Mona Sundus, Rehman Muhammad Bilal, Ahad Abdul, Farooq Amjad, Naz Ramlah, Rehman Samina, Alam Tanoli Aftab, Bashir Zahid
Department of Forensic Medicine and Toxicology, Shalamar Medical and Dental College, Lahore, PAK.
Department of Community Medicine, Shalamar Medical and Dental College, Lahore, PAK.
Cureus. 2024 Sep 24;16(9):e70068. doi: 10.7759/cureus.70068. eCollection 2024 Sep.
To determine the frequency of deliberate self-harm (DSH), risk factors leading to DSH, and the methods adopted by medical students and young doctors to execute DSH.
A cross-sectional study was conducted on medical college students and young doctors aged 18-26 years. After approval by the parent institute's ethical board, different medical students and doctors from Pakistani medical colleges of both male and female populations were recruited through non-probability sampling. Responses were collected from one to two medical colleges from each province.
A high number of 490 (60.9%) out of 805 participants reported a history of at least one form of self-harm. Forty-four participants (0.05%) reported having attempted suicide in the past. The mean scores for the self-harm inventory scale were 2.51±3.25, the self-esteem scale 26.51±4.43, and the social support scale 23.1±6.96. Smoking, recreational drug use, History of mental illness, and family history of mental illness were significantly associated with increased odds of self-harm in medical students. On adjusted binary logistic regression, female gender, harmonious relationship with parents, satisfaction with the result, social support, and higher self-esteem were protective against deliberate self-harm.
DSH is a critical issue among medical students and is becoming prevalent. Higher odds of DSH are associated with smoking and recreational drug use. Higher self-esteem and better social support are protective against DSH.
确定蓄意自我伤害（DSH）的发生率、导致DSH的风险因素以及医学生和年轻医生实施DSH所采用的方法。
对18至26岁的医学院学生和年轻医生进行了一项横断面研究。经母体机构伦理委员会批准后，通过非概率抽样从巴基斯坦医学院的不同医学生和医生中招募了男女群体。从每个省份的一到两所医学院收集了回复。
805名参与者中有490人（60.9%）报告有至少一种自我伤害史。44名参与者（0.05%）报告过去曾尝试自杀。自我伤害量表的平均得分是2.51±3.25，自尊量表是26.51±4.43，社会支持量表是23.1±6.96。吸烟、使用消遣性药物、精神疾病史和精神疾病家族史与医学生自我伤害几率增加显著相关。在调整后的二元逻辑回归中，女性性别、与父母的和谐关系、对结果的满意度、社会支持和较高的自尊对蓄意自我伤害有保护作用。
DSH是医学生中的一个关键问题且正变得普遍。DSH几率较高与吸烟和使用消遣性药物有关。较高的自尊和更好的社会支持对DSH有保护作用。
