University of California San Diego, Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, California
VA Loma Linda Healthcare System, Loma Linda, California.
Am J Pharm Educ. 2023 Mar;87(2):ajpe8881. doi: 10.5688/ajpe8881. Epub 2022 Apr 25.
The purpose of the study was to compare suicidal ideation among medical and pharmacy students and characterize related symptoms. The authors conducted a cross-sectional, retrospective study to compare suicidal ideation among medical and pharmacy students at a single public university during 2009 to 2020. Respondents' voluntary and anonymous responses to the Interactive Screening Program (ISP) Stress and Depression Questionnaire are reported. The authors analyzed responses from 619 medical and 214 pharmacy students collected over 11 academic years. There was no significant difference between medical and pharmacy students who endorsed suicidal ideation (13.5% vs 17.3%, respectively). The Patient Health Questionnaire-9 (PHQ-9) scores were significantly different between medical and pharmacy students, with more pharmacy students reporting moderate to severe depression (24.3% for medical vs 35.1% for pharmacy). Compared to medical students, more pharmacy students also endorsed anhedonia, a reduced capacity for pleasure (13.4% vs 24.3%, respectively), sleep problems (29.6% vs 42.6%, respectively), and fatigue (46% vs 64.4%, respectively). Pharmacy students also reported more intense affective states such as "feeling your life is too stressful" and "feeling intensely anxious or having anxiety attacks." Relationships and physical/mental health/substance abuse were common themes that emerged from the qualitative data. While there was no significant difference in suicidal ideation between pharmacy and medical students, the prevalence is alarming compared to the general population. More pharmacy students endorsed symptoms of depression and intense affective states that could impair functioning. Future studies may focus on mitigation strategies for suicidal ideation among health professions students.
这项研究的目的是比较医学生和药学学生的自杀意念，并描述相关症状。作者进行了一项横断面、回顾性研究，比较了 2009 年至 2020 年期间一所公立大学医学生和药学学生的自杀意念。报告了受访者对互动筛选计划（ISP）应激和抑郁问卷的自愿和匿名回答。作者分析了 11 个学年期间收集的 619 名医学生和 214 名药学学生的回答。有自杀意念的医学生和药学学生之间没有显著差异（分别为 13.5%和 17.3%）。医学生和药学学生的 PHQ-9 评分有显著差异，更多的药学学生报告有中度至重度抑郁（医学生为 24.3%，药学学生为 35.1%）。与医学生相比，更多的药学学生也报告了快感缺失，即愉悦感下降（分别为 13.4%和 24.3%）、睡眠问题（分别为 29.6%和 42.6%）和疲劳（分别为 46%和 64.4%）。药学学生还报告了更多的情感状态，如“感到生活压力太大”和“感到极度焦虑或出现焦虑发作”。关系、身心健康/药物滥用是从定性数据中出现的共同主题。虽然药学学生和医学生的自杀意念没有显著差异，但与一般人群相比，这一比例令人震惊。更多的药学学生有抑郁症状和强烈的情感状态，这可能会影响他们的功能。未来的研究可能会集中在减轻健康专业学生自杀意念的策略上。
