Suicidal Ideation Among Vascular Surgery Trainees.

INTRODUCTION: Suicidal ideation (SI) during surgical training is poorly understood and may be attributed to a variety of personal and environmental risk factors. The purpose of this study is to evaluate the incidence of SI among vascular surgery trainees. METHODS: Data was collected from a confidential, voluntary survey administered after the 2020-2024 VSITE as part of the SECOND trial. Suicidal ideation was assessed with the following question: "In the past twelve months, have you had thoughts of taking your own life?". Positive screens prompted presentation of the National Suicide Hotline. Descriptive statistics were utilized to evaluate demographic and learning environmental factors associated with suicidality. RESULTS: A total of 3,272 survey results were collected from 2020-2024. 74 respondents (2.3%) reported positive SI. In considering the most recent year of responses (2024), demographic variables were comparable between trainees who did and did not screen positive for SI. However, trainees who screened positive were more likely to report negative learning environment factors, including pressure to underreport hours (31% vs. 6%), lack of a sense of belonging among trainees (15% vs. 4%), sexual harassment (46% vs. 10%), and perception of program unresponsiveness (38% vs. 5%), among other factors. CONCLUSION: While low rates of SI limit more detailed statistical analysis, this remains the most comprehensive evaluation among vascular surgery trainees. Although rates remain low, they are associated with burnout. Modifiable learning environmental factors, such as harassment, program responsiveness, and trainee camaraderie, may be potential areas for intervention.

Duke Scholars

Author Yue Jiang Statistical Science

Author Dawn M Coleman Surgery, Vascular and Endovascular Surgery