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住院医师的自杀素养和寻求心理帮助态度。

Suicide Literacy and Attitudes Toward Seeking Psychological Help among Medical Residents.

机构信息

Department of Psychiatry, Shahid Beheshti Hospital, Afzalipour Faculty of Medicine, Kerman University of Medical, Kerman, Iran.

出版信息

Arch Iran Med. 2024 Jul 1;27(7):385-391. doi: 10.34172/aim.28839.

Abstract

BACKGROUND

This study investigates suicide literacy, help-seeking attitudes, and related factors among medical residents.

METHODS

The study utilized a cross-sectional design and included all medical residents in Kerman University of Medical Sciences in 2023‒2024. We obtained demographic information, psychiatric history, and administered questionnaires about literacy of suicide (LOSS) and the Attitudes Toward Seeking Professional Psychological Help (ATSPPH-SF).

RESULTS

A total of 157 residents with a mean age of 28.97±2.55 years participated. The prevalence of any psychiatric history was 17.83% (95% CI: 12.1‒23.56). Notably, more educated males displayed higher suicidal literacy (95% CI: 0.231‒0.567, =0.032), while there was no significant difference in help-seeking attitudes between genders (=0.755). Surgical residents scored lower than non-surgical specialties like pediatrics (mean difference=2.63, 95% CI: 0.23-5.03, =0.023, effect size d=0.589). Older age positively correlated with help-seeking attitudes (r=0.158, =0.049). Additionally, marital status, residency level, history of psychiatric illnesses and their types, previous use of psychiatric medications, and history of self-harm or suicide had no significant impact on suicide literacy scores or attitude toward help-seeking. A moderate association (r=0.367) was found between the suicide literacy and help-seeking attitude questionnaire scores.

CONCLUSION

Despite relatively high suicide literacy, medical residents displayed average help-seeking attitudes, positioning them as a high-risk group. Urgent interventions are needed to enhance awareness of the importance of psychological support and to reduce stress and work pressure, indirectly mitigating the risk of suicide in this vulnerable population.

摘要

背景

本研究调查了医学住院医师的自杀素养、寻求帮助的态度以及相关因素。

方法

本研究采用横断面设计,纳入了 2023-2024 年在克尔曼医科大学的所有住院医师。我们获得了人口统计学信息、精神病史,并进行了关于自杀素养(LOSS)和寻求专业心理帮助态度(ATSPPH-SF)的问卷评估。

结果

共有 157 名年龄为 28.97±2.55 岁的住院医师参与了研究。任何精神病史的患病率为 17.83%(95%CI:12.1-23.56)。值得注意的是,受过更高教育的男性表现出更高的自杀素养(95%CI:0.231-0.567,=0.032),而性别之间在寻求帮助的态度上没有显著差异(=0.755)。外科住院医师的得分低于儿科等非外科专业(平均差异=2.63,95%CI:0.23-5.03,=0.023,效应量 d=0.589)。年龄越大与寻求帮助的态度呈正相关(r=0.158,=0.049)。此外,婚姻状况、住院医师水平、精神病史及其类型、以前使用精神科药物以及自残或自杀史对自杀素养评分或寻求帮助的态度均没有显著影响。自杀素养和寻求帮助态度问卷评分之间存在中度关联(r=0.367)。

结论

尽管医学住院医师的自杀素养相对较高,但他们的寻求帮助态度处于平均水平,这表明他们属于高风险群体。迫切需要采取干预措施,提高他们对心理支持重要性的认识,并减轻他们的压力和工作压力,从而间接降低这个脆弱群体自杀的风险。

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