Evidence map›Paper›PMID 40471927›Full record

ArticleWorldviews on evidence-based nursing2025

Burnout, Mental Health, and Workplace Characteristics: Contributors and Protective Factors Associated With Suicidal Ideation in High-Risk Nurses.

Bernadette Mazurek Melnyk, Judy E Davidson, Sharon Tucker, Alai Tan, Andreanna Pavan Hsieh, Andrea Cooper, Cora Mayfield, Jacqueline Hoying

Abstract read
In one paragraph

Article in Worldviews on evidence-based nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
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  6. Review
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.

Bernadette Mazurek MelnykCOPE2Thrive LLC, Powell, Ohio, USA.ORCID https://orcid.org/0000-0002-4704-1198
Judy E DavidsonThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0003-1459-181X
Sharon TuckerUniversity of Central Florida, Orlando, Florida, USA.ORCID https://orcid.org/0000-0002-4217-1559
Alai TanThe Ohio State University College of Nursing, Columbus, Ohio, USA.
Andreanna Pavan HsiehThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0003-2157-7581
Andrea CooperThe Ohio State University College of Nursing, Columbus, Ohio, USA.
Cora MayfieldThe Ohio State University College of Nursing, Columbus, Ohio, USA.
Jacqueline HoyingThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0002-3034-6972

Funding

American Foundation for Suicide Prevention TBT-2-2007-21
6 · The paper itself

Abstract

backgroundA call for action has been issued nationwide to prevent suicide among nurses. An increased understanding of contributing and protective factors associated with suicidal ideation in nurses is needed to implement preventive measures. Factors needing exploration include nurses' burnout, mental well-being, physical health, and workplace characteristics.

aimsThis study aimed to determine factors associated with suicidal ideation in 501 moderate-to-high-risk nurses, including their mental health, level of burnout, health-related personal beliefs, healthy lifestyle behaviors, and workplace characteristics.

methodsA descriptive, cross-sectional correlational study was conducted on baseline survey data that was completed before the nurses were randomized to one of two interventions as part of their participation in a randomized controlled trial investigating the efficacy of a combined mental health screening program and cognitive-behavioral skills building intervention versus a screening program alone. Nurses were recruited from across the United States via email. Only nurses identified with moderate-to-high-risk adverse mental health outcomes, including suicidal ideation, were included. The survey used valid and reliable measures to assess burnout, anxiety, depression, suicidal ideation, post-traumatic stress, healthy lifestyle behaviors, health-related personal beliefs, resilience, job satisfaction, self-perceived mattering to the workplace, and intent to leave. Bivariate tests were performed.

resultsBurnout, anxiety, depression, and post-traumatic stress were individually correlated with increased odds of suicidal ideation, as were nurses working 12-h shifts and those who reported an intent to leave their jobs. Protective factors against suicidal ideation included resilience, positive health-related personal beliefs, healthy lifestyle behaviors, job satisfaction, and workplace mattering. LINKING ACTION TO EVIDENCE: There is an urgent need for policies and implementation of evidence-based interventions to address mental health issues in nurses to ultimately prevent suicide. Burnout should be considered as a possible precursor to serious adverse mental health problems and not just an operational retention issue. Leaders need to invest in resources to enhance nurses' mental health, fix system problems that are at the root cause of burnout, routinely recognize employees for their excellent work, and communicate that they matter. Leaders should listen carefully to their nurses, prioritize their ideas for impactful change, and appreciate those who contribute to improving culture and caring practices.

Indexed as

Burnout, ProfessionalMental HealthNursesSuicidal IdeationWorkplaceAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedProtective FactorsRisk FactorsSurveys and Questionnairesburnoutjob satisfactionmatteringnursessuicideworkplace

Identifiers

PMID40471927
PMCPMC12140403

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.