000			03152nam a22004457a 4500
008			201231s20202020 xxu||||| |||| 00| 0 eng d
022			_a1195-9479
040			_aOvid MEDLINE(R)
099			_a33325351
245			_aThe impact of gender and institutional factors on depression and suicidality in urology residents.
251			_aCanadian Journal of Urology. 27(6):10471-10479, 2020 Dec.
252			_aCan J Urol. 27(6):10471-10479, 2020 Dec.
253			_aThe Canadian journal of urology
260			_c2020
260			_fFY2021
265			_sppublish
266			_d2020-12-31
520			_aCONCLUSIONS: Urology trainees experience high rates of depression and SI. Female residents have significantly higher risk of depression. A single-item appears useful to screen for SI. Further investigation is needed to understand and promote urology resident wellness.
520			_aINTRODUCTION Surgical trainees experience high rates of depression and suicidal ideation (SI). However, there remain a gap in knowledge on the drivers of depression and SI in trainees, especially within the field of urology.
520			_aMATERIALS AND METHODS: We conducted a national study of urology trainees using a 50-item questionnaire in May 2018. The survey included demographic, depression (Patient Health Questionnaire-9 (PHQ-9)), burnout (Maslach Burnout Inventory (MBI)), and quality of life (QoL) questions.
520			_aRESULTS: Overall, 37 (17.6%) endorsed depression; 24 residents endorsed SI (11%). SI was higher in those with depression (p < 0.001). Burnout was also higher among depressed residents (97.3% versus 61.8%, p < 0.001) and those endorsing SI (16.1% versus 1.5%, p < 0.001). Depression was associated with female gender (29.2% versus 12.4%, p = 0.005), fatigue (29.5% versus 7.8%, p < 0.001), and lack of structured mentorship (23.7% versus 9.8%, p = 0.010). Access to mental health services was protective (p = 0.016). Older age, low QoL, dissatisfaction with work-life-balance (WLB), and fatigue were associated with SI. On adjusted analysis, gender (OR 3.1 [95%CI 1.4-6.9], p = 0.006), fatigue (OR 3.8[95%CI 1.6-9.0], p = 0.002), and burnout (OR 16.7 [95%CI 2.2-127.5], p = 0.007) increased the odds of depression. On exploratory analysis, self-reported burnout alone was predictive of SI (OR 7.6 [95%CI 2.5-23]), and performed similarly to an adjusted model (AUC Area 0.718 [95%CI 0.634-0.802] versus 0.825 [0.753-0.897]).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Health
651			_aMedStar Health Research Institute
651			_aMedStar Washington Hospital Center
656			_aMedStar Shah Medical Group
656			_aUrology
656			_aUrology; Literature and Medicine
656			_aVice President
657			_aJournal Article
700			_aAlger, Jordan
700			_aKrasnow, Ross
700			_aLynch, John H
700			_aMarchalik, Daniel
700			_aMete, Mihriye
700			_aPadmore, Jamie
790			_aAlger J, Catomeris A, Goldman C, Krasnow R, Lynch JH, Marchalik D, Mete M, Padmore J, Rodriguez A
942			_cART _dArticle
999			_c5986 _d5986