Is self-medication a barrier to seeking help: exploring psychiatrists' and psychiatry residents' knowledge and attitudes about self-medication in Türkiye.

Abstract

Background: Self-medication, defined by the World Health Organization (WHO) as using medicines for self-diagnosed conditions, can lead to misdiagnosis, adverse effects, and ethical issues. Given that psychiatrists and psychiatry residents face unique mental health stigma and other barriers, this study investigates their knowledge and attitudes regarding self-medication.

Methods: A descriptive cross-sectional survey was conducted among 246 psychiatrists and psychiatry residents in Türkiye. Using convenience sampling, participants completed an anonymous online question form designed by researchers to assess sociodemographic factors, self-medication behaviors, and attitudes. Data were analyzed using descriptive statistics with SPSS 25.0.

Results: Findings indicated that 83% of participants engaged in self-medication in the past year, primarily with antidepressants. Although 80.9% of respondents reported knowledge of self-medication, many were unaware of legal and ethical guidelines. Major reasons for self-medication included viewing problems as minor, previous positive experiences with self-medication, and time constraints limiting help-seeking.

Conclusions: The study reveals that self-medication among psychiatrists and psychiatry residents is prevalent and potentially influenced by insufficient training on ethical implications. Many psychiatrists and psychiatry residents consider self-medication acceptable for minor issues, indicating a need for educational reforms and improved support systems. Addressing these gaps can promote a culture of professional help-seeking, ultimately enhancing psychiatrists' well-being and patient care quality.