Non-suicidal Self-injury in Medical Students: Frequency and Associated Factors

Iván Barrios, O. Melgarejo, D. Amarilla, Karen Zárate, J. Castaldelli-Maia, Antonio Ventriglio, Deysi García, Tomás Caycho-Rodríguez, J. Torales
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Abstract

Introduction: the mental health of medical students has been extensively researched, showing that they are part of a group vulnerable to the development of mental disorders. Aim: the aim of this research was to determine the frequency of NSSI and its associated factors in medical students in Paraguay. Methodology: this was a descriptive and cross-sectional study. An online survey was launched to assess depression, anxiety, and self-harm, the PHQ-2, the GAD-7 and SHQ scales were used, respectively. Results: we received responses from 330 medical students. Of the participants, 71.2 % were female. 46.4% of the participants were identified as having depression (PHQ-2 ≥ 3) and 37.3 % as having anxiety (GAD-7 ≥10). The frequency of NSSI was 27 % (n = 89). The main factors associated with NSSI were a previous diagnosis of a mental disorder (which increased the likelihood of NSSI by 3.76 times) and/ or a history of physical or sexual abuse (with a 3.75-fold increase). Conclusion: this research found the presence of NSSI in almost 3 out of 10 of the medical students surveyed. The main factors associated with self-injurious behavior were a previous diagnosis of a mental disorder and/or a history of physical or sexual abuse.
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医学生的非自杀性自伤:频率及相关因素
导言:对医科学生的心理健康进行了广泛的研究,结果表明,医科学生是易患精神疾病的群体之一。目的:本研究的目的是确定巴拉圭医科学生的 NSSI 频率及其相关因素。方法:这是一项描述性横断面研究。我们发起了一项在线调查,分别使用 PHQ-2、GAD-7 和 SHQ 量表来评估抑郁、焦虑和自残情况。结果:我们收到了 330 名医学生的回复。其中,71.2% 为女性。46.4%的参与者被认定患有抑郁症(PHQ-2 ≥ 3),37.3%患有焦虑症(GAD-7 ≥ 10)。NSSI 发生率为 27%(n = 89)。与 NSSI 相关的主要因素是曾被诊断患有精神障碍(使 NSSI 的可能性增加 3.76 倍)和/或有身体虐待或性虐待史(增加 3.75 倍)。结论:这项研究发现,在接受调查的医学生中,几乎每 10 人中就有 3 人存在 NSSI。与自残行为相关的主要因素是曾被诊断患有精神障碍和/或有过身体虐待或性虐待史。
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