Preditores de idealização suicida entre estudantes de medicina: uma revisão sistemática

Victor Meireles Campos, I. Aleluia
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Abstract

BACKGROUND: Suicidal ideation is one of the main symptoms indicative of suicide attempts and suicide. According to the WHO, about 800,000 cases of suicide were reported around the world in 2014, which translates to an index of 1 suicide every 40 seconds. Medical students constitute a population at risk for the development of suicidal ideation. Several life factors may influence the risk of suicidal ideation, those being personality traits, social factors and mental health. OBJECTIVE: Identify the indicators of suicidal ideation among medical students during their academic training. METHODS: This is a systematic review carried out in the electronic databases Pubmed and BVS. Articles that addressed the subject of suicidal ideation among medical students in Portuguese, English and Spanish from 2008 to 2018 were included. RESULTS: We found 263 articles, of which 12 articles met the inclusion and exclusion criteria. After the application of the STROBE statement, 6 articles were selected for the creation of this systematic review. The prevalence of suicidal ideation varied from 3.7% to 35.6% around the world and several factors were linked to the increase of suicidal ideation risk. CONCLUSION: A suicidal ideation is a frequent and multifactorial phenomenon that involves several realms of a medical student's life. The risk factors identified in this review were linked to the increased risk of suicidal ideation development.
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医学生自杀理想化的预测因素:系统综述
背景:自杀意念是自杀企图和自杀的主要症状之一。根据世界卫生组织的数据,2014年全世界报告了大约80万起自杀事件,这意味着每40秒就有1起自杀事件。医学生是产生自杀意念的高危人群。一些生活因素可能影响自杀意念的风险,这些因素是人格特征、社会因素和心理健康。目的:了解医学生学业训练中自杀意念的相关指标。方法:在Pubmed和BVS电子数据库中进行系统综述。收录了2008年至2018年期间用葡萄牙语、英语和西班牙语讨论医学生自杀意念主题的文章。结果:共纳入文献263篇,其中12篇符合纳入和排除标准。应用STROBE语句后,我们选择了6篇文章来创建这个系统综述。世界各地自杀意念的患病率从3.7%到35.6%不等,有几个因素与自杀意念风险的增加有关。结论:自杀意念是一种频繁且多因素的现象,涉及医学生生活的多个领域。本综述中确定的危险因素与自杀意念发展的风险增加有关。
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