Wallin U, Runeson B
Department of Psychiatry, Haninge, Stockholm County Council, South-Eastern Health Region, Stockholm, Sweden
Eur Psychiatry. 2003 Nov;18(7):329-33. doi: 10.1016/j.eurpsy.2003.03.006.
Medical students' attitudes towards suicide and suicidal patients were studied. The aim was also to determine whether attitudes differ between students in the beginning and end of studies. A questionnaire including own attitudes on death and suicide and psychosocial circumstances was filled in by 63% of first and final year students (306 of 485). The calculation included a factor analysis on items describing the attitudes to suicidal patients. Attitudes towards patients became influenced by the knowledge of mental disorders and by biological aspects of behaviour during the education. Final year students more often consider suicide to be an expression of psychiatric disease and thought that people trying to commit suicide were not responsible for their own actions. Thirty-four percent and 44% (ns) in the first and last years, respectively, reported suicidal ideas some time in their lives. Students with such a history of suicide thoughts were less optimistic about the possibility to help. Ongoing depressive/anxious symptoms were prevalent in 36/305 (12%) of students, but did not seem to affect their attitudes to patients. Female students had sought psychological/psychiatric help more often than males (26% and 10%, P < 0.01).
研究了医学生对自杀及自杀患者的态度。目的还在于确定学生在学习开始和结束时的态度是否存在差异。一年级和最后一年的学生中有63%(485人中的306人)填写了一份问卷,内容包括个人对死亡和自杀的态度以及心理社会状况。计算过程包括对描述对自杀患者态度的项目进行因子分析。在教育过程中,对患者的态度受到精神障碍知识和行为生物学方面的影响。最后一年的学生更常认为自杀是精神疾病的一种表现,并且认为试图自杀的人对自己的行为不负责任。一年级和最后一年分别有34%和44%(无显著差异)的学生报告在生活中的某个时候有过自杀念头。有这种自杀念头历史的学生对提供帮助的可能性不太乐观。36/305(12%)的学生存在持续的抑郁/焦虑症状,但这似乎并未影响他们对患者的态度。女生比男生更常寻求心理/精神科帮助(分别为26%和10%,P<0.01)。