医学专业和商科专业学生中的抑郁、自杀倾向及酒精滥用问题。

Depression, suicidality and alcohol abuse among medical and business students.

作者信息

Curran T A, Gawley E, Casey P, Gill M, Crumlish N

机构信息

Department of Psychiatry, TCD, St. James' Hospital, Dublin 8.

出版信息

Ir Med J. 2009 Sep;102(8):249-52.

PMID:19873864

Abstract

We determined the prevalence and correlates of depression, alcohol abuse and suicidal ideation among medical and business students in Trinity College, Dublin and University College, Dublin. We rated depression and suicidal ideation in the past month with the Beck Depression Inventory (BDI) and alcohol abuse with the CAGE. Of 539 students registered, 338 (62.7%) responded. 47 (13.9%) students were depressed, scoring > or = 10 on the BDI. 83 (24.6%) students had an alcohol use disorder (CAGE > or = 2). Alcohol abuse was more common among business students than medical students (AOR = 2.9; 95% C.I. = 1.7-5.1); there were no other inter-faculty differences. 20 (5.9%) students reported suicidal ideation in the last month. Suicidal ideation correlated positively with stressful life events (AOR = 1.4; 95% C.I.= 1.1-1.7), and negatively with social support (AOR = 0.6; 95/ C.I. =0.5-0.7). These findings suggest that students are a vulnerable group, and underscore the need for mental health education and psychosocial support services in universities.

摘要

我们确定了都柏林三一学院和都柏林大学学院医学专业和商科专业学生中抑郁症、酒精滥用及自杀意念的患病率及其相关因素。我们用贝克抑郁量表（BDI）评估过去一个月内的抑郁情况和自杀意念，用CAGE问卷评估酒精滥用情况。在登记的539名学生中，338名（62.7%）进行了回应。47名（13.9%）学生患有抑郁症，BDI得分≥10分。83名（24.6%）学生存在酒精使用障碍（CAGE≥2）。商科专业学生中酒精滥用比医学专业学生更常见（优势比=2.9；95%置信区间=1.7-5.1）；其他专业之间没有差异。20名（5.9%）学生报告在过去一个月内有自杀意念。自杀意念与压力性生活事件呈正相关（优势比=1.4；95%置信区间=1.1-1.7），与社会支持呈负相关（优势比=0.6；95%置信区间=0.5-0.7）。这些研究结果表明，学生是一个弱势群体，并强调了在大学开展心理健康教育和社会心理支持服务的必要性。