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比较查尔斯大学医学院学生和其他专业学生的抑郁症状发生率和自杀史。

Comparison of prevalence of depression symptoms and history of suicidality in students of medical schools and other study programmes of Charles University.

机构信息

Department of Public Health, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic.

Department of Epidemiology and Biostatistics, Third Faculty of Medicine, Charles University, Prague, Czech Republic.

出版信息

Cent Eur J Public Health. 2023 Sep;31(3):217-222. doi: 10.21101/cejph.a7680.

DOI:10.21101/cejph.a7680
PMID:37934486
Abstract

OBJECTIVES

Medical students represent a group of undergraduate students who are exposed to specific risk factors that may lead to the onset of depression and the occurrence of suicidal ideation. The aim of the article is to present information about the prevalence of symptoms of depression in medical students of different faculties at Charles University, Prague, compared to other students of this university.

METHODS

We used a standardized Beck's Inventory scale II (BDI-II) with added specific questions electronically distributed to undergraduate students of the full-time forms of study of all faculties of Charles University. The data collection was anonymous and took place in December 2020. The data were statistically assessed in relation to the occurrence of moderate and severe depression using univariate and multivariable analysis.

RESULTS

Moderate and severe depression rate (MSDR) was recorded in 19.6% of medical school students, who returned the questionnaire, compared to 23.4% of students of other faculties (p = 0.001) of Charles University in Prague. Differences in MSDR among students of different faculties of medicine of Charles University were not statistically significant. The total number of previous suicide attempts among respondents was 542, of which 115 were medical students, with the lifetime prevalence of suicide attempts among all students participating in the study 6.96% and in medical students of Charles University 5.73%.

CONCLUSIONS

The findings of our study highlight the need for systematic, accessible and timely assistance to university students, both in terms of prevention and early intervention, which can take place at the university level and within the mental healthcare system.

摘要

目的

医学生是一群接触到特定风险因素的本科生,这些因素可能导致抑郁发作和自杀意念的发生。本文旨在介绍布拉格查理大学不同医学专业医学生与该校其他学生相比,抑郁症状的患病率信息。

方法

我们使用了标准化贝克抑郁量表 II(BDI-II),并加入了特定问题,通过电子方式分发给查理大学全日制学习的所有专业的本科生。数据收集是匿名的,于 2020 年 12 月进行。使用单变量和多变量分析,对出现中度和重度抑郁的情况进行了数据统计评估。

结果

在返回问卷的医学生中,中度和重度抑郁发生率(MSDR)为 19.6%,而布拉格查理大学其他专业的学生为 23.4%(p=0.001)。查理大学不同医学专业的医学生中,MSDR 差异无统计学意义。受访者中共有 542 人曾有过自杀企图,其中 115 人为医学生,所有参与研究的学生终身自杀企图率为 6.96%,而查理大学的医学生为 5.73%。

结论

我们的研究结果强调了需要为大学生提供系统、可及和及时的帮助,包括预防和早期干预,这些帮助可以在大学层面和精神卫生保健系统内进行。

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