Evidence map›Paper›PMID 37080491›Full record

ArticleJournal of affective disorders2023

Moral injury and suicidal ideation among health professionals: The role of mental health.

Zhehao He, Qiuhui Lei, Xue Hu, Mengyun Xiong, Jun Liu, Jing Wen, Xiuquan Shi, Zhizhong Wang

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Zhehao HeDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan 560001, China.
Qiuhui LeiDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan 560001, China.
Xue HuDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan 560001, China.
Mengyun XiongDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan 560001, China.
Jun LiuDepartment of Preventive Medicine, School of Public Health at Zunyi Medical University, Zunyi 56006, China.
Jing WenDepartment of Epidemiology and Health Statistics, School of Public Health and Management at Ningxia Medical University, China.
Xiuquan ShiDepartment of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi, Guizhou, China. Electronic address: xqshi@zmu.edu.cn.
Zhizhong WangDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan 560001, China; The First Dongguan Affiliated Hospital, Guangdong Medical University, Dongguan 523808, China. Electronic address: wzhzh_lion@126.com.
Guangdong Medical College · CNZunyi Medical University · CNNingxia Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prolonged COVID-19 pandemic has burdened health professionals mentally and physically. This study aims to explore the relationship between moral injury (MI) and suicidal ideation (SI), and the role of mental health conditions in this relationship.

methodsThree-wave repeated online cross-sectional study with a total of 10,388 health professionals were conducted in different stages (2020-2022) of the COVID-19 pandemic in mainland China. Participants completed the Chinese version of the Moral Injury Symptoms Scale-Health Professional, Post-Traumatic Stress Disorder (PTSD) Checklist for DSM-5 coupled with a blanket of scales.

resultsThe prevalence of SI and MI among health professionals was 9.8 % and 40.2 %, respectively. The prevalence risk of SI was lower in wave 2 (OR = 0.64, 95 % CI: 0.54-0.77) and wave 3 (OR = 0.71, 95 % CI: 0.60-0.84) when compared with wave 1. MI (OR = 4.66, 95 % CI: 3.99-5.43), medical error (OR = 1.15, 95 % CI: 1.00-1.32), workplace violence (OR = 1.13, 95 % CI: 0.97-1.32), depression (OR = 94.08, 95 % CI: 63.37-139.69), anxiety (OR = 25.54, 95 % CI: 21.22-30.74), PTSD (OR = 24.51, 95 % CI: 19.01-31.60) were associated with a higher risk of SI. The mediation model revealed that depressive, anxiety, and PTSD symptoms explained 90.6 % of the total variance in the relationship between MI and SI.

conclusionsThe risk of SI has reduced among health professionals since the first peak of the COVID-19 pandemic in China. MI may contribute to prevalent SI, and mental health conditions, especially depressive symptoms, play a significant role as mediators. LIMITATIONS: Cross-sectional design precludes the investigation of casual relationships. The nonrandom sampling method limits the generalization.

Indexed as

COVID-19Stress Disorders, Post-TraumaticCross-Sectional StudiesDepressionHumansMental HealthPandemicsSuicidal IdeationDepressionHealth professionalMediation effectMoral injurySuicidal ideation

Identifiers

PMID37080491
PMCPMC10111858
OpenAlexW4366265072

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.