ArticleBMJ open2022
Relationships between overwork, burnout and suicidal ideation among resident physicians in hospitals in Japan with medical residency programmes: a nationwide questionnaire-based survey.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Pooled it
- The association between long working hours, shift work, and suicidal ideation: A systematic review and meta-analyses.Scandinavian journal of work, environment & health · 2024Pooled it
- Self-reported harassment during Japanese surgical residency: secondary analysis of a nationwide survey of newly board-certified surgeons.Surgery today · 2026Article
- Financial and documentation-related workload impact of ERAS implementation in major head and neck surgery with free flap reconstruction under the Japanese DPC system.International journal of clinical oncology · 2026Observational
- Prevalence of depression and suicidal ideation in family medicine residents in Mexico.Health education & behavior : the official publication of the Society for Public Health Education · 2026Article
- Temporal Trends in Physician Burnout During and After the COVID-19 Pandemic in Japan: A Repeated Cross-Sectional Study.Journal of general and family medicine · 2026Article
- Article
- Moderating effect of resilience on the associations of perceived stress and anxiety with unhealthy alcohol use and insomnia in Chinese hospital staff.Frontiers in public health · 2026Article
- Burnout in Japanese Internists and Primary Care Physicians in 2024: The Prevalence and Risk Factors Using Structural Equation Modeling.Internal medicine (Tokyo, Japan) · 2025Article
- Development and validation of the Delirium Burden Scale for Healthcare Providers (DBS-HCP).PCN reports : psychiatry and clinical neurosciences · 2025Article
- Predictors of suicidal ideation in UK doctors: retrospective case-control study from NHS Practitioner Health.BJPsych open · 2025Article
- Assessing the Suicidal Ideation and Its Associated Factors Among Undergraduate Medical Students and Residents in Iran: A Multi-Center Cross-Sectional Research.Health science reports · 2025Article
- The Short-Term Impacts of Japan's 2024 Physician Working-Hour Limits on Labor Conditions, Self-Directed Professional Development, and Happiness Among Obstetrician-Gynecologists.The journal of obstetrics and gynaecology research · 2025Article
- A Decade of Advancements: A Systematic Review of Effectiveness of Interventions to Reduce Burnout AmongMental Health Nurses.Healthcare (Basel, Switzerland) · 2025Review
- Work Style Reform for Pediatric Residents.JMA journal · 2025Article
- A survey on mental health among resident physicians: psychological resilience as a mediator.BMC psychiatry · 2025Article
- Validation of the Arabic Version of the Maslach Burnout Inventory-HSS Among Tunisian Medical Residents (A-MBI-MR): Factor Structure, Construct Validity, Reliability, and Gender Invariance.Healthcare (Basel, Switzerland) · 2025Article
- Long working hours among hospital-employed obstetricians and gynecologists and associated factors: a comparative study based on a nationwide survey.Environmental and occupational health practice · 2025Article
- Night shift and occupational fatigue among nurses who work 12 hours in Jeddah.Journal of education and health promotion · 2025Review
- Suicidality Among Healthcare Workers in Lebanon: Associations With Childhood Adversities Amid Recent Overlapping Crises.International journal of public health · 2025Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study examined the relationships between overwork, burnout and suicidal ideation among resident physicians working in hospitals throughout Japan.
designA nationwide, questionnaire-based survey.
settingParticipating hospitals (n=416) were accredited by the Japanese Medical Specialty Board to offer medical residency programmes in 19 core specialties. Surveys were conducted in October 2020.
participantsValid responses were obtained from 4306 physicians (response rate: 49%). OUTCOME MEASURES: Items pertaining to the Japanese Burnout Scale, depressive tendencies and suicidal ideation were included in questionnaires. Multiple regression analyses were performed: suicidal ideation was the response variable; sex, age, core specialty, marital status, income, weekly working hours and workplace (ownership, number of beds, number of full-time physicians and regional classification) were explanatory variables.
resultsRegarding the Japanese Burnout Scale, the highest score was recorded for 'sense of personal accomplishment', followed by 'emotional exhaustion' and 'depersonalization'. Increased emotional exhaustion and depersonalisation were associated with longer working hours, but there was no such trend for sense of personal accomplishment. Depressive tendencies and suicidal ideation were noted in 24.1% and 5.6% of respondents, respectively. These percentages tended to increase when respondents worked longer hours. Several factors were significantly associated with suicidal ideation: female sex (reference: male, OR: 2.08, 95% CI: 1.56 to 2.77), ≥12 million yen income (reference: <2 million yen, OR: 0.21, 95% CI: 0.05 to 0.79), ≥100 working hours/week (reference:<40 hours/week, OR: 3.64, 95% CI: 1.88 to 7.04) and 600-799 hospital beds (reference: <200 beds, OR: 0.23, 95% CI: 0.07 to 0.82).
conclusionsMany Japanese residents demonstrated a tendency to experience burnout and suicidal ideation. Female sex, low income, long working hours and insufficient hospital beds were associated with suicidal ideation. To ensure physicians' health and patients' safety, it is necessary to advance workstyle reform for physicians.
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