尼日利亚南部一所三级医疗机构医学生自杀意念的流行状况及其相关因素。

Prevalence and Correlates of Suicidal Ideation among Medical Students in a Tertiary Institution in Southern Nigeria.

机构信息

University of Medical Sciences, Ondo, Ondo State, Nigeria.

Suicide Research and Prevention Initiative (SURPIN), Nigeria & Lancashire and South Cumbria NHS Foundation Trust, United Kingdom.

出版信息

West Afr J Med. 2022 May 27;39(5):529-537.

PMID:35633643

Abstract

INTRODUCTION

Medical students have an increased risk of suicidal ideation compared to similar age groups within the general population. Suicidal ideation is a significant predictor of suicidal attempt, therefore, identifying and addressing factors associated with suicidal ideation among medical students may potentially reduce their overall rates of suicide.

AIM

To determine the prevalence and correlates of suicidal ideation among medical students in a Nigerian medical school.

METHODOLOGY

This was a cross-sectional study that determined the prevalence and correlates of suicidal ideation among clinical students. Beck's suicidal ideation questionnaire, Beck's depression inventory and World Health Organisation Alcohol Smoking and Substance Involvement Screening Test (ASSIST) were used to assess for suicidal ideation, depression and lifetime substance use respectively. P value of <0.05 was taken as significant.

METHODOLOGY

RESULTS

One hundred and twenty-one students participated in the study. Mean age of the participants was 21.78±3.54 years. The prevalence of suicidal ideation was 12.4%. Factors associated with suicidal ideation were intimate relationship problems (p=0.03); being managed for a chronic medical condition (p=0.02); higher depression scores (p<0.001); and having fewer maternal siblings (p=0.02). Forty-five (37.2%) students had a life time use of psychoactive substances which was mainly alcohol.

CONCLUSION

Suicidal ideation was relatively high among the medical students. Medical schools should create programmes that will cater for the emotional and psychological wellbeing of their students to reduce their suicidal risk.

摘要

引言

与普通人群中同年龄段的人相比，医学生有更高的自杀意念风险。自杀意念是自杀企图的重要预测因素，因此，识别和解决医学生自杀意念相关的因素可能会降低他们的总体自杀率。

目的

确定尼日利亚一所医学院医学生自杀意念的发生率和相关因素。

方法

这是一项横断面研究，旨在确定临床医学生自杀意念的发生率和相关因素。采用贝克自杀意念问卷、贝克抑郁量表和世界卫生组织酒精、吸烟和物质使用参与筛查测试（ASSIST）分别评估自杀意念、抑郁和终生物质使用情况。P 值<0.05 被认为具有统计学意义。

结果

共有 121 名学生参与了这项研究。参与者的平均年龄为 21.78±3.54 岁。自杀意念的发生率为 12.4%。与自杀意念相关的因素包括亲密关系问题（p=0.03）；正在接受慢性疾病管理（p=0.02）；抑郁评分较高（p<0.001）；以及母亲兄弟姐妹较少（p=0.02）。45（37.2%）名学生有过使用精神活性物质（主要是酒精）的经历。