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医学生对自杀未遂者的态度。

Medical students' attitude toward suicide attempters.

作者信息

Nebhinani Naresh, Chahal Savita, Jagtiani Amit, Nebhinani Mamta, Gupta Rajiv

机构信息

Department of Psychiatry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Department of Psychiatry, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.

出版信息

Ind Psychiatry J. 2016 Jan-Jun;25(1):17-22. doi: 10.4103/0972-6748.196050.

Abstract

BACKGROUND

Majority of health professionals have unfavorable attitudes toward the patients presenting with self-harm, which further compromises their therapeutic endeavors and outcomes.

OBJECTIVES

This study was aimed to assess the medical students' attitudes toward suicide attempters.

MATERIALS AND METHODS

A cross-sectional study was conducted in a tertiary care medical institute of Haryana, a Northern state of India. Two hundred and five final year medical students were recruited through total enumeration method. "Suicide Opinion Questionnaire" was administered to assess their attitudes toward suicide attempters.

RESULTS

Only minority had previous exposure of managing any suicidal patient and attended suicide prevention programs. Majority agreed for suicide attempters being lonely and depressed. Nearly half of the students reported small family, disturbed interpersonal relationship, weak personality, self-punishment approach, cultural inhibitions in emotional expression, national instability, and disbelief in afterlife, as a major push to attempt suicide. Compared to boys, girls reported the greater contribution of weak personality and self-destructive behaviors and lesser contribution of family disturbances and religious convictions as suicide triggers. They held favorable attitude for only one-third of the attitudinal statement, and they were uncertain for two-third of the attitudinal statements.

CONCLUSIONS

Such a high proportion of uncertain responses imply toward lack of awareness and clinical expertise for managing suicide attempters. It also signifies the urgent need for enhancing their educational and clinical exposure, to improve their attitudes toward patients presenting with self-harm.

摘要

背景

大多数卫生专业人员对有自我伤害行为的患者持负面态度,这进一步损害了他们的治疗努力和治疗效果。

目的

本研究旨在评估医学生对自杀未遂者的态度。

材料与方法

在印度北部哈里亚纳邦的一家三级医疗中心进行了一项横断面研究。通过全面普查的方法招募了205名医学专业最后一年的学生。使用“自杀观点问卷”来评估他们对自杀未遂者的态度。

结果

只有少数学生曾有过处理自杀患者的经历并参加过自杀预防项目。大多数学生认为自杀未遂者孤独且抑郁。近一半的学生报告称,小家庭、人际关系紊乱、性格软弱、自我惩罚方式、情感表达的文化禁忌、国家不稳定以及对来世的怀疑是导致自杀的主要因素。与男生相比,女生认为性格软弱和自我毁灭行为对自杀的促成作用更大,而家庭干扰和宗教信仰对自杀的促成作用较小。他们对仅三分之一的态度陈述持支持态度,而对三分之二的态度陈述不确定。

结论

如此高比例的不确定回答意味着缺乏处理自杀未遂者的意识和临床专业知识。这也表明迫切需要增加他们的教育和临床接触,以改善他们对有自我伤害行为患者的态度。

相似文献

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Medical students' attitude toward suicide attempters.医学生对自杀未遂者的态度。
Ind Psychiatry J. 2016 Jan-Jun;25(1):17-22. doi: 10.4103/0972-6748.196050.
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Nursing students' attitude toward suicide prevention.护理专业学生对自杀预防的态度。
Ind Psychiatry J. 2013 Jul;22(2):114-7. doi: 10.4103/0972-6748.132922.

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A systematic review of scales that measure attitudes toward suicide.对测量自杀态度的量表的系统回顾。
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