Abstract：
The purpose of this pilot study was to investigate wellness and student suicidality in nurse anesthesia programs. Graduate students such as student registered nurse anesthetists (SRNAs) are at increased risk of suicide from environmental and educational stressors. Wellness interventions may help. An observational, anonymous online survey of all program directors (PDs) was conducted. Identical responses on a simultaneous pilot SRNA study were compared. Quantitative data were analyzed using Wilcoxon rank sum and Fisher\'s exact tests. Three PDs reported student suicides. Anxiety, depression, and emotional lability were warning signs. Student and PD responses to wellness program assessments were varied, with PD responses more positive and students more negative. PDs were as stressed as students and struggled to meet their own wellness needs. Most PDs reported no or insufficient training in suicide risk and prevention. Suggestions for improving wellness initiatives included to improve and standardize activities and make initiatives more accessible and seek innovative solutions to fit more content into an overcrowded curriculum. PDs and SRNAs need suicide prevention training and improved wellness efforts at local and national levels. Approaches are needed to counter stigma and reluctance to discuss mental health challenges. Suicide is multidimensional, but with proactive awareness, it may be preventable.
摘要：
这项试点研究的目的是调查护士麻醉计划中的健康和学生自杀行为。研究生，例如学生注册护士麻醉师（SRNA），由于环境和教育压力因素而自杀的风险增加。健康干预措施可能会有所帮助。一个观察,对所有项目主管(PDs)进行了匿名在线调查。比较了同时进行的先导SRNA研究的相同反应。使用Wilcoxon秩和和Fisher精确检验分析定量数据。三个PD报告了学生自杀。焦虑,抑郁症,情绪不稳定是警告信号。学生和PD对健康计划评估的反应各不相同，PD的反应更积极，学生更消极。PD与学生一样受到压力，并努力满足自己的健康需求。大多数PD报告没有或没有足够的自杀风险和预防培训。改善健康倡议的建议包括改善和标准化活动，使倡议更容易获得，并寻求创新的解决方案，以适应更多的内容到一个人满为患的课程。PD和SRNA需要在地方和国家层面进行自杀预防培训和改善健康工作。需要采取各种方法来消除污名和不愿讨论心理健康挑战。自杀是多维的,但是有了积极主动的意识，这可能是可以预防的。
