Suicidality among Hong Kong nurses: prevalence and correlates

J Adv Nurs. 2016 Apr;72(4):836-48. doi: 10.1111/jan.12869. Epub 2015 Dec 29.

Abstract

Aims: The study estimates the prevalence and examines the socio-economic and psychological correlates of suicidality among professional nurses in Hong Kong.

Background: Suicide rates among middle-aged employed groups have been increasing over the past few decades. There is a concern that medical occupational groups worldwide are at elevated risk of suicide. Nonetheless there are few population-based studies of suicide dealing with working-age Asian nurses.

Design: The study uses a cross-sectional survey design.

Method: Data were collected in Hong Kong over 4 weeks from October-November 2013. Statistical methods including descriptive analysis and univariate and multivariate cumulative logit modelling were used to examine the weighted prevalence rates of past-year suicidality and its associated factors in nurses.

Results: A total of 850 nurses participated in the study; 14·9% of participants had contemplated suicide while 2·9% had attempted suicide once or more in the past year. Women report suicidal thoughts or attempts more often than men. Religion, poor health, deliberate self-harm, depressive symptoms and poor self-perceived physical and mental health were significantly associated with nurses' suicidality.

Conclusions: Nurse professionals are not immune from mental health issues. Hong Kong's local health authority should put in place a raft of suicide prevention initiatives to promote mental wellness in the profession.

Keywords: anxiety; depression; mental health; nurses; stress; suicidal ideation; suicidality.

MeSH terms

  • Adult
  • Alcohol Drinking / epidemiology
  • Cross-Sectional Studies
  • Depressive Disorder / epidemiology
  • Family Relations
  • Female
  • Hong Kong / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Nurses / psychology
  • Nurses / statistics & numerical data*
  • Prevalence
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Self-Injurious Behavior / epidemiology
  • Socioeconomic Factors
  • Substance-Related Disorders / epidemiology
  • Suicide / statistics & numerical data*
  • Workplace