Mortier, PhilippeVilagut, GemmaFerrer, MontseSerra, ConsolMolina, Juan DLópez-Fresneña, NievesPuig, TeresaPelayo-Terán, José MaríaPijoan, José IEmparanza, José IEspuga, MeritxellPlana, NievesGonzález-Pinto, AnaOrtí-Lucas, Rafael Mde Salázar, Alma MRius, CristinaAragonès, EnricDel Cura-González, IsabelAragón-Peña, AndrésCampos, MireiaParellada, MaraPérez-Zapata, AuroraForjaz, Maria JoãoSanz, FerranHaro, Josep MariaVieta, EduardPérez-Solà, VíctorKessler, Ronald CBruffaerts, RonnyAlonso, JordiMINDCOVID Working Group2022-09-192022-09-192021-05Depress Anxiety. 2021 May;38(5):528-544.http://hdl.handle.net/20.500.12105/14988Background: Healthcare workers are a key occupational group at risk for suicidal thoughts and behaviors (STB). We investigated the prevalence and correlates of STB among hospital workers during the first wave of the Spain COVID-19 outbreak (March-July 2020). Methods: Data come from the baseline assessment of a cohort of Spanish hospital workers (n = 5450), recruited from 10 hospitals just after the height of the coronavirus disease 2019 (COVID-19) outbreak (May 5-July 23, 2020). Web-based self-report surveys assessed 30-day STB, individual characteristics, and potentially modifiable contextual factors related to hospital workers' work and financial situation. Results: Thirty-day STB prevalence was estimated at 8.4% (4.9% passive ideation only, 3.5% active ideation with or without a plan or attempt). A total of n = 6 professionals attempted suicide in the past 30 days. In adjusted models, 30-day STB remained significantly associated with pre-pandemic lifetime mood (odds ratio [OR] = 2.92) and anxiety disorder (OR = 1.90). Significant modifiable factors included a perceived lack of coordination, communication, personnel, or supervision at work (population-attributable risk proportion [PARP] = 50.5%), and financial stress (PARP = 44.1%). Conclusions and Relevance: Thirty-day STB among hospital workers during the first wave of the Spain COVID-19 outbreak was high. Hospital preparedness for virus outbreaks should be increased, and strong governmental policy response is needed to increase financial security among hospital workers.engVoRhttp://creativecommons.org/licenses/by-nc-nd/4.0/COVID‐19 outbreakHospital workersSuicidal thoughts and behaviorsCOVID-19Suicidal IdeationDisease OutbreaksHospitalsHumansPrevalenceRisk FactorsSARS-CoV-2SpainStudentsSuicide, AttemptedAttribution-NonCommercial-NoDerivatives 4.0 Internacional33393724385528-54410.1002/da.231291520-6394Depression and anxietyopen access