Evidence map›Paper›PMID 41443397›Full record

ArticleJournal of vascular surgery2026

Suicidal ideation among vascular surgery trainees.

Christina L Cui, Margaret A Reilly, Tara J Zielke, Lindsey A Olivere, Yue Jiang, Eric B Pillado, Ruojia Debbie Li, Joshua S Eng, Leanne E Grafmuller, Kathryn L DiLosa and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of vascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

17 authors.

Christina L CuiDivision of Vascular & Endovascular Surgery, Department of Surgery, Duke University, Durham, NC.
Margaret A ReillyDivision of Vascular Surgery, Department of Surgery, Northwestern University, Chicago, IL.
Tara J ZielkeDivision of Vascular Surgery, Department of Surgery, Indiana University, Indianapolis, IN.
Lindsey A OlivereDivision of Vascular Surgery, Department of Surgery, University of Pittsburgh, Pittsburgh, PA.
Yue JiangDepartment of Statistical Science, Duke University, Durham, NC.
Eric B PilladoDivision of Vascular Surgery, Department of Surgery, Stanford University, Palo Alto, CA.
Ruojia Debbie LiDivision of Vascular Surgery, Department of Surgery, Rush University Medical Center, Chicago, IL.
Joshua S EngSurgical Outcomes and Quality Improvement Center, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Leanne E GrafmullerDivision of Vascular Surgery, Department of Surgery, University of Tennessee, Memphis, TN.
Kathryn L DiLosaDivision of Vascular and Endovascular Surgery, Department of Surgery, Louisiana State University School of Medicine, New Orleans, LA.
Allan M ConwayDivision of Vascular and Endovascular Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA.
Guillermo A EscobarDivision of Vascular Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA.
Palma M ShawDivision of Vascular Surgery, Department of Surgery, Upstate Medical University, Syracuse, NY.
Yue-Yung HuDivision of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital, Department of Surgery, Northwestern University, Chicago, IL.
Karl Y BilimoriaDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Malachi G SheahanDivision of Vascular and Endovascular Surgery, Department of Surgery, Louisiana State University School of Medicine, New Orleans, LA.
Dawn M ColemanDivision of Vascular & Endovascular Surgery, Department of Surgery, Duke University, Durham, NC. Electronic address: dawn.coleman@duke.edu.

Funding

Vascular Surgery Research Training (VascTrain) ProgramT32HL098036 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Edith Tzeng · 2010 to 2026
$7.2M
AHRQ HHS K08 HS029532NHLBI NIH HHS T32 HL098036
6 · The paper itself

Abstract

backgroundSuicidal ideation (SI) during surgical training is poorly understood and may be attributed to a variety of personal and environmental risk factors. The purpose of this study was to evaluate the incidence of SI among vascular surgery trainees.

methodsData were collected from a confidential, voluntary survey administered after the 2020-2024 Vascular Surgery In-Training Exam as part of the SECOND trial (Surgical Education Culture Optimization through targeted interventions based on National comparative Data Trial). SI was assessed with the following question: "In the past 12 months, have you had thoughts of taking your own life?" Positive screens prompted presentation of the National Suicide Hotline. Descriptive statistics were used to evaluate demographic and learning environmental factors associated with suicidality.

resultsA total of 3272 survey results were collected from 2020 to 2024. Seventy-four respondents (2.3%) reported positive SI. In considering the most recent year of responses (2024), demographic variables were comparable between trainees who did and did not screen positive for SI. However, trainees who screened positive were more likely to report negative learning environment factors, including pressure to under-report hours (31% vs 6%), lack of a sense of belonging among trainees (15% vs 4%), sexual harassment (46% vs 10%), and perception of program unresponsiveness (38% vs 5%), among other factors.

conclusionsAlthough low rates of SI limit more detailed statistical analysis, this remains the most comprehensive evaluation among vascular surgery trainees. Although rates remain low, they are associated with burnout. Modifiable learning environmental factors, such as harassment, program responsiveness, and trainee camaraderie, may be potential areas for intervention.

Indexed as

Education, Medical, GraduateInternship and ResidencySuicidal IdeationSurgeonsVascular Surgical ProceduresAdultAttitude of Health PersonnelFemaleHumansIncidenceMaleRisk AssessmentRisk FactorsSurveys and QuestionnairesLearning environmentSuicidal ideationTrainee wellness

Identifiers

PMID41443397
PMCPMC13046450

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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.