Ryan Geoffrey, Marley Ian, Still Melanie, Lyons Zaza, Hood Sean
Junior doctor, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, WA, Australia.
Assistant Professor, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, WA, Australia.
Australas Psychiatry. 2017 Aug;25(4):407-410. doi: 10.1177/1039856217715990. Epub 2017 Jul 4.
Medical students have higher rates of mental illness compared to the general population. Little is known about services accessed by medical students for mental-health problems. This study aimed to assess the use of mental-health services by Australian medical students and to identify barriers that may prevent students from using mental-health services.
A cross-sectional online survey was designed and administered to medical students at the University of Western Australia. Questions focused on self-reported psychological well-being, use of mental-health services, the perceived usefulness of services and barriers to the use of services.
The response rate was 41% ( n=286). Sixty-two per cent self-reported experiencing mental-health problems, and of these, 75% had used at least one service. General practitioners and psychiatrists were rated as the most effective service type. The main barriers to seeking help were not enough time, affordability and concerns regarding stigma, including disclosure and peer judgement.
A high proportion of students with self-reported mental-health problems had accessed services. However, barriers were also identified. Access to mental-health services needs to be improved, and strategies aimed at reducing stigma and raising awareness of mental-health issues should be encouraged by medical faculties.
与普通人群相比，医学生患精神疾病的比例更高。对于医学生为解决心理健康问题而寻求的服务了解甚少。本研究旨在评估澳大利亚医学生对心理健康服务的使用情况，并确定可能阻碍学生使用心理健康服务的障碍。
设计并对西澳大利亚大学的医学生进行了一项横断面在线调查。问题集中在自我报告的心理健康状况、心理健康服务的使用情况、对服务的感知有用性以及使用服务的障碍。
回复率为41%（n = 286）。62%的学生自我报告有心理健康问题，其中75%至少使用过一种服务。全科医生和精神科医生被评为最有效的服务类型。寻求帮助的主要障碍是没有足够的时间、费用负担以及对污名化的担忧，包括披露信息和同伴评判。
很大一部分自我报告有心理健康问题的学生已经使用了服务。然而，也发现了一些障碍。需要改善心理健康服务的可及性，医学院校应鼓励采取旨在减少污名化和提高对心理健康问题认识的策略。
