Miletic Vladimir, Lukovic Jasminka Adzic, Ratkovic Nevena, Aleksic Danijela, Grgurevic Anita
Association for Mental Health Promotion, Belgrade, Serbia,
Soc Psychiatry Psychiatr Epidemiol. 2015 Apr;50(4):633-8. doi: 10.1007/s00127-014-0950-9. Epub 2014 Sep 10.
The purpose of the study was to identify demographic risk factors associated with depression and suicidality among medical school students in Serbia, as well as to determine the prevalence of symptoms of depression and suicide attempts in the student population.
This was a cross-sectional study conducted on the sample of 1,296 students recruited from the School of Medicine, University of Belgrade. Following questionnaires were assigned to participating subjects: PHQ-9, Suicide Behaviors Questionnaire, and Social-demographic survey.
PHQ-9 scores in our sample ranged from 0 to 27, averaging at 6.21 (SD = 4.96). Symptoms of depression were associated with grade point average, age, relationship status, and gender. Reported history of suicide attempts was associated with PHQ-9 scores, grade point average, relationship status, gender, history of mental illness and drug use.
Our findings suggest that medical school students in Serbia may be considered an "at-risk" population. Preventative programs in the future should target symptoms of depression and should provide students with adequate mechanisms to cope successfully with school-related pressure. Alternative stress management strategies may also be useful, especially for younger students who seem to be at greater risk for depression and suicide.
本研究旨在确定塞尔维亚医科学生中与抑郁和自杀倾向相关的人口统计学风险因素，并确定学生群体中抑郁症状和自杀未遂的患病率。
这是一项横断面研究，对从贝尔格莱德大学医学院招募的1296名学生进行了抽样调查。向参与研究的受试者发放了以下问卷：PHQ-9、自杀行为问卷和社会人口学调查问卷。
我们样本中的PHQ-9得分在0至27分之间，平均分为6.21分（标准差=4.96）。抑郁症状与平均绩点、年龄、恋爱状况和性别有关。报告的自杀未遂史与PHQ-9得分、平均绩点、恋爱状况、性别、精神疾病史和药物使用有关。
我们的研究结果表明，塞尔维亚的医科学生可能被视为“高危”人群。未来的预防项目应针对抑郁症状，并应为学生提供足够的机制，以成功应对与学校相关的压力。替代性压力管理策略可能也有用，特别是对于那些似乎抑郁和自杀风险更高的年轻学生。
