Second victim syndrome in surgeons: systematic review and meta-analysis of the impact of adverse events on surgeons - Summary - MDSpire

Second victim syndrome in surgeons: systematic review and meta-analysis of the impact of adverse events on surgeons

  • By

  • James Bryan

  • Adele Ketley

  • Kate Cavanagh

  • Carly Bisset

  • Susan Moug

  • Lynda Wyld

  • Jenna Morgan

  • January 7, 2026

  • 0 min

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Objective:

To characterize the symptoms of second victim syndrome (SVS) experienced by surgeons, understand factors affecting their impact, and highlight the significance of these findings for surgical practice and training.

Key Findings:
  • Anxiety (56.3% (95% c.i. 45.8% to 66.3%)), guilt (53.8% (95% c.i. 41.3% to 65.8%)), sadness (48.3% (95% c.i. 34.6% to 62.3%)), and sleep disturbance (50.5% (95% c.i. 38.4% to 62.5%)) were the most commonly reported symptoms of SVS.
  • Talking to colleagues (72.5% (95% c.i. 65.6% to 78.4%)) and family/friends (52.0% (95% c.i. 40.6% to 63.2%)) were the most common coping strategies.
  • Sex, level of experience, and severity of the event were identified as potential predictors of the impact of SVS, with implications for targeted interventions.
Interpretation:

SVS significantly impacts surgeons' well-being, leading to burnout and attrition, necessitating multifaceted interventions including peer support, resilience training, and changes in surgical education and institutional policies to normalize emotional responses.

Limitations:
  • Potential biases in study selection and reporting, including publication bias.
  • Variability in definitions and measurements of SVS across studies.
Conclusion:

Effective interventions for SVS among surgeons require a comprehensive approach to support emotional responses, address barriers to seeking help, and integrate these findings into surgical education.

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