Harshe Devavrat, Harshe Sneha, Behere Prakash, Halder Ankit, Ravindran Navna P, Avula Nikhil, Nair Aditya, Harshe Gurudas
Department of Psychiatry, D. Y. Patil Medical College, Kolhapur, Maharashtra, India.
Emeritus Prof. of Psychiatry, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India.
Indian J Psychiatry. 2022 Nov-Dec;64(6):588-594. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_262_22. Epub 2022 Nov 30.
Myths and stigma about suicide and mental health among doctors are widely prevalent in India. Didactic methods of teaching alone may not be adequate to bridge the knowledge gap.
Fifty-seven MBBS students participated voluntarily by accepting an invitation. They were examined pre-intervention with the Suicide Opinion Questionnaire (SOQ) for their attitudes and beliefs about suicide. Students then underwent a custom-made extracurricular Suicide Sensitization and Prevention workshop. It consisted of a 120-min session that included a didactic session on the bio-psycho-social model of suicide and two role-plays demonstrating Suicide Prevention Early Intervention Communication (SPEIC). Students were examined again after seven days with SOQ, and with the SPEIC checklist.
Fifty students completed the study protocol. There was a 9.5% increase in SOQ scores post-intervention indicating a change toward positive attitudes/beliefs about suicide. The emotional perturbation subscale showed the highest degree of improvement, whereas the acceptability subscale showed the least improvement. Students were able to recall 40% and 60% from the Do-Checklist and the Do Not Checklist from the SPEIC after seven days from the workshop. There was no difference in SOQ performances pre- and post-intervention in students who knew someone with psychiatric illness, or with a history of an attempt or death by suicide.
Using role-plays and interactive teaching methods can be effective in teaching psychiatry and mental health issues to medical students. The results indicate not only better understanding of subject matter but also recall after a week from the intervention.
在印度,医生中关于自杀和心理健康的误解与污名化现象广泛存在。仅靠说教式教学方法可能不足以弥补知识差距。
57名医学学士学生自愿接受邀请参与研究。他们在干预前通过自杀观点问卷(SOQ)接受关于自杀态度和信念的检查。学生随后参加了一个定制的课外自杀认知与预防工作坊。该工作坊包括一场120分钟的课程,其中有关于自杀生物心理社会模型的讲授环节,以及两场展示自杀预防早期干预沟通(SPEIC)的角色扮演。七天后,再次用SOQ和SPEIC检查表对学生进行检查。
50名学生完成了研究方案。干预后SOQ得分提高了9.5%,表明对自杀的态度/信念向积极方向转变。情绪扰动子量表显示出最高程度的改善,而可接受性子量表改善最少。工作坊七天后,学生能够从SPEIC的“做”检查表和“不做”检查表中分别回忆起40%和60%的内容。在认识有精神疾病患者、有自杀未遂史或自杀死亡史的学生中,干预前后SOQ表现没有差异。
使用角色扮演和互动式教学方法对医学生进行精神病学和心理健康问题教学可能是有效的。结果表明不仅对主题有了更好的理解,而且在干预一周后仍能回忆起来。