Physician Suicide

Suicidio en Médicos

Varios casos de suicidios de colegas aquí en Colombia nunca han sido revisados ni discutidos, a veces quedan dudas en los reportes de medicina legal y notas periodísticas sobre las verdaderas causas de su muerte. Esto es inaceptable, no ayuda a prevenir los problemas reales — complejos y dinámicos —  que llevaron a su suicidio, tampoco sirve la situación para que la medicina pueda extrapolar estos conocimientos en la prevención del suicidio en otros profesionales de la salud (enfermería, y otras áreas de la ciencia y de las artes (ej. ingeniería, administración, diseño, física, etc).

El problema es mayor si se tiene en cuenta que el miedo que despierta el temor al suicidio de un ser querido, algo muchas veces comprensible por todo el oscurantismo que hay sobre el tema, muchas veces lleva a prescripciones irracionales de medicamentos psiquiátricos con serios cuestionamientos en su seguridad y eficacia:

  • Fluoxetina
  • Paroxetina
  • Venlafaxina
  • Risperidona
  • Olanzapina
  • Quetiapina
  • Duloxetina
  • Agomelatina
  • Escitalopram
  • Sertralina
  • Trazodone
  • Nefazodone
  • Alprazolam
  • Reboxetine
  • Others (e.g., modafinil, aripiprazole, mirtazapine, methylphenidate — Ritalin)

Too much medicine: http://www.bmj.com/too-much-medicine

Demasiada medicina: http://polimedicado.org

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https://twitter.com/conradhackett/status/558919646061932544

 

References

  1. Ramirez, Jorge H (2014): Clasificación antidepresivos y antipsicoticos. figshare. http://dx.doi.org/10.6084/m9.figshare.1184484

  2. Ramirez, Jorge H (2014): Database of human studies evaluating antidepressant drugs. figshare.
    http://dx.doi.org/10.6084/m9.figshare.1168926

  3. Re: Putting GlaxoSmithKline to the test over paroxetine. The BMJ. http://www.bmj.com/content/347/bmj.f6754/rr/816737

  4. http://chaoticpharmacology.com/2014/12/12/response-to-full-text-of-cep-members-letter-to-the-lancet-psychiatry-in-response-to-article-by-nutt-et-al-council-for-evidence-based-psychiatry/

  5. Ramirez, Jorge H (2014): Duloxetine database | WHO ICTRP, ClinicalTrials.gov, Embase, PubMed, ISI, others. figshare.
    http://dx.doi.org/10.6084/m9.figshare.1096304

  6. Ramirez, Jorge H (2014): Agomelatine (Valdoxan) – Over 80% registered studies of this antidepressant drug are unpublished. figshare.
    http://dx.doi.org/10.6084/m9.figshare.1126326

  7. Ramirez, Jorge H (2014): Paroxetine: analysis of unpublished human studies (observationals and clinical trials). figshare.
    http://dx.doi.org/10.6084/m9.figshare.1103284

  8. The meta-analysis of published and unpublished studies of agomelatine is misleading. The BMJ.
    http://www.bmj.com/content/348/bmj.g1888/rr/762419

Disrupted Physician

Physician Suicide.

Physician Suicide 101:  Secrets, lies and solutions by Dr. Pamela Wible, M.D., is now featured on KevinMD.com.  Please read and comment!   We need to use this as a stepping stone to start discussing the Elephant in the room; state Physician Health Programs (PHPs) organized under the Federation of State Physician Health Programs.  These programs once served the dual purpose of helping sick doctors and protecting the public from harm.

Taken over by the “impaired physician” movement the current manifestation is one of absolute power and unrestrained managerial authority with no meaningful oversight, regulation or accountability.  It is a culture of institutional injustice that is preventing doctors from seeking help for fear of being ensnared and monitored by them.  Those being monitored by them are subject to bullying, abuse and forced 12-step indoctrination under threat of loss of licensure.  Many of these doctors do not even have an addiction…

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  3 comments for “Physician Suicide

  1. April 7, 2015 at 2:15 pm

    Leí de pasón el artículo es bastante duro, lo pienso leer mas detenidamente antes de comentar al respecto

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