{"id":"https://openalex.org/W2168632776","doi":"https://doi.org/10.1097/acm.0b013e31819397c7","title":"Commentary: Out of the Silence: Confronting Depression in Medical Students and Residents","display_name":"Commentary: Out of the Silence: Confronting Depression in Medical Students and Residents","publication_year":2009,"publication_date":"2009-01-23","ids":{"openalex":"https://openalex.org/W2168632776","doi":"https://doi.org/10.1097/acm.0b013e31819397c7","mag":"2168632776","pmid":"https://pubmed.ncbi.nlm.nih.gov/19174657"},"language":"en","primary_location":{"id":"doi:10.1097/acm.0b013e31819397c7","doi":"https://doi.org/10.1097/acm.0b013e31819397c7","is_oa":false,"landing_page_url":"https://doi.org/10.1097/acm.0b013e31819397c7","pdf_url":null,"source":{"id":"https://openalex.org/S19793444","display_name":"Academic Medicine","issn_l":"1040-2446","issn":["1040-2446","1938-808X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Medicine","raw_type":"journal-article"},"volume":null,"type":"editorial","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5064264687","display_name":"Charles F. Reynolds","orcid":"https://orcid.org/0000-0002-2605-7887","observed_orcids":["https://orcid.org/0000-0002-2605-7887"]},"institutions":[{"id":"https://openalex.org/I170201317","display_name":"University of Pittsburgh","ror":"https://ror.org/01an3r305","country_code":"US","type":"education","lineage":["https://openalex.org/I170201317"]},{"id":"https://openalex.org/I4210098814","display_name":"UPMC Health System","ror":"https://ror.org/011htkb76","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098814"]},{"id":"https://openalex.org/I4210134769","display_name":"University of Pittsburgh Medical Center","ror":"https://ror.org/04ehecz88","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098814","https://openalex.org/I4210134769"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Charles F Reynolds","raw_affiliation_strings":["Dr. Reynolds is senior associate dean and UPMC Endowed Professor of Geriatric Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania","e-mail: ([email\u00a0protected])","fax: (412) 246-5300","should be addressed to Dr. Reynolds, 3811 O'Hara St. E1135, Pittsburgh, PA 15213","telephone: (412) 246-6414"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dr. Reynolds is senior associate dean and UPMC Endowed Professor of Geriatric Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania","institution_ids":["https://openalex.org/I170201317","https://openalex.org/I4210098814","https://openalex.org/I4210134769"]},{"raw_affiliation_string":"e-mail: ([email\u00a0protected])","institution_ids":[]},{"raw_affiliation_string":"fax: (412) 246-5300","institution_ids":[]},{"raw_affiliation_string":"should be addressed to Dr. Reynolds, 3811 O'Hara St. E1135, Pittsburgh, PA 15213","institution_ids":[]},{"raw_affiliation_string":"telephone: (412) 246-6414","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109905619","display_name":"Paula J. Clayton","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286436219","display_name":"American Foundation for Suicide Prevention","ror":"https://ror.org/01zcf4n33","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1286436219"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paula J Clayton","raw_affiliation_strings":["Dr. Clayton is medical director, American Foundation for Suicide Prevention, Arlington, Virginia","e-mail: ([email\u00a0protected])","fax: (412) 246-5300","should be addressed to Dr. Reynolds, 3811 O'Hara St. E1135, Pittsburgh, PA 15213","telephone: (412) 246-6414"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dr. Clayton is medical director, American Foundation for Suicide Prevention, Arlington, Virginia","institution_ids":["https://openalex.org/I1286436219"]},{"raw_affiliation_string":"e-mail: ([email\u00a0protected])","institution_ids":[]},{"raw_affiliation_string":"fax: (412) 246-5300","institution_ids":[]},{"raw_affiliation_string":"should be addressed to Dr. Reynolds, 3811 O'Hara St. E1135, Pittsburgh, PA 15213","institution_ids":[]},{"raw_affiliation_string":"telephone: (412) 246-6414","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5064264687"],"corresponding_institution_ids":["https://openalex.org/I170201317","https://openalex.org/I4210098814","https://openalex.org/I4210134769"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"84","issue":"2","first_page":"159","last_page":"160"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9359999895095825},{"id":"https://openalex.org/keywords/medical-students","display_name":"medical students","score":0.9900000095367432},{"id":"https://openalex.org/keywords/medical-residents","display_name":"medical residents","score":0.9190000295639038},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.6269999742507935},{"id":"https://openalex.org/keywords/confidentiality-concerns","display_name":"confidentiality concerns","score":0.7850000262260437},{"id":"https://openalex.org/keywords/depression-prevention","display_name":"depression prevention","score":0.578000009059906},{"id":"https://openalex.org/keywords/depression-treatment","display_name":"depression treatment","score":0.8309999704360962},{"id":"https://openalex.org/keywords/academic-medical-centers","display_name":"academic medical centers","score":0.6620000004768372},{"id":"https://openalex.org/keywords/medical-school-leadership","display_name":"medical school leadership","score":0.6159999966621399},{"id":"https://openalex.org/keywords/medical-culture","display_name":"medical culture","score":0.8309999704360962},{"id":"https://openalex.org/keywords/suicide-prevention","display_name":"suicide prevention","score":0.625},{"id":"https://openalex.org/keywords/physician-well-being","display_name":"physician well-being","score":0.5619999766349792}],"concepts":[{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.5418939590454102},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5270274877548218},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.48395922780036926},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4508485794067383},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4206351637840271},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3474668264389038},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3370579779148102},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3207787275314331},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.20132440328598022},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000092864","descriptor_name":"Suicide Prevention","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000600","qualifier_name":"supply & distribution","is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D012577","descriptor_name":"Schools, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013337","descriptor_name":"Students, Medical","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D013405","descriptor_name":"Suicide","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1097/acm.0b013e31819397c7","doi":"https://doi.org/10.1097/acm.0b013e31819397c7","is_oa":false,"landing_page_url":"https://doi.org/10.1097/acm.0b013e31819397c7","pdf_url":null,"source":{"id":"https://openalex.org/S19793444","display_name":"Academic Medicine","issn_l":"1040-2446","issn":["1040-2446","1938-808X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Medicine","raw_type":"journal-article"},{"id":"pmid:19174657","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19174657","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic medicine : journal of the Association of American Medical Colleges","raw_type":"Comment"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.207.3936","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.207.3936","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://www.ohsu.edu/pcmonline/docs/Out_of_the_Silence__Confronting.13%20(1).pdf","raw_type":"text"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W1811965436","https://openalex.org/W2010375225","https://openalex.org/W2092771645","https://openalex.org/W2147295937"],"related_works":["https://openalex.org/W7097202480","https://openalex.org/W2898033776","https://openalex.org/W2045639353","https://openalex.org/W7218003766","https://openalex.org/W2107596060","https://openalex.org/W4214487106","https://openalex.org/W4408925496","https://openalex.org/W4239672805","https://openalex.org/W7011434224","https://openalex.org/W3196282711"],"abstract_inverted_index":{"In":[0],"this":[1],"commentary,":[2],"the":[3,6,12,64,91,99,107,113,143,152,167,177,192,209,212],"authors":[4,92,122,190],"reinforce":[5],"call":[7],"to":[8,48,62,70,151,165,169,175,183],"action":[9],"made":[10],"in":[11,163],"accompanying":[13],"reports":[14],"by":[15,142],"Goebert":[16],"et":[17,21],"al":[18],"and":[19,27,32,40,59,74,118,126,133,156,171,174,197,217],"Dunn":[20],"al.":[22],"Depression":[23],"among":[24,106,187],"medical":[25,131,154],"students":[26],"residents":[28],"is":[29,161],"a":[30],"continuing":[31],"worrisome":[33],"phenomenon;":[34],"its":[35,188,199],"chronic":[36,193],"nature":[37,194],"has":[38],"long-term":[39,202],"compounding":[41],"effects":[42,81],"on":[43,82,204],"trainees.":[44,205],"Yet,":[45],"barriers":[46,114,168],"exist":[47],"appropriate":[49],"care":[50,109],"seeking,":[51],"such":[52],"as":[53,138,140],"inadequate":[54],"education":[55],"about":[56],"causes,":[57],"effects,":[58],"treatment;":[60],"unwillingness":[61],"take":[63],"needed":[65],"time;":[66],"limited":[67],"financial":[68],"resources":[69],"pay":[71],"for":[72,146,201],"care;":[73],"concerns":[75],"over":[76],"confidentiality,":[77],"stigma,":[78],"or":[79,85,103],"adverse":[80],"residency":[83],"application":[84],"licensability.":[86],"Each":[87],"of":[88,101,112,179,195,211,215],"these":[89,207],"barriers,":[90],"contend,":[93],"can":[94],"be":[95],"circumvented.":[96],"Moreover,":[97],"given":[98],"cost":[100],"unrecognized":[102],"untreated":[104],"depression":[105,173,186,196],"health":[108,135],"workforce,":[110],"removal":[111],"reflects":[115],"both":[116],"moral":[117],"practical":[119],"necessities.":[120],"The":[121],"discuss":[123,198],"successful":[124],"prevention":[125],"treatment":[127],"plans":[128],"at":[129],"some":[130],"schools":[132,214],"academic":[134],"centers":[136],"(AHCs),":[137],"well":[139],"initiatives":[141],"American":[144],"Foundation":[145],"Suicide":[147],"Prevention":[148],"geared":[149],"specifically":[150],"nation's":[153,213],"trainees":[155],"physicians.":[157],"Finally,":[158],"strong":[159],"leadership":[160,210],"encouraged":[162],"order":[164],"remove":[166],"recognizing":[170],"treating":[172],"change":[176],"culture":[178],"medicine":[180,216],"that":[181],"contributes":[182],"and/or":[184],"stigmatizes":[185],"members.The":[189],"outline":[191],"possibility":[200],"impacts":[203],"Given":[206],"conditions,":[208],"AHCs.":[218]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
