Depression and Suicide
Relative to other professions, nurses are twice as likely to suffer from depression and have a higher rate of suicide than the general population. CRNAs/nurse anesthesiologists and RRNAs report high levels of stress and depression, which can be a risk factor for suicide. Overall, nurses who experience burnout are twice as likely to have thoughts of suicide.
To reduce the stigma surrounding suicide, we can begin by acknowledging its occurrence and discussing preventative measures.
The AANA partnered with the American Nurse Association (ANA) to develop comprehensive Nurse Suicide Prevention/Resilience Resources with information and tools to build resilience, assist in active crisis, support suicide survivors and offer grief and bereavement coping strategies.
Warning Signs
Warning signs of suicide may present as verbal, behavioral, or a change in mood or affect.
- Verbal signs: Talking about wanting to die or kill themselves, feeling hopeless or having no reason to live, being a burden to others.
- Behavioral signs: Looking for a way to kill themselves, like searching online or buying a gun, increasing drug and alcohol use, sleeping too little or too much, withdrawal and isolation, aggression.
- Mood/affect signs: Extreme mood swings, depression, loss of interest, anxiety, agitation, anger.
Prevention
Patients who have previously attempted suicide or were considering suicide had a reduced risk of subsequent suicide attempts after brief encounters with healthcare providers. These encounters were linked to a significantly higher chance of accessing follow-up care within three months.
Healthcare organizations are encouraged to offer a screening program, such as the Healer Education, Assessment and Referral (HEAR) program at UCSD Health.
If you or someone you know is having suicidal thoughts:
- Visit your primary healthcare or mental health professional, or call 911.
- Call or text the 988 Suicide & Crisis Lifeline at 988.
- Text HOME to 741741 and chat with a trained crisis counselor 24/7 from the Crisis Text Line for free.
- Service members and veterans in crisis can call the Military Crisis Line/Veterans Crisis Line for confidential support 24/7: call 988, ext. 1; text 838255; or chat online at VeteransCrisisLine.net/chat
Suicide Recognition Training
- QPR Training: Question/Persuade/Refer – Three steps anyone can learn to help prevent suicide.
- Mental Health First Aid: An evidence-based, early-intervention course that teaches participants about mental health and substance use challenges.
Depression and Suicide Resources
- American Foundation for Suicide Prevention
- CDC Suicide Prevention
- Depression Screening
- Nurse Suicide Prevention
- Veteran Suicide Prevention Evaluation Toolkit
- Suicide Prevention Resource Center
- Suicide Prevention Training, Technical Assistance, and Evaluation
Relevant Articles
- Preliminary Investigation: Pilot Study of Program Directors’ Perceptions of Wellness and Suicide Prevention for RRNAs, 2024
- Suicide Among Nurses: We have to talk about it., 2023
- Impostor Phenomenon: Another Threat to CRNA Wellness and Career Optimization, 2023
- Nurses Consider Suicide More Than Other US Workers, 2022
- Pandemic, Economic Uncertainty, and Protests: What Will Happen to RRNAs—Resiliency or Burnout?, 2021
- Beyond the Mask: PTSD and Suicide Prevention CRNAs and RRNAs, 2021
- Suicide in anaesthetists: a systematic review, 2021
- Nurse Suicide: Under the Radar, 2019
- CRNA Education Edge: Do Not Let Another Light Go Out: Suicide Recognition and Prevention, 2020, 1 Class A Credit expires 4/29/27
- APSF: Our Own Safety, 2019
Disclaimer
The resources on this page may incorporate or summarize views, guidelines, or recommendations of third parties. Such material is assembled and presented in good faith, but does not necessarily reflect the views of the AANA. Links to third-party websites are inserted for informational purposes and do not constitute endorsement of the material on those sites, or of any associated organization.