• Philippe Mortier, Gemma Vilagut, Montse Ferrer, Consol Serra, Juan D Molina, Nieves López-Fresneña, Teresa Puig, José M Pelayo-Terán, José I Pijoan, José I Emparanza, Meritxell Espuga, Nieves Plana, Ana González-Pinto, Rafael M Ortí-Lucas, Alma M de Salázar, Cristina Rius, Enric Aragonès, Del Cura-GonzálezIsabelIResearch Unit, Primary Care Management, Madrid Health Service, Madrid, Spain.Department of Medical Specialities and Public Health, King Juan Carlos University, Madrid, Spain.Fundación Investigación e Innovación Biosanitaria de AP, , Andrés Aragón-Peña, Mireia Campos, Mara Parellada, Aurora Pérez-Zapata, Maria João Forjaz, Ferran Sanz, Josep M Haro, Eduard Vieta, Víctor Pérez-Solà, Ronald C Kessler, Ronny Bruffaerts, Jordi Alonso, and MINDCOVID Working Group.
• Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.
• Depress Anxiety. 2021 May 1; 38 (5): 528-544.

BackgroundHealthcare workers are a key occupational group at risk for suicidal thoughts and behaviors (STB). We investigated the prevalence and correlates of STB among hospital workers during the first wave of the Spain COVID-19 outbreak (March-July 2020).MethodsData come from the baseline assessment of a cohort of Spanish hospital workers (n = 5450), recruited from 10 hospitals just after the height of the coronavirus disease 2019 (COVID-19) outbreak (May 5-July 23, 2020). Web-based self-report surveys assessed 30-day STB, individual characteristics, and potentially modifiable contextual factors related to hospital workers' work and financial situation.ResultsThirty-day STB prevalence was estimated at 8.4% (4.9% passive ideation only, 3.5% active ideation with or without a plan or attempt). A total of n = 6 professionals attempted suicide in the past 30 days. In adjusted models, 30-day STB remained significantly associated with pre-pandemic lifetime mood (odds ratio [OR] = 2.92) and anxiety disorder (OR = 1.90). Significant modifiable factors included a perceived lack of coordination, communication, personnel, or supervision at work (population-attributable risk proportion [PARP] = 50.5%), and financial stress (PARP = 44.1%).Conclusions And RelevanceThirty-day STB among hospital workers during the first wave of the Spain COVID-19 outbreak was high. Hospital preparedness for virus outbreaks should be increased, and strong governmental policy response is needed to increase financial security among hospital workers.© 2020 The Authors. Depression and Anxiety Published by Wiley Periodicals LLC.

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