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《埃塞俄比亚亚的斯亚贝巴医学生自杀未遂的流行状况及相关因素》。

The Prevalence and Associated Factors of Suicidal Attempt Among Medical Students in Addis Ababa Ethiopia.

机构信息

Department of Psychiatry, College of Health Sciences, Axum University, Aksum, Ethiopia.

School of Public Health, Curtin University, Perth, WA, Australia.

出版信息

Psychiatr Q. 2021 Mar;92(1):193-205. doi: 10.1007/s11126-020-09790-x.

Abstract

Although suicidal attempt is common among medical students, little is known about the prevalence estimates and the potential determining factors in low and middle-income countries including Ethiopia. To the best of our knowledge, this is the first study to estimate the prevalence and associated factors of suicidal attempts among medical students in Ethiopia. Institutional based cross-sectional study was conducted among 423 medical students selected by using a stratified random sampling technique. The World Health Organization Composite International Diagnostic Interview (CIDI) was used to assess suicidal attempts among the study participants. Binary and multivariable logistic regression analysis was performed to identify the potential determinants of suicidal attempt. Odds ratios (OR) with the corresponding 95% confidence interval (95%CI) were calculated to assess the strength of association. In this study, the prevalence of suicidal attempt among medical students was found to be 8.2% (95% CI 5.7, 11.4%). In the adjusted model, the variables associated with suicidal attempt were female sex, history of chronic medical illness, excessive course load, psychological distress, poor social support, and daily internet use for more than 3 h. In the present study, the prevalence of suicide attempts was relatively high (8.2%). Early screening is necessary to identify suicidal attempt and the potential determining factors to prevent death as well as adverse educational outcomes during the medical education program.

摘要

虽然自杀企图在医学生中很常见,但在包括埃塞俄比亚在内的中低收入国家,人们对其流行率估计和潜在决定因素知之甚少。据我们所知,这是第一项评估埃塞俄比亚医学生自杀企图发生率及其相关因素的研究。本研究采用基于机构的横断面研究,使用分层随机抽样技术选择了 423 名医学生。采用世界卫生组织综合国际诊断访谈(CIDI)评估研究参与者的自杀企图情况。采用二项和多变量逻辑回归分析来确定自杀企图的潜在决定因素。使用比值比(OR)及其 95%置信区间(95%CI)来评估关联强度。在这项研究中,医学生自杀企图的发生率为 8.2%(95%CI 5.7, 11.4%)。在调整后的模型中,与自杀企图相关的变量包括女性性别、慢性疾病史、过多的课程负担、心理困扰、社会支持差和每天上网超过 3 小时。在本研究中,自杀企图的发生率相对较高(8.2%)。有必要进行早期筛查,以识别自杀企图及其潜在决定因素,从而预防在医学教育计划中发生死亡和不良教育后果。

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