Evidence map›Paper›PMID 41938551›Full record

ArticleVeterinary world2026

Psychological distress as a central mediator of suicidal ideation among Brazilian veterinarians: A study of occupational stress, compassion fatigue, coping strategies, and workplace environment using structural equation modeling.

Bianca Stevanin Gresele, Jefferson Luiz Pereira, Alexandre Redson Soares da Silva, Karen Scavacini, Helena C Lyrio-Carvalho, Sofia Marques Viana Ulisses, Anderson da Silva Rosa

Abstract read
In one paragraph

Article in Veterinary world, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Bianca Stevanin GreseleGraduate Program in Clinical Psychology, Department of Clinical Psychology, Pontifícia Universidade Católica de São Paulo (PUC), São Paulo 05015-901, SP, Brazil.
Jefferson Luiz PereiraGraduate Program in Clinical Psychology, Department of Clinical Psychology, Pontifícia Universidade Católica de São Paulo (PUC), São Paulo 05015-901, SP, Brazil.
Alexandre Redson Soares da SilvaGraduate Program in Veterinary Sciences in the Semi-arid Region and College of Veterinary Medicine, Agricultural Sciences Campus, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina 56304-917, PE, Brazil.
Karen ScavaciniInstituto Vita Alere, São Paulo, 04066-002, SP, Brazil.
Helena C Lyrio-CarvalhoGraduate Program in Clinical Psychology, Department of Clinical Psychology, Pontifícia Universidade Católica de São Paulo (PUC), São Paulo 05015-901, SP, Brazil.
Sofia Marques Viana UlissesGraduate School of Education, University of California - Riverside, Riverside 92521, CA, USA.
Anderson da Silva RosaCollective Health Department, Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), São Paulo 04024-002, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Ai: Veterinarians experience disproportionately high levels of psychological distress and suicidal ideation compared with other professional groups. Occupational stress (OS), compassion fatigue, workplace environment (WE), and coping strategies have been identified as relevant risk or protective factors; however, their interrelationships remain insufficiently explored, particularly in Brazil. This study aimed to examine the direct and indirect pathways linking occupational psychosocial factors to suicidal ideation among Brazilian veterinarians working in companion-animal practice, with psychological distress conceptualized as a central mediating mechanism. Materials and Method: A nationwide cross-sectional survey was conducted between June and July 2022 involving 1,472 veterinarians exclusively engaged in small animal practice in Brazil. Participants completed validated self-report measures assessing psychological distress (Kessler-6), suicidal ideation, coping strategies, compassion fatigue, OS, and WE. Data were analyzed using partial least squares structural equation modeling (PLS-SEM) with 5,000 bootstrap resamples. Direct, indirect, and mediating effects were estimated, and model fit, reliability, and validity were assessed. Ethical approval was obtained from the Research Ethics Committee of Inspirar College (protocol no. 31645220.4.0000.5594). Result: Psychological distress emerged as the strongest predictor of suicidal ideation (β = 0.40; p < 0.001), explaining 20.6% of its variance. OS showed a substantial positive association with psychological distress (β = 0.47; p < 0.001), followed by compassion fatigue (β = 0.15; p < 0.001) and WE (β = 0.07; p = 0.028). Coping strategies exerted a significant protective effect on psychological distress (β = -0.26; p < 0.001) and suicidal ideation (β = -0.08; p = 0.013). Indirect effects confirmed that psychological distress mediated the associations between OS, compassion fatigue, WE, and suicidal ideation. Younger age and female gender were indirectly associated with higher suicidal ideation through increased psychological distress. Conclusio: Psychological distress plays a central mediating role in the relationship between occupational psychosocial factors and suicidal ideation among Brazilian veterinarians. Interventions targeting OS reduction, emotional support, and the promotion of adaptive coping strategies may substantially mitigate suicide risk in veterinary clinical practice.

Indexed as

compassion fatiguecoping strategiesoccupational stresspsychological distresssmall animal veterinariansstructural equation modelingsuicidal ideationworkplace environment

Identifiers

PMID41938551
PMCPMC13044308

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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.