Akram Bushra, Ahmad Mirza Ashfaq, Akram Abrar
Psychology Department, University of Gujrat, Gujrat.
Department of Management Sciences, University of Gujrat, Gujrat.
J Pak Med Assoc. 2018 Nov;68(11):1608-1612.
To identify the coping mechanisms as positive and negative predictors of suicidal ideation among medical students.
This cross-sectional analytical study was conducted from January to October 2017, and comprised students aged 19-25 years selected from 3 public-sector medical colleges located in Gujrat and Lahore, both in the Punjab province of Pakistan. Multilevel mixed methods sampling was used. Two standardised scales were used to assess the suicidal ideation and coping mechanisms of the participants.
Of the 1200 subjects, 640(53%) were males and 560(47%) were females. Besides, 390(32%) subjects hailed from Gujrat and 810(68%) from Lahore. Self-distraction (p<0.05)), active coping (p<0.0001), use of emotional support (p<0.05), use of instrumental support (p<0.001) positive reframing (p<0.0001), planning (p<0.001), humour (p>0.05), acceptance (p<0.001) and religion (p<0.0001) were negative predictors of suicidal ideation whereas denial (p<0.0001), substance use (p<0.05), venting (p>0.05) and self-blame (p<0.0001) were positive predictors of suicidal ideation.
A psycho-educational programme must be introduced for medical students to enable them to adopt the right coping strategies in order to handle stressful situations.
确定应对机制作为医学生自杀意念的正向和负向预测因素。
这项横断面分析研究于2017年1月至10月进行，研究对象为年龄在19 - 25岁之间的学生，选自巴基斯坦旁遮普省古吉拉特和拉合尔的3所公立医学院。采用多水平混合方法抽样。使用两个标准化量表评估参与者的自杀意念和应对机制。
在1200名受试者中，640名（53%）为男性，560名（47%）为女性。此外，390名（32%）受试者来自古吉拉特，810名（68%）来自拉合尔。自我分心（p<0.05）、积极应对（p<0.0001）、使用情感支持（p<0.05）、使用工具性支持（p<0.001）、积极重新评价（p<0.0001）、计划（p<0.001）、幽默（p>0.05）、接受（p<0.001）和宗教（p<0.0001）是自杀意念的负向预测因素，而否认（p<0.0001）、物质使用（p<0.05）、发泄（p>0.05）和自责（p<0.0001）是自杀意念的正向预测因素。
必须为医学生引入心理教育计划，使他们能够采用正确的应对策略来处理压力情境。
