Article Text

Download PDFPDF

Original research
Working hours, common mental disorder and suicidal ideation among junior doctors in Australia: a cross-sectional survey
  1. Katherine Petrie1,2,
  2. Joanna Crawford1,
  3. Anthony D LaMontagne3,4,
  4. Allison Milner4,
  5. Jessica Dean5,6,
  6. Benjamin G Veness7,
  7. Helen Christensen1,2,
  8. Samuel B Harvey1
  1. 1 Black Dog Institute, Randwick, New South Wales, Australia
  2. 2 Medicine, University of New South Wales, Sydney, New South Wales, Australia
  3. 3 School of Health & Social Development, Deakin University, Melbourne, Victoria, Australia
  4. 4 The McCaughey Centre: VicHealth Centre for the Promotion of Mental Health & Community Wellbeing, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria, Australia
  5. 5 St Vincents Hospital Melbourne, Fitzroy, Victoria, Australia
  6. 6 Beyond Blue, Hawthorn, Victoria, Australia
  7. 7 Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia
  1. Correspondence to Associate Professor Samuel B Harvey; s.harvey{at}unsw.edu.au

Abstract

Objective Despite concern regarding high rates of mental illness and suicide amongst the medical profession, the link between working hours and doctors’ mental health remains unclear. This study examines the relationship between average weekly working hours and junior doctors’ (JDs’) mental health in Australia.

Design and participants A randomly selected sample of 42 942 Australian doctors were invited to take part in an anonymous Beyondblue National Mental Health Survey in 2013, of whom 12 252 doctors provided valid data (response rate approximately 27%). The sample of interest comprised 2706 full-time graduate medical trainees in various specialties, at either intern, prevocational or vocational training stage. Consultants and retired doctors were excluded.

Outcome measures Main outcomes of interest were caseness of common mental disorder (CMD) (assessed using a cut-off of 4 as a threshold on total General Health Questionnaire-28 score), presence of suicidal ideation (SI) (assessed with a single item) and average weekly working hours. Logistic regression modelling was used to account for the impact of age, gender, stage of training, location of work, specialty, marital status and whether JDs had trained outside Australia.

Results JDs reported working an average of 50.1 hours per week (SD=13.4). JDs who worked over 55 hours a week were more than twice as likely to report CMD (adjusted OR=2.05; 95% CI 1.62 to 2.59, p<0.001) and SI (adjusted OR=2.00; 95% CI 1.42 to 2.81, p<0.001) compared to those working 40–44 hours per week.

Conclusions Our results show that around one in four JDs are currently working hours that are associated with a doubling of their risk of common mental health problems and SI. These findings suggest that management of working hours represents an important focus for workplaces to improve the mental health of medical trainees.

  • mental disorder
  • suicide
  • physicians
  • doctors
  • mental health
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

View Full Text

Statistics from Altmetric.com

Footnotes

  • Twitter @jessiemaed, @venessb, @Samuel_Harvey

  • Contributors SBH and KP designed the study, planned and undertook statistical analysis and interpretation. KP drafted and finalised the manuscript with review by SBH. JC, ADL, AM, JD, BGV and HC reviewed, commented on and approved the final manuscript. SBH is guarantor. The corresponding author attests that all listed authors meet authorship criteria and that no others meeting the criteria have been omitted. SBH and KP had full access to the data.

  • Funding This work was supported by the Health Workforce Programme, Commonwealth Department of Health, Australian Government, iCare Foundation and NSW Health. Beyond Blue, an Australian mental health charity, conducted the initial survey of doctors’ mental health in 2013. KP is supported by an Australian Government Research Training Program Scholarship.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The recruitment and data collection in this study was approved by Monash University Human Research Ethics Office and Committee. This study has been approved by University of New South Wales Human Research Ethics Office (HC190896).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No data are available.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.