ReviewJournal of the American Psychiatric Nurses Association
Facing the Silent Crisis: Suicidal Ideation and Suicide in the Nursing Profession.
Review in Journal of the American Psychiatric Nurses Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis manuscript explores the silent yet urgent crisis of suicidal ideation and suicide within the nursing profession. Despite being one of the most trusted and essential health care roles, nurses face disproportionately high risks for psychological distress, moral injury, and suicide.
aimsThe paper aims to synthesize existing evidence on prevalence, risk factors, and theoretical frameworks to guide prevention and intervention efforts, while emphasizing the critical need for trauma-informed, organizational, and policy-level responses.
methodsUsing Joiner's Interpersonal Theory of Suicide, the Job Demand-Control-Support (JDCS) model, and trauma-informed care (TIC) principles, the manuscript illustrates how feelings of burdensomeness, thwarted belonging, and exposure to trauma converge to elevate suicide risk.
resultsKey contributing factors to nurse suicide include chronic occupational stress, compassion fatigue, workplace bullying, moral distress, and limited autonomy, all compounded by a pervasive stigma around mental health help-seeking. A poignant case study underscores how institutional silence and lack of systemic support following medical errors can lead to devastating outcomes. Barriers such as fear of licensure consequences and lack of confidential services further discourage early intervention.
conclusionsThe suicide crisis among nurses necessitates a comprehensive, multi-level response. Nurse leaders must foster psychologically safe environments, promote peer support, and integrate mental health education into all levels of practice. System-level changes-such as confidential reporting systems, national suicide surveillance, licensure reform, and culturally competent outreach-are essential to prevent further loss. Future research must examine longitudinal risk trajectories, intervention efficacy, and artificial intelligence (AI)-driven early warning tools tailored to the nursing workforce.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.