Chan Wen I, Batterham Philip, Christensen Helen, Galletly Cherrie
Medical student, The Australian National University, Canberra, ACT, Australia.
Australas Psychiatry. 2014 Apr;22(2):132-9. doi: 10.1177/1039856214522528. Epub 2014 Feb 13.
The purpose of this study was to measure levels of suicide literacy and stigma amongst Australian medical students in comparison to a general university population, and to assess medical students' help-seeking intentions.
A cross-sectional survey was administered to 165 currently-enrolled Australian National University (ANU) postgraduate medical students and 54 final year undergraduate medical students at the University of Adelaide. These samples were compared to another sample of 676 general members of the ANU, undertaken six months earlier.
Final year postgraduate and undergraduate students had significantly higher levels of mental health literacy (measured using the Literacy of Suicide Scale) than other medical students or general university staff and students. Suicide stigma (measured using the Stigma of Suicide Scale) was comparable across the samples. Less exposure to suicide was associated with greater stigma and increased intentions of informal help seeking. Students who normalised suicide had significantly lower intentions of seeking help for thoughts of suicide.
The findings indicate that exposure to suicidal people through clinical experience may improve knowledge about suicide but may lead to more negative attitudes toward informal help-seeking. The suicide prevention curriculum should aim to raise mental health literacy levels, reduce stigmatising attitudes and limit the normalisation of suicide.
本研究旨在测量澳大利亚医学生与普通大学生群体相比的自杀素养和污名化水平,并评估医学生寻求帮助的意愿。
对165名目前就读于澳大利亚国立大学(ANU)的研究生医学生以及阿德莱德大学54名医学本科最后一年的学生进行了横断面调查。将这些样本与六个月前对676名ANU普通成员进行的另一个样本进行比较。
医学研究生和本科最后一年的学生在心理健康素养(使用自杀素养量表测量)方面显著高于其他医学生或普通大学教职员工和学生。自杀污名化(使用自杀污名化量表测量)在各样本中相当。较少接触自杀事件与更大的污名化以及增加非正式寻求帮助的意愿相关。将自杀视为正常现象的学生对于自杀想法寻求帮助的意愿显著更低。
研究结果表明,通过临床经验接触自杀者可能会提高对自杀的认识,但可能会导致对非正式寻求帮助产生更消极的态度。自杀预防课程应旨在提高心理健康素养水平,减少污名化态度,并限制将自杀视为正常现象的情况。