Figure 1
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Figure 4
| Date | Source | Query |
|---|---|---|
| 8/21/2017 | Investigators | n/a |
| 8/21/2017 | Ovid MEDLINE | 1. (((physician* or intern or interns or internship or fellow or resident* or residency or medical student* or doctor* or ‘medical student*’) adj5 ($suicid$ or self$harm or self$injury)) not ($assisted or euthanasia)).mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementary concept word, rare disease supplementary concept word, unique identifier, synonyms] |
| 10/11/2017 | PsycINFO | 1. (((physician* or intern or interns or internship or fellow or resident* or residency or medical student* or doctor* or ‘medical student*’) adj5 ($suicid$ or self$harm or self$injury)) not ($assisted or euthanasia)).mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementary concept word, rare disease supplementary concept word, unique identifier, synonyms] 2. exp Physicians/3. Students, Medical/4. exp Education, Medical/5. 2 or 3 or 4 6. Suicide/7. (5 and 6) not ($assisted or euthanasia).mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementary concept word, rare disease supplementary concept word, unique identifier, synonyms] 8. 1 or 7 |
| 4/28/2018 | Scopus | ( TITLE-ABS-KEY ( medical AND student* ) OR TITLE-ABS-KEY ( physician* OR fellow OR residency OR doctor* ) W/5 TITLE-ABS-KEY ( suicid* OR self-harm OR self-injury ) ) AND NOT ( TITLE-ABS-KEY ( *assisted OR euthanasia OR nurs* OR patient* OR undergraduate* ) ) |
Article characteristics from scoping review of literature on physician suicide, 1903–2018
| Publication date range | No. (%) of non-opinion articles | No. (%) of opinion articles |
| 1900–1919 | 0 | 1 (0.7%) |
| 1920–1949 | 0 | 1 (0.7%) |
| 1950–1959 | 0 | 0 |
| 1960–1969 | 5 (2.4%) | 9 (6.3%) |
| 1970–1979 | 24 (11.7%) | 19 (13.3%) |
| 1980–1989 | 20 (9.8%) | 18 (12.7%) |
| 1990–1999 | 26 (12.7%) | 14 (9.9%) |
| 2000–2009 | 42 (20.5%) | 37 (26.1%) |
| 2010–2018 | 88 (42.9%) | 43 (30.3%) |
| Study design or publication type | No. (%) of non-opinion articles | No. (%) of opinion articles |
| Cross-sectional studies | 85 (41.5%) | |
| Survey-based | 63 | |
| Review | 34 (16.6%) | |
| Narrative | 30 | |
| Case report or case series | 22 (10.7%) | |
| Case–control | 19 (9.3%) | |
| Cohort studies | 14 (6.8%) | |
| Intervention† | 13 (6.3%) | |
| Other†† | 18 (8.8%) | |
Methods of ascertainment of suicidal behaviors and related risk factors for 204 non-opinion publications
| Methods of ascertainment |
|---|
| Suicide death |
| Death certificates (vital statistics by U.S. state or non-U.S. country) |
| Forensic, pathology, or autopsy reports, for example, from a medical examiner’s office |
| Medical chart reviews of physician patients |
| Professional membership masterfiles |
| Obituaries published in journals (e.g. JAMA) |
| Family confirmation or interviews |
| Suicide attempt |
| Paykel’s Instrument (assesses suicidal ideation and suicide attempts) |
| Beck Hopelessness Scale |
| Investigator-developed question(s) or questionnaire |
| Suicidal thoughts or ideation |
| Patient Health Questionnaire 9 |
| Beck Scale for Suicidal Ideation |
| Acquired Capability for Suicide Scale |
| Self-harm Behavior Questionnaire |
| Suicidal Behaviors Questionnaire |
| Investigator-developed question(s) or questionnaire |