scholarly journals Suicidal Ideation among Medical Students: An Integrative Review

10.3823/2604 ◽  
2019 ◽  
Vol 12 ◽  
Author(s):  
Wendney Hudson de Alencar Fontes ◽  
Yohanna Karen do Santos Silva ◽  
Francisco Matheus Prado Luna ◽  
Raissa Maria Rolim Bem de Morais ◽  
João Paulo Gomes Feitosa ◽  
...  
Keyword(s):  
Medical Students ◽  
Suicidal Ideation ◽  
Personality Traits ◽  
Female Gender ◽  
Integrative Review ◽  
Measurement Instruments ◽  
Eligibility Criteria ◽  
Financial Status ◽  
Medical Graduates ◽  
Prevalence Of Depression

Background: Suicide is more common among people who follow a medical career. This occurs because undergraduation course subjects students to psychologically strained situations, which can reduce their mental health and predispose them to suicidal ideation. Objectives: To analyze the factors related to suicidal ideation among medical graduates, highlighting depression and personality traits. To check stigmas surrounding suicidal ideation. Methodology: An integrative review study was carried out using the Scopus database (Elsevier). We selected studies published between 2014 and 2019, using two descriptors: "medical students" and "suicidal ideation". Results and Findings: 139 scientific articles were selected, of which 10 met the eligibility criteria. Specific personality traits and depression predispose to suicide. Although the stigma of suicide and substance use is greater among men, female gender, poor financial status, and psychiatric disorders increase depression scores. Students close to graduation are more likely to cope with stress than others. Limitations: The articles included in this work were produced using different methodologies and different measurement instruments. The prevalence of depression and suicidal ideation among students may be greater, given that stigma may favor the occurrence of response bias. Conclusion: Rates of suicidal ideation are very prevalent in medical students. To solve this problem, medical schools should take steps to prevent adverse situations.  

scholarly journals Suicidal ideation among medical students, burnout or depression? Maybe both.

2021 ◽  
Vol 11 (1) ◽  
pp. 69-77
Author(s):  
THAÍS CAMPELO BEDÊ VALE ◽  
LÍVIA RODRIGUES DE ARAÚJO ◽  
VITÓRIA NUNES MEDEIROS ◽  
JOSÉ HÍCARO HELLANO GONÇALVES LIMA PAIVA ◽  
TATIANA PASCHOALETTE RODRIGUES BACHUR ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Medical Students ◽  
Suicidal Ideation ◽  
Emotional Support ◽  
Female Gender ◽  
Sleep Time ◽  
Mental Condition ◽  
Cross Sectional

Depression is a common mental condition worldwide and a major cause of debility, with the potential to impair the quality of life of affected people. Medical students are more likely to develop psychiatric disorders, with depression, anxiety, and burnout being the most common ones. The aim of this study was to investigate the prevalence of depressive symptoms in medical students and their association with burnout and aspects of life. This is an analytical cross-sectional study. Data collection was performed using four validated scales and a questionnaire in 511 medical students from the first to the fourth year from different universities. Depression was present in 49% of the students. A correlation was found between depression and female gender. Regarding the students' daily sleep time, 54.5% of the students slept only 3 to 6 hours per night. The use of psychoactive substances was reported by 29.9%. Regarding the emotional support offered by universities, about 92.8% of students with depressive symptoms reported not receiving adequate emotional support. As for quality of life, all domains were impaired among students with depression. According to the two-dimensional criterion, 37% of the students have burnout, with correlation between the presence of the syndrome and depressive symptoms. In addition, burnout proved to be an independent risk factor for suicidal ideation and self-mutilation. New methods that can help detect and address factors that trigger stress and depressive symptoms in medical students are needed to reduce the incidence of depression.

scholarly journals Depression and suicidal ideations in relation to occupational stress in a sample of Egyptian medical residents

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A N Elbatrawy ◽  
D A Mahmoud ◽  
M Y Mohamed ◽  
M M Mohamed
Keyword(s):  
Medical Students ◽  
Suicidal Ideation ◽  
Occupational Stress ◽  
Support Groups ◽  
Medical Training ◽  
Medical Residents ◽  
Management Skills ◽  
University Hospitals ◽  
Cross Sectional ◽  
Prevalence Of Depression

Abstract Background Studies have suggested that medical students experience high rates of depression and suicidal ideation. However, estimates of the prevalence of depression or depressive symptoms among students vary across studies from 1.4% to 73.5% and those of suicidal ideation vary from 4.9% to 35.6%. Reliable estimates of depression and suicidal ideation prevalence during medical training are important to prevent, treat, and identify causes of emotional distress among medical students, especially in light of recent work revealing a high prevalence of depression in resident physicians Aim of the work to assess the occurrence of depression and its severity in a sample of Egyptian medical residents of Ain Shams university hospitals, as well as demonstrate the occurrence of suicidal ideations in residents and highlight relation between it and occupational stress. Patients and Methods This is a Cross sectional analytical study conducted in Ain Shams University hospitals. This present study aimed at analyzing the data of 256 medical residents graduation year 2013-2016, and at different periods of residency, 36 of which were excluded due to previous diagnosis with psychiatric illness before residency, over six months period from June 2018 to January 2019, and were screened for depression, suicidal ideations, socioeconomic stress and stressful aspects of residency. Results A total of 256 questionnaires were done by medical residents of Ain Shams University, 36 were excluded mostly due to previous psychiatric diagnosis before residency. Only 60 (27.27%) of the remaining 220 residents had normal ups and downs according to Beck depression inventory (BDI) with the rest of the 160 residents having depression of different severity ranging from mild (54, 24.55%), borderline (38, 17.27%), Moderate (51, 2.18%), severe (10, 4.55%), extreme(7, 3.18%). 50(22.7%) out of the 220 residents were considered to have high suicide risk according to beck suicidal ideation scale. Conclusion Professional and personal stress is a significant and frequently overlooked component of a resident’s life. In addition, residents are at higher risk to develop depression as studies have suggested that medical students experience high rates of depression and suicidal ideation. Intervention studies are needed, e.g. support groups, more intense coaching by senior physicians, training programs on ‘breaking bad news’ and teaching of stress management skills to study how to prevent or reverse burnout.

scholarly journals Prevalence and factors associated to depression and suicidal behavior among medical students

2021 ◽  
Vol 70 (4) ◽  
pp. 311-320
Author(s):  
Bárbara Santos Pereira Neres ◽  
Maria Luiza Andrade Aquino ◽  
Vinicius Sousa Pietra Pedroso
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Medical Students ◽  
Suicidal Behavior ◽  
Illicit Drugs ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Reduced Physical Activity

ABSTRACT Objective: Depression and suicidal behavior have been described as major problems among medical students. The aim of this study was to assess the prevalence of depression and suicidal behavior among medical students of an institution and to investigate possible associated variables. Methods: The authors carried out a cross-sectional study through a self-administered questionnaire, including the Beck Depression Inventory (BDI) and the Beck’s Suicide Intent Scale (BSIS) instruments. The diagnosis of depression was based on an instrument adapted according to the DSM-IV and ICD-10 criteria. Logistic regression was performed to search for depression predictor variables. Results: In a total of 381 students, the prevalence of depression was 27.6%. Suicidal ideation of moderate to severe intensity was observed in 10.5% of the sample. About 6% of students had previously attempted suicide. Consumption of licit and illicit drugs was frequent among the participants, reaching 78% and 24% of the sample, respectively. The demand for specialized treatment was lower than expected among students with depression. Logistic regression revealed that female gender, reduced interpersonal contact with friends, reduced physical activity, difficulty in facing new situations and high perception of personal pressure were risk factors for depression. Conclusion: The prevalence of depression and suicidal behavior among medical students is higher than in the general population. There is a need for further studies to enable a better understanding of the risk factors and variables at play, which is fundamental for the development of early intervention strategies and support for students.

scholarly journals Depression among medical students in Alexandria, Egypt

2020 ◽  
Vol 20 (3) ◽  
pp. 1416-1425
Author(s):  
Wafaa Ihab Hafez Elsawy ◽  
Aida Aly Reda Sherif ◽  
Medhat Salah El Din Attia ◽  
Nessrin Ahmed El- Nimr
Keyword(s):  
Medical Students ◽  
Stressful Life Event ◽  
Severe Depression ◽  
Sampling Technique ◽  
Female Gender ◽  
Cross Sectional Study ◽  
High Rate ◽  
Social Characteristics ◽  
Cross Sectional ◽  
Prevalence Of Depression

Background: Depression is a common illness worldwide with high rate among medical students. The objectives were to estimate the prevalence of depression among medical students in Alexandria, and identify its correlates. Methods: A cross-sectional study design was used. The study was conducted at the Faculty of Medicine, Alexandria Uni- versity. Using a systematic random sampling technique, 390 students attending 4th, 5th, and 6th academic years were included. Data was collected using the Arabic version of the BDI-II and a predesigned structured self-administered questionnaire, including questions about the students’ personal and social characteristics and academic environment. Results: Moderate and severe depression accounted for 27.9% and 17.2%, respectively. Logistic regression analysis results showed that the independent predictors for moderate and severe depression were female gender, the presence of mental illness, not having someone to talk to when under stress, experiencing stressful life event(s) during the previous 6 months, not being satisfied with the socioeconomic level, reporting that the surrounding environment is not suitable for studying, not specifying a grade to achieve, and extreme dissatisfaction with the student’s result. Conclusion: Prevalence of moderate and severe depression was high among medical students, calling for actions to help those students and to prevent new cases. Keywords: BDI-II; depression; determinants; medical students; prevalence.

scholarly journals Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students

JAMA ◽  
2016 ◽  
Vol 316 (21) ◽  
pp. 2214 ◽  
Author(s):  
Lisa S. Rotenstein ◽  
Marco A. Ramos ◽  
Matthew Torre ◽  
J. Bradley Segal ◽  
Michael J. Peluso ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Medical Students ◽  
Suicidal Ideation ◽  
Prevalence Of Depression

scholarly journals Prevalence of Depression and Associated Factors among Medical Students in a Southern Nigerian University

2021 ◽  
Vol 13 (12) ◽  
pp. 12
Author(s):  
Uzoechi Eze Chikezie ◽  
Tamaraemumoemi Emmanuella Okoro
Keyword(s):  
Medical Students ◽  
Alcohol Use ◽  
Associated Factors ◽  
Living Arrangement ◽  
Psychiatric Morbidity ◽  
Female Gender ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Different Levels

INTRODUCTION: Medical students may be vulnerable to depression and other psychiatric morbidity. This study sought to assess the prevalence of depression and associated factors among medical students in Niger Delta University, Bayelsa State, Nigeria. METHODS: Using a self-administered, author-developed questionnaire with adaptations from the Patient-rated version of Mini-International Neuropsychiatric Interview (MINI-PR) and the Depression Anxiety Stress Scale (DASS), data including socio-demographic characteristics, alcohol use/abuse, cigarette smoking, features of depression and anxiety were collected from 243 medical students in this descriptive cross-sectional study over a period of 4months. RESULTS: Of the 243 participants, 52.7% were male, mostly aged 18 to 24 years (67.1%). The incidence of depression, suicidal ideation, alcohol use, and psychoactive substance use as defined by the MINI questionnaire was 30.5%, 14.8%, 14.8%, and 9.9%, respectively. As defined by DASS 21, almost a third suffered different levels of anxiety (29.6%), and less than one-fifth reported different levels of stress (17.7%). Female gender and year of study showed a significant association with the diagnosis of depression (X2=15.75;p–0.008). Living arrangement (X2=11.43;p–0.022), perception of accommodation condition (X2=16.35;p–0.001), academic performance (X2=18.02;p–0.001), and experience of academic failure (X2=5.13;p–0.023) all had a significant relationship with depression among the study population. CONCLUSION: Prevalence of depression among medical students is high; its diagnosis showed a significant association with female gender, year of study, and perception of social and academic factors. Several comorbid psychiatric conditions may coexist with depression among medical students; therefore, the approach to their mental health should be holistic with attention paid to associated factors and psychiatric comorbidities.

Suicidal Ideation Among Medical Students in Dammam, Saudi Arabia

Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medical Students ◽  
Suicidal Ideation ◽  
General Health Questionnaire ◽  
Cross Sectional Study ◽  
Eastern Province ◽  
Cross Sectional ◽  
The Past ◽  
Depression Subscale ◽  
History Of

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.

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