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DiversityNursing Blog

Combating Depression and Suicide in Nursing

Posted by Ryanna Brown

Tue, Sep 19, 2023 @ 01:40 PM

Depression and suicide are significant concerns in the field of Nursing, and it is crucial that we address these issues head-on. The mental health of Nurses plays a vital role not only in their own well-being but also in the quality of care they provide to their patients. The demanding nature of the profession, coupled with the high-stress environments they work in, can contribute to the development of depression.

Long hours, emotional strain, and exposure to traumatic situations can take a toll on a Nurse's mental health. The constant pressure to perform at their best, coupled with the responsibility of caring for the lives of others, can lead to feelings of being overwhelmed and despair. It is essential we recognize the signs of depression and suicidal ideation in Nurses and provide them with the necessary support they need. 

During Suicide Prevention Month (September), we have a unique opportunity to raise awareness about these issues and take steps to support Nurses who may be struggling. It is important to note that suicide prevention efforts in Nursing should not be limited to a single month. Continued advocacy and support for Nurses' mental health should be ongoing priorities. 

Here are some key points to consider:

Prevalence of Depression in Nursing: Nurses often work in high-stress environments, and the demands of the profession can contribute to the development of depression. Long hours, emotional strain, and exposure to traumatic situations can all take a toll on a Nurse's mental health.

Studies have shown that Nurses are at a higher risk of developing depression compared to the general population. 

Furthermore, the pressure to provide the best possible care adds an additional layer of stress. They are responsible for the lives and well-being of their patients, and any mistakes or perceived failures can weigh heavily on their conscience. This constant pressure to perform at their best can lead to feelings of inadequacy, self-doubt, and ultimately contribute to the development of depression. 

Suicide Risk: Nurses, like many healthcare professionals, may be at a higher risk of suicide due to the stress and emotional toll of their work. It's crucial to recognize the signs of depression and suicidal ideation in Nurses and provide them with appropriate support.

Awareness and Education: Healthcare organizations and institutions can focus on educating Nurses and other healthcare professionals about the signs of depression and suicide risk. Training programs and resources should be made available to help staff identify these issues in themselves and their colleagues. 

Warning signs

Something to look out for when concerned that a person may be suicidal is a change in behavior or the presence of entirely new behaviors. This is of sharpest concern if the new or changed behavior is related to a painful event, loss, or change. Most people who take their lives exhibit one or more warning signs, either through what they say or what they do.

Talk- If a person talks about:

  • Killing themselves
  • Feeling hopeless
  • Having no reason to live
  • Being a burden to others
  • Feeling trapped
  • Unbearable pain


Behavior- Behaviors that may signal risk, especially if related to a painful event, loss or change:

  • Increased use of alcohol or drugs
  • Looking for a way to end their lives, such as searching online for methods
  • Withdrawing from activities
  • Isolating from family and friends
  • Sleeping too much or too little
  • Visiting or calling people to say goodbye
  • Giving away prized possessions
  • Aggression
  • Fatigue


Mood- People who are considering suicide often display one or more of the following moods:

  • Depression
  • Anxiety
  • Loss of interest
  • Irritability
  • Humiliation/Shame
  • Agitation/Anger
  • Relief/Sudden Improvement

Destigmatizing Mental Health: Reducing the stigma around mental health is essential in Nursing and healthcare in general. Nurses should feel comfortable seeking help for depression or suicidal thoughts without fear of professional repercussions.

Support Systems: Healthcare institutions should establish support systems, including access to mental health services, counseling, and peer support programs. Providing these resources can make a significant difference in helping Nurses cope with the challenges of their profession.

Workplace Stress Reduction: Hospitals and healthcare organizations should also focus on reducing workplace stressors where possible. This can include implementing strategies to manage Nurse-patient ratios, providing adequate breaks, and promoting a healthy work-life balance.

Encourage Self-Care: Nurses should be encouraged to prioritize self-care and seek ways to manage their stress outside of work. This may involve activities like exercise, mindfulness, and spending quality time with loved ones.

Check-Ins and Communication: Supervisors and colleagues should regularly check in with their Nursing staff and create an open and supportive environment where they can discuss their mental health concerns without judgment.

Access to Crisis Hotlines: Ensure that Nurses are aware of and have access to crisis hotlines and mental health resources, such as the National Suicide Prevention Lifeline (1-800-273-TALK) or text 988.

Continued Advocacy: Suicide prevention efforts should not be limited to a single month. Continued advocacy and support for Nurses' mental health should be an ongoing priority.

It's crucial to remember Nurses play a vital role in patient care, and their well-being is closely tied to the quality of care they provide. Addressing depression and suicide is not only a matter of supporting healthcare professionals, but also ensuring the safety and well-being of patients.

Topics: mental health, depression, suicide, Nurse suicide, Suicide in Nursing, mental health awareness, mental health nursing

Nurse Suicide Is A Real Problem We Should Be Addressing

Posted by Erica Bettencourt

Thu, Jun 21, 2018 @ 10:29 AM

toolkit2In recent news, the deaths of Kate Spade and Anthony Bourdain have brought the issue of suicide into the spotlight. Suicide is the tenth leading cause of death in the United States, and one of three that is increasing. The other two are Alzheimer’s disease and drug overdose, in part because of the spike in opioid deaths, said Dr. Anne Schuchat, principal deputy director of the C.D.C.

Suicide rates from 1999 to 2016 increased in all age groups younger than 75 years, with the greatest increase shown in “middle-aged adults” aged 45 to 64 years, increasing 25 percent nationally. 

Research has shown that Physicians are twice as likely to commit suicide as the general population, and while there is a notable lack of information about the suicide rates for Nurses in the US, a report from the UK finds that “for females, the risk of suicide among health professionals was 24% higher than the female national average; this is largely explained by high suicide risk among female Nurses.”

Nurses are stuck between demands of the patient and demands of the system. When caring for patients, you are exposed to everything from debilitating diseases to traumatic situations. Without proper coping mechanisms – a support system to vent to after work, colleagues to share similar feelings with, a stable and supportive home life – the tragedies of daily work can take a toll on Nurses, one that is insidious and may not become evident until a breaking point is reached. 

Health-care organizations need to more proactively report suicide in their workforce, so we can begin to understand the drivers for suicide in health-care workers. Also institutions need to develop procedures and processes for grief recovery support for colleagues of the deceased. Many institutions shy away from even mentioning suicide at the workplace. There is concern for suicide contagion, an increased tendency toward suicide in the already predisposed upon hearing of a suicide.

Having a stronger ability to identify the warning signs of suicide can help healthcare professionals spot them in their peers—and themselves, said Joe Parks, M.D., medical director of the National Council for Behavioral Health. "We don't train Doctors and Nurses near well enough to ask for help for themselves," he said.

There are several warning signs providers can keep an eye out for, such as:

  • Isolation
  • Increased anxiety
  • A sense of being trapped or a burden on others
  • Increased use of drugs or alcohol
  • Extreme mood swings
  • Sleeping too much or too little
  • Referencing or mentioning a desire to die


Resources

  • If you or someone you know is in an emergency, call 911 immediately.
  • If you are in crisis or are experiencing difficult or suicidal thoughts, call the National Suicide Hotline at 1-800-273 TALK (8255)
  • If you’re uncomfortable talking on the phone, you can also text NAMI to 741-741 to be connected to a free, trained crisis counselor on the Crisis Text Line.
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Topics: Nurse suicide, Suicide in Nursing, Nurse depression

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