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钦奈一所医学院学生的自杀意念及其相关风险因素——一项横断面研究

Suicidal ideation and its associated risk factors among students of a medical college in Chennai-A cross-sectional study.

作者信息

Koushik M, Veeramani Prarthana, Vaishali L Pooja Mary, Charumathi B, Jain Timsi

机构信息

Department of Community Medicine, ACS Medical College and Hospital, Dr.M.G.R Educational and Research Institute, Chennai, Tamil Nadu, India.

Department of Community Medicine, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2025 Jan;14(1):62-69. doi: 10.4103/jfmpc.jfmpc_446_24. Epub 2025 Jan 13.

Abstract

INTRODUCTION

Suicidal ideation is the thought or plan to suicide. It is an important public health issue. A severe cause of mortality worldwide is suicide. Previous studies have analyzed suicidal ideation in patients who have already attempted self-harm. In this study, we aim to find out the prevalence of suicidal ideation and knowledge of danger signs of suicide in a nonclinical population, especially among students of a medical college.

METHODOLOGY

An institutional-based analytical cross-sectional study was conducted from February 2021 to October 2021 in a private medical college in Chennai. Data were collected from the medical students of the private medical college using Beck's suicidal ideation scale, (DASS-21), and a semistructured questionnaire. Students aged above 18 years and willing to participate in this study were included. The sample size was calculated as 304 by taking reference value from a previous study by Ahmed . in Egypt. The total number of students studying in the college was 700, out of which 310 responses were obtained. Convenient sampling was done. Google forms were circulated to the students and data were collected and analyzed using SPSS version 22.0. Descriptive statistics were calculated. An association between the study variables and suicidal ideation was found by using the Chi-square test. < 0.05 were found to be statistically significant.

RESULTS

The prevalence of suicidal ideation among the study population was found to be 9%. Factors like the presence of depression, anxiety, stress, dissatisfied lifestyle, history of smoking, drugs, and alcohol consumption were found to be contributing to suicidal ideation. About 37.7% of the study population felt that they knew about the danger signs of suicide.

CONCLUSION

Promotion of mental health and screening for mental health disorders need to be done regularly. Identified risk factors for suicidal ideation should be addressed and mitigated.

摘要

引言

自杀意念是指自杀的想法或计划。它是一个重要的公共卫生问题。自杀是全球范围内导致死亡的一个严重原因。以往的研究分析了已经尝试过自我伤害的患者的自杀意念。在本研究中,我们旨在了解非临床人群中自杀意念的患病率以及对自杀危险信号的知晓情况,特别是在一所医学院校的学生中。

方法

2021年2月至2021年10月,在钦奈的一所私立医学院进行了一项基于机构的分析性横断面研究。使用贝克自杀意念量表(DASS - 21)和一份半结构化问卷,从该私立医学院的医学生中收集数据。纳入年龄在18岁以上且愿意参与本研究的学生。通过参考艾哈迈德在埃及先前的一项研究中的参考值,计算出样本量为304。该学院的学生总数为700人,其中获得了310份回复。采用方便抽样。通过谷歌表单向学生发放问卷,并使用SPSS 22.0版本收集和分析数据。计算描述性统计量。使用卡方检验发现研究变量与自杀意念之间的关联。P < 0.05被认为具有统计学意义。

结果

研究人群中自杀意念的患病率为9%。发现诸如存在抑郁、焦虑、压力、不满意的生活方式、吸烟史、吸毒和饮酒等因素与自杀意念有关。约37.7%的研究人群认为他们了解自杀的危险信号。

结论

需要定期促进心理健康并进行心理健康障碍筛查。应针对已确定的自杀意念风险因素加以解决和缓解。

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