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灵性与宗教信仰对医学生自杀意念的影响。

The role of spirituality and religiosity on the suicidal ideation of medical students.

机构信息

Faculty of Medicine of Itajubá, Minas Gerais, Brazil.

School of Medicine, Federal University of Juiz de Fora, Brazil.

出版信息

Int J Soc Psychiatry. 2023 Aug;69(5):1185-1192. doi: 10.1177/00207640231153497. Epub 2023 Feb 16.

Abstract

BACKGROUND

There is solid evidence that spirituality and religiousness may reduce the suicidal ideation of individuals. However, studies are scarce on medical students.

AIMS

To investigate the relationship between spirituality, religiousness, and suicidal ideation among Brazilian medical students.

METHODS

This is a cross-sectional study including Brazilian medical students. Sociodemographic and health variables, suicidal ideation (item 9 of the Beck Depression Inventory - BDI), spiritual and religious Coping (Brief SRC), religiousness (Duke Religion Index), spiritual well-being - Meaning, Peace and Faith (FACIT SP-12), and depressive (PHQ-9) and anxiety (GAD-7) symptoms were assessed.

RESULTS

A total of 353 medical students were included, 62.0% presented significant depressive symptoms, 44.2% presented significant anxiety symptoms, and 14.2% presented suicidal ideation. In the adjusted Logistic Regression models, meaning ( = 0.90,  = .035) and faith ( = 0.91,  = .042) were associated with lower suicidal ideation, while negative spiritual and religious coping was associated with greater suicidal ideation ( = 1.08;  = .006).

CONCLUSION

There was a high prevalence of suicidal ideation among Brazilian medical students. Spirituality and religiousness were associated with suicidal ideation in two different directions. These findings could help educators and health professionals to understand suicidal ideation among medical students, helping in the development of preventive strategies to mitigate such problem.

摘要

背景

有确凿的证据表明,灵性和宗教信仰可能会减少个体的自杀意念。然而,针对医学生的研究却很少。

目的

调查巴西医学生的灵性、宗教信仰与自杀意念之间的关系。

方法

这是一项横断面研究,纳入了巴西医学生。评估了社会人口学和健康变量、自杀意念(贝克抑郁量表第 9 项 - BDI)、灵性和宗教应对(简短 SRC)、宗教信仰(杜克宗教指数)、精神健康 - 意义、平和与信仰(FACIT SP-12)以及抑郁(PHQ-9)和焦虑(GAD-7)症状。

结果

共纳入 353 名医学生,62.0%有明显的抑郁症状,44.2%有明显的焦虑症状,14.2%有自杀意念。在调整后的逻辑回归模型中,意义( = 0.90, = .035)和信仰( = 0.91, = .042)与较低的自杀意念相关,而消极的灵性和宗教应对与更高的自杀意念相关( = 1.08; = .006)。

结论

巴西医学生自杀意念的发生率较高。灵性和宗教信仰与自杀意念的关系呈两个不同的方向。这些发现可以帮助教育者和卫生专业人员了解医学生的自杀意念,有助于制定预防策略来减轻这一问题。

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