MD-MPH Student, Department of MPH, Shiraz University of Medical Sciences, Shiraz, Iran.
Associate Professor of Epidemiology, Department of MPH, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Int Rev Psychiatry. 2024 Jun-Aug;36(4-5):402-412. doi: 10.1080/09540261.2024.2324422. Epub 2024 Mar 4.
Suicide is a preventable act, but irreversible once committed; Hundreds of thousands of people commit suicide annually around the globe. One of the groups at high risk of suicide is medical students. Suicidal ideation (SI) is a forerunner to suicidal attempts which could be assessed. Since there are not enough data about this issue among Iranian medical students, we aimed to estimate the prevalence of SI and risk factors among Shiraz University of Medical Sciences (SUMS) undergraduate medical students. An institutional-based cross-sectional study was conducted from December 2022 to February 2023 in the medical school of SUMS. Students willing to participate were recruited by stratified random sampling technique. Data were collected using a self-administered questionnaire along with Beck Scale for Suicidal Ideation (BSSI) and Depression, Anxiety, and Stress Scale (DASS-21). Bivariate analysis and multivariate logistic regression model were carried out using BlueSky software. The study identified that 76 out of 308 attendees (24.7%, 95% CI: 19.9%-29.5%) reported experiencing suicidal ideation. Very severe depression [AOR= 26.705, 95% CI: (8.825 - 91.046)], Severe depression [AOR= 17.142, 95% CI: (5.567 - 58.121)], positive family history of psychiatric disorders [AOR= 4.181, 95% CI: (1.773 - 10.014)], comorbid mental illness [AOR= 2.502, 95% CI: (1.123 - 5.553)], were found to be statistically related to having SI. This study showed that one out of every four undergraduate medical students at SUMS has SI, which warns everyone to plan and act to prevent the loss of more lives. Depression, family history of psychiatric disorders, and comorbid mental diseases were found to be strongly associated with SI.
自杀是一种可预防的行为，但一旦实施则无法挽回；全球每年有数十万人自杀。医学生是自杀风险较高的群体之一。自杀意念（SI）是自杀企图的前兆，可以进行评估。由于伊朗医学生中对此问题的数据不足，我们旨在估计 Shiraz 医科大学（SUMS）本科医学生的 SI 发生率和危险因素。这是一项 2022 年 12 月至 2023 年 2 月在 SUMS 医学院进行的基于机构的横断面研究。通过分层随机抽样技术招募愿意参加的学生。使用贝克自杀意念量表（BSSI）和抑郁、焦虑和压力量表（DASS-21）的自我管理问卷收集数据。使用 BlueSky 软件进行了单变量分析和多变量逻辑回归模型。该研究确定，在 308 名与会者中，有 76 人（24.7%，95%CI：19.9%-29.5%）报告有自杀意念。严重抑郁[OR=26.705，95%CI：（8.825-91.046）]、重度抑郁[OR=17.142，95%CI：（5.567-58.121）]、有精神障碍家族史[OR=4.181，95%CI：（1.773-10.014）]、合并精神疾病[OR=2.502，95%CI：（1.123-5.553）]与有 SI 相关。这项研究表明，SUMS 的每四名本科医学生中就有一人有 SI，这警告每个人都要计划并采取行动，以防止更多生命的丧失。抑郁、精神障碍家族史和合并精神疾病与 SI 密切相关。
