医科大学生自杀态度及求助行为。
Attitude Towards Suicide and Help-Seeking Behavior Among Medical Undergraduates in a Malaysian University.
机构信息
Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.
Universiti Kebangsaan Malaysia, Bangi, Selangor, Malaysia.
出版信息
Acad Psychiatry. 2021 Dec;45(6):672-680. doi: 10.1007/s40596-021-01513-z. Epub 2021 Aug 3.
OBJECTIVE
The attitude of medical personnel towards suicide may influence the outcome of suicidal-patients management. This study aimed to determine the attitudes of medical undergraduates towards suicide and its association with their help-seeking behavior.
METHODS
A cross-sectional study involving 290 medical undergraduates was conducted in a Malaysian university. The questionnaires on the attitude towards suicide and general help-seeking behavior were used as research instruments.
RESULTS
The mean age of the participants was 22.4 years. Participants who did psychiatry posting indicated a greater tendency to agree on suicide as a way of communication (p = 0.008) than those who did not. Participants previously diagnosed with a psychiatric illness indicated a greater ability to understand and accept suicide (p < 0.001) as well as a greater tendency to agree on the normality of suicide (p = 0.019) than those without a previous diagnosis. Those who attended a suicide prevention program also indicated a greater tendency to agree that loneliness and avoidance could be triggers to suicide (p = 0.037) than those who did not. No correlation was found between the "attitude towards suicide" and "general help-seeking behavior" variable.
CONCLUSION
Education programs in suicide prevention and management need to be incorporated early into the undergraduate medical curriculum to cultivate a more positive attitude towards suicide and help-seeking behavior.
目的
医务人员对自杀的态度可能会影响自杀患者管理的结果。本研究旨在确定医学生对自杀的态度及其与他们寻求帮助行为的关系。
方法
在马来西亚一所大学进行了一项涉及 290 名医学生的横断面研究。使用自杀态度和一般寻求帮助行为问卷作为研究工具。
结果
参与者的平均年龄为 22.4 岁。与未进行精神病学实习的参与者相比，进行过精神病学实习的参与者更倾向于认为自杀是一种沟通方式（p = 0.008）。以前被诊断为精神疾病的参与者比没有以前诊断的参与者更能理解和接受自杀（p < 0.001），并且更倾向于认为自杀是正常的（p = 0.019）。参加过自杀预防计划的参与者也更倾向于认为孤独和回避可能是自杀的触发因素（p = 0.037），而没有参加过的参与者则没有。“自杀态度”和“一般寻求帮助行为”变量之间没有相关性。
结论
需要将预防和管理自杀的教育计划尽早纳入医学生的本科课程中，以培养对自杀和寻求帮助行为更积极的态度。
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