Torres Albina R, Campos Luana M, Lima Maria Cristina P, Ramos-Cerqueira Ana Teresa A
J Nerv Ment Dis. 2018 Mar;206(3):160-168. doi: 10.1097/NMD.0000000000000734.
Suicide is one of the leading causes of death among medical students, second to car accidents. We investigated the prevalence and predictors of suicidal ideation (SI) among medical students in Brazil. This is a cross-sectional study with 475 medical students of a public university. The research protocol included data on sociodemographics and academic life, and structured instruments to assess social support and psychopathological symptoms, including the Beck Depression Inventory (BDI). The outcome was evaluated using the BDI suicide item. Bivariate analyses were followed by logistic regression. SI was present in 34 participants (7.2%). In the logistic regression, SI remained associated with living alone, thoughts of abandoning the course, moderate or severe depressive symptoms, and probable obsessive-compulsive disorder. SI is frequent among medical students and can be identified with a simple screening question. Special attention should be given to students living alone, with thoughts of abandoning the course, and relevant depressive or obsessive-compulsive symptoms.
自杀是医学生中主要的死因之一，仅次于车祸。我们调查了巴西医学生自杀意念（SI）的患病率及预测因素。这是一项针对一所公立大学475名医学生的横断面研究。研究方案包括社会人口统计学和学术生活数据，以及评估社会支持和心理病理症状的结构化工具，包括贝克抑郁量表（BDI）。使用BDI自杀项目评估结果。双变量分析之后进行逻辑回归。34名参与者（7.2%）存在自杀意念。在逻辑回归中，自杀意念仍与独居、有放弃课程的想法、中度或重度抑郁症状以及可能的强迫症相关。自杀意念在医学生中很常见，通过一个简单的筛查问题即可识别。应特别关注独居、有放弃课程想法以及有相关抑郁或强迫症状的学生。
