragic observation of suicides among future physicians and physicians , and the increasing investigation about this problem, we wondered about a potential difference for these cases, between north and south of France.
Methods: we tested this hypothesis trying to calculate the prevalences of suicides among medical students, residents, and medical doctors(=MD), in four University Hospitals(=UH)/northern regions of France, and four southern ones, between 2007 and 2017, under a first protocol. Afterwards, we followed a second protocol (questionnaire) for the teachers of the same UHs/regions, about prevention of these suicides, during the medical education.
Results: first part: for many reasons, we had to restrict ourselves to count simply 23 included cases (unofficial sources, lacking a specific register). Almost three times more men than women committed suicide. Since 2015, the number of suicides seems to increase. Contrary to our assumption the southern regions appear the most bereaved by suicide, from the region PACA /UH of Nice – Bastia (seven cases), to no case for the region Auvergne/Clermont-Ferrand UH. Suicide appears affecting: the 50-year-old physicians at first, then those between 26 and 29 years old, then the 40-year-old ones; at first residents, above physicians alone in private practice, like the “hospital practitioners at least”/university professor – hospital practitioners, then physicians in a collective private practice; first of all general practitioners, as often as psychiatrists, above intensive care anesthetists, as often as surgeons. Lethal injection appears being the first mean, then jump out from a high floor. The burn-out seems to be the most frequent psychic antecedent, before the alcoholism, then the bipolar disease. Second part: 67,8% of the 435 respondents have already be concerned in some way, by the suicide of a future physician/physician. 82,8% don’t really know about the « Teaching Unity 3 » neither the « Item 58 » of the medical program « I-ECN ». 80% approve a specific training, to receive the bereaved relatives of a future physician/physician who committed suicide. 82,5% approve one or several items of suicide prevention for the future physicians/physicians, in medical education. The majority (70,5 % on average) ignore if a suicide prevention training, for medical students, residents, and MD, does exist in their Region/UH. 72,4 % approve the idea of a prospective register of suicides among future physicians/physicians in France.
Discussion-conclusion: despite the biases, the limits, and the lack of « official data » for our study, our results open prospects to optimize the medical epidemiology. The respondents’ answers suggest many improvements to prevent these suicides.
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Master Thesis
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Barbara Ivana Lantier. Suicide des externes, internes, docteurs en médecine, en France, entre 2007 et 2017 : un gradient nord-sud ?. Médecine humaine et pathologie. 2019. ⟨dumas-02386596⟩

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