fa بررسی افکار و اقدام به خودکشی در میان کادر درمان در دوران همه‌گیری کووید-19: یک مطالعه مروری نظام‌مند پزشکی اجتماعی Community Medicine مقاله مروري Review Article <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">یکی از پیامد&shy;های روان&shy;شناختی ناشی از همه&shy;گیری کووید-19، بروز افکار و اقدام به خودکشی در میان افراد جامعه و به&shy;خصوص کادر درمان بود. بنابراین، <a name="_Hlk133349017">مطالعه حاضر با هدف </a><a name="_Hlk133166452">تعیین رفتار خودکشی در میان کادر درمان در دوران همه&shy;گیری کووید-19 </a>انجام گرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">مواد و روش&shy;ها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> مطالعه مروری نظام‌مند حاضر، در فروردین ماه ‌1402، با استفاده از موتورهای </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">جستجوگر </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">SID</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Magiran</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">ScienceDirect</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Google Scholar</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">PubMed</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Springer</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Scopus</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> و هم‌چنین کلیدواژه‌های </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Suicide</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Treatment staff</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Health care workers</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Nurses</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Physicians</span></span><a name="_Hlk139469879"><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">،</span></span></span></a> <span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">COVID-19</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%">Coronavirus</span></span> <span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">و معادل فارسی آن‌ها در ارتباط با افکار و اقدام به خودکشی کادر درمان انجام شد. تعداد 10 مقاله مورد بررسی قرار گرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">یافته&shy;ها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> نتایج این مطالعه نشان داد که افکار خودکشی از 31/6 تا 81/15 درصد و اقدام به خودکشی در بین کادر درمان از 8/10 تا 1/11 درصد متغیر بود. عواملی از قبیل سلامت روان نامطلوب، خواب کم، استرس زیاد، حمایت کم، کاهش اعتمادبه‌نفس، مصرف داروی روان‌گردان، نگرانی درآمد، تنهایی<a name="_Hlk133485717">،</a> انزوای اجتماعی، نداشتن فرزند، استرس ناشی از همه&shy;گیری کووید-19، افسردگی، اضطراب و اقدام به خودکشی قبلی، از مهم‌ترین عوامل پیش‌بینی کننده اقدام به خودکشی بودند.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">نتیجه&shy;گیری:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> نتایج حاصل از این پژوهش ضمن تأکید بر رشد آگاهی در زمینه علل و روش&shy;های خودکشی میان کادر درمان<a name="_Hlk136596071">،</a> ضرورت این موضوع را متوجه متصدیان و برنامه&shy;ریزان سازمان&shy;های بهداشتی و درمانی می&shy;کند تا در راستای تدوین سیاست&shy;های پیش&shy;گیری از خودکشی در همه&shy;گیری&shy;ها، گام&shy;های اصولی بردارند.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">واژه&shy;های کلیدی:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> کادر درمان، افکار خودکشی، اقدام به خودکشی، کووید-19، مطالعه مروری نظام&shy;مند</span></span></span><i><span dir="LTR" style="font-size:9.0pt"><span style="line-height:117%"></span></span></i></span></span></span></span></span><br> &nbsp; <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:150%"> One of the psychological consequences of the COVID-19 epidemic was the occurrence of suicidal thoughts and attempts among people, especially the medical staff. Therefore, the present study was conducted with the aim of investigating suicidal thoughts and attempts among the treatment staff.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> The </span></span><span style="font-size:9.0pt"><span style="line-height:150%">present systematic review was performed in relation to the thoughts and attempts of suicide of the treatment staff in April 2023, using search engines SID, Magiran, ScienceDirect, Google Scholar, PubMed, Springer, and Scopus, and also keywords Suicide, Treatment staff, Health care workers, Nurses, Physicians, COVID-19, Coronavirus, and their Persian equivalents. A number of 10 articles were reviewed.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b> <span style="font-size:9.0pt"><span style="line-height:150%">The results of this study showed that suicidal thoughts ranged from 6.31 to 15.81 percent, and attempted suicide among the treatment staff ranged from 10.8 to 11.1 percent. Factors such as poor mental health, low sleep, high stress, low support, low self-confidence, use of psychoactive drugs, income worries, loneliness, social isolation, childlessness, stress caused by the COVID-19 pandemic, depression, anxiety, and previous suicide attempts, were among the most important predictors of suicide attempts.</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results of this research, while emphasizing the growth of awareness in the field of causes and methods of suicide among the medical staff, point out to the necessity of this issue that managers and planners of health and medical organizations have to take basic steps in order to formulate suicide prevention policies in epidemics.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Key words:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Treatment staff, Suicidal thoughts, Attempted suicide, COVID-19, Systematic review</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study did not have any funds.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical approval:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Not applicable.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%">How to cite this article:</span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Miri Minoo, Rezaeian Mohsen, Ghasemi Seyed Alireza. Investigating Suicidal Thoughts and Attempts Among Medical Staff During the Covid-19 Pandemic: A Systematic Review</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2023; 22 (5): 523-38. [Farsi]</span></span> <b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> &nbsp; کادر درمان, افکار خودکشی, اقدام به خودکشی, کووید-19, مطالعه مروری نظام‌مند Treatment staff, Suicidal thoughts, Attempted suicide, COVID-19, Systematic review 523 538 http://journal.rums.ac.ir/browse.php?a_code=A-10-6337-1&slc_lang=fa&sid=1 Minoo Miri مینو میری m.miri@cfu.ac.ir 6900319475328460054826 6900319475328460054826 No farhangian uni گروه آموزش روانشناسی و مشاوره، دانشگاه فرهنگیان Mohsen Rezaeian محسن رضائیان moeygmr2@yahoo.co.uk 6900319475328460054827 6900319475328460054827 Yes Rafsanjan University of Medical Sciences گروه آموزشی اپیدمیولوژی و آمار زیستی، دانشکده بهداشت، مرکز تحقیقات محیط کار Seyed Alireza Ghasemi سید علیرضا قاسمی al.gh.13790@gmail.com 6900319475328460054828 6900319475328460054828 No farhangian uni دانشجوی کارشناسی علوم تربیتی، آموزش ابتدایی، دانشگاه فرهنگیان،