Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Road, Jinan, 250012, Shandong, China.
National Health Commission of China (NHC) Key Lab of Health Economics and Policy Research (Shandong University), Jinan, 250012, China.
Sci Rep. 2022 Nov 6;12(1):18835. doi: 10.1038/s41598-022-23207-8.
High prevalence and strong associations of chronic disease, poor sleep quality, poor mental health, and suicidal ideation (SI) have been reported worldwide. However, the underlying mechanism remains unexamined. The participants were 2646 Chinese medical college students with an average age of 20.13 years. Pittsburgh Sleep Quality Index, the Kessler Psychological Distress Scale, and SI was evaluated. The lifetime SI, past 12-month SI, and chronic disease prevalence rates were 10.0%, 8.4%, and 4.6%, respectively. The results of logistic regression analysis in this study found that chronic disease, self-reported poor sleep quality, poor mental health, gender and scholarship were associated with lifetime SI. Similar results were also found for 12-month SI with an exception of region. This result indicated that the effects of chronic diseases on the SI were mediated by self-reported sleep quality and mental health. Physical diseases, sleep-related concerns, and mental health issues need to be addressed through a multidisciplinary team approach and various delivery systems to prevent SI among medical college students.
高患病率和慢性病、睡眠质量差、心理健康状况差和自杀意念（SI）的强烈关联已在全球范围内报道。然而，其潜在机制仍未被检验。参与者为 2646 名平均年龄为 20.13 岁的中国医科大学生。评估了匹兹堡睡眠质量指数、凯斯勒心理困扰量表和 SI。终身 SI、过去 12 个月 SI 和慢性病患病率分别为 10.0%、8.4%和 4.6%。本研究的逻辑回归分析结果发现，慢性病、自我报告的睡眠质量差、心理健康状况差、性别和奖学金与终身 SI 相关。12 个月 SI 的结果也相似，除了地区。这一结果表明，慢性病对 SI 的影响是通过自我报告的睡眠质量和心理健康来介导的。需要通过多学科团队方法和各种交付系统来解决躯体疾病、与睡眠相关的问题和心理健康问题，以预防医学生的 SI。
