Evidence map›Paper›PMID 34481571›Full record

ReviewLancet (London, England)2021

Mental illness and suicide among physicians.

Samuel B Harvey, Ronald M Epstein, Nicholas Glozier, Katherine Petrie, Jessica Strudwick, Aimee Gayed, Kimberlie Dean, Max Henderson

2 registry-linked trialsOpen access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Lancet (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 142 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 8 pooled it
24.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05239065 naunknown statusnot on this map

Knowledge Translation of Personalized Stress Management in Occupational Populations With Application of HUAWEI Portable Devices

TypeinterventionalSponsorHuazhong University of Science and TechnologyRan2021 to 2022Enrolled400ConditionsStress, Psychological, Autonomic Nervous System Diseases, Emotional StressArmsThe basic intervention, The personalized interventions
NCT07053111 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

The Counselor Led Resident Wellness Study

TypeinterventionalSponsorUniversity of Nevada, RenoRan2025 to 2026Enrolled21ConditionsBurnout, Healthcare Workers, Anxiety, Wellness Program, Depression Not Otherwise SpecifiedArmsWellness Intervention
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 8 syntheses or guidelines pooled it, 267 citations in OpenAlex.

  1. Pooled it
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  9. Trial
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  11. Article
  12. When systems fail: institutional responsibility for physician suicide.European archives of psychiatry and clinical neuroscience · 2026
    Article
  13. Article
  14. Article
  15. Article
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  17. Examining Mental Health Resources in Graduate Medical Education: Key Findings of a National Survey.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  18. Suicidal ideation among vascular surgery trainees.Journal of vascular surgery · 2026
    Article
  19. Article
  20. Article

82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Samuel B HarveyBlack Dog Institute, Faculty of Medicine, University of New South Wales, Randwick, NSW, Australia. Electronic address: s.harvey@unsw.edu.au.
Ronald M EpsteinCenter for Communication and Disparities Research, Department of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Nicholas GlozierSydney School of Medicine (Central Clinical School), Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Katherine PetrieBlack Dog Institute, Faculty of Medicine, University of New South Wales, Randwick, NSW, Australia; School of Psychiatry, UNSW Medicine, University of New South Wales, Kensington, NSW, Australia.
Jessica StrudwickBlack Dog Institute, Faculty of Medicine, University of New South Wales, Randwick, NSW, Australia.
Aimee GayedBlack Dog Institute, Faculty of Medicine, University of New South Wales, Randwick, NSW, Australia.
Kimberlie DeanSchool of Psychiatry, UNSW Medicine, University of New South Wales, Kensington, NSW, Australia; Justice Health and Forensic Mental Health Network, Matraville, NSW, Australia.
Max HendersonLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.
UNSW Sydney · AUUniversity of Leeds · GBUniversity of Rochester · USUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has heightened interest in how physician mental health can be protected and optimised, but uncertainty and misinformation remain about some key issues. In this Review, we discuss the current literature, which shows that despite what might be inferred during training, physicians are not immune to mental illness, with between a quarter and a third reporting increased symptoms of mental ill health. Physicians, particularly female physicians, are at an increased risk of suicide. An emerging consensus exists that some aspects of physician training, working conditions, and organisational support are unacceptable. Changes in medical training and health systems, and the additional strain of working through a pandemic, might have amplified these problems. A new evidence-informed framework for how individual and organisational interventions can be used in an integrated manner in medical schools, in health-care settings, and by professional colleagues is proposed. New initiatives are required at each of these levels, with an urgent need for organisational-level interventions, to better protect the mental health and wellbeing of physicians.

Indexed as

Burnout, ProfessionalCOVID-19FemaleHumansMaleMental DisordersPandemicsPhysiciansPhysicians, WomenRisk FactorsSARS-CoV-2Substance-Related DisordersSuicideSuicide PreventionWork Schedule Tolerance

Identifiers

PMID34481571
PMCPMC9618683
OpenAlexW3197660118

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.