Openly accessible

Working hours, common mental disorder and suicidal ideation among junior doctors in Australia: A cross-sectional survey

Petrie, Katherine, Crawford, Joanna, LaMontagne, Anthony D, Milner, Allison, Dean, Jessica, Veness, Benjamin G., Christensen, Helen and Harvey, Samuel B. 2020, Working hours, common mental disorder and suicidal ideation among junior doctors in Australia: A cross-sectional survey, BMJ Open, vol. 10, no. 1, doi: 10.1136/bmjopen-2019-033525.

Attached Files
Name Description MIMEType Size Downloads

Title Working hours, common mental disorder and suicidal ideation among junior doctors in Australia: A cross-sectional survey
Author(s) Petrie, Katherine
Crawford, Joanna
LaMontagne, Anthony DORCID iD for LaMontagne, Anthony D orcid.org/0000-0002-5811-5906
Milner, AllisonORCID iD for Milner, Allison orcid.org/0000-0003-4657-0503
Dean, Jessica
Veness, Benjamin G.
Christensen, Helen
Harvey, Samuel B.
Journal name BMJ Open
Volume number 10
Issue number 1
Article ID e033525
Total pages 7
Publisher B M J Group
Place of publication London, Eng.
Publication date 2020-01-21
ISSN 2044-6055
2044-6055
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
mental disorder
suicide
physicians
doctors
mental health
GENERAL HEALTH QUESTIONNAIRE
SLEEP-DEPRIVATION
JOB STRESS
IMPACT
INTERVENTIONS
NATIONWIDE
WORKHOURS
FATIGUE
Summary Despite concern regarding high rates of mental illness and suicide amongst the medical profession, the link between working hours and doctors’ mental health remains unclear. This study examines the relationship between average weekly working hours and junior doctors’ (JDs’) mental health in Australia. Design and participants A randomly selected sample of 42 942 Australian doctors were invited to take part in an anonymous Beyondblue National Mental Health Survey in 2013, of whom 12 252 doctors provided valid data (response rate approximately 27%). The sample of interest comprised 2706 full-time graduate medical trainees in various specialties, at either intern, prevocational or vocational training stage. Consultants and retired doctors were excluded.Outcome measuresMain outcomes of interest were caseness of common mental disorder (CMD) (assessed using a cut-off of 4 as a threshold on total General Health Questionnaire-28 score), presence of suicidal ideation (SI) (assessed with a single item) and average weekly working hours. Logistic regression modelling was used to account for the impact of age, gender, stage of training, location of work, specialty, marital status and whether JDs had trained outside Australia.ResultsJDs reported working an average of 50.1 hours per week (SD=13.4). JDs who worked over 55 hours a week were more than twice as likely to report CMD (adjusted OR=2.05; 95% CI 1.62 to 2.59, p<0.001) and SI (adjusted OR=2.00; 95% CI 1.42 to 2.81, p<0.001) compared to those working 40–44 hours per week.ConclusionsOur results show that around one in four JDs are currently working hours that are associated with a doubling of their risk of common mental health problems and SI. These findings suggest that management of working hours represents an important focus for workplaces to improve the mental health of medical trainees.
Language eng
DOI 10.1136/bmjopen-2019-033525
Indigenous content off
Field of Research 1103 Clinical Sciences
1117 Public Health and Health Services
1199 Other Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, The Authors
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30134271

Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in TR Web of Science
Scopus Citation Count Cited 2 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 33 Abstract Views, 0 File Downloads  -  Detailed Statistics
Created: Fri, 31 Jan 2020, 13:33:32 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.