An annual physician wellness survey finds the percentage of physicians reporting key precursors to burnout rose this year to the highest level in three years.

The Physicians Foundation survey found 57% of physicians reported major feelings of anger and anxiety, after slowly receding from pandemic highs the last two years. The percentage of physicians reporting feelings of burnout declined, but remains above 50%. The survey found 46% of physicians reported withdrawing from friends and coworkers.

The foundation released the survey Wednesday in conjunction with National Physician Suicide Awareness Day. The “Vital Signs” campaign to reduce suicide risk encourages physicians and their employers to learn to recognize signs of mental health struggles; encourage mental health reflection; share suicide prevention resources; prepare mentally before a crisis arrives; actively reach out to colleagues who appear to be struggling; create a culture of well-being; and work to remove intrusive mental health questions from licensure questionnaires.

The release of the Survey of America’s Physicians data comes a month after the Foundation announced another finding from the survey: 61% of respondents say medical misinformation has influenced their patients at least a moderate amount over the past year, while 57% say the spread of misinformation has had a significant impact on their ability to deliver quality patient care. Physicians reported they are confident in their ability to combat misinformation during patient visits, but concerned about their patients’ ability to find evidence-based health information when they search on their own.