医学生自杀风险和自杀未遂的相关因素:一项横断面研究。

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Medwave Pub Date : 2024-06-25 DOI:10.5867/medwave.2024.05.2756
Simón Castro, Clara Pastene, Nicolás Vásquez, Pía Galleguillos, Marcelo Salas, Ruben Alvarado
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引用次数: 0

摘要

导言:近几十年来,年轻人自杀死亡的人数不断增加,被认为是世界范围内的一个重大公共卫生问题,是可以部分预防的事件。在大学生中,尤其是从事健康职业的大学生中,自杀意念的发生率很高。本研究旨在测量这一特殊群体的高自杀风险发生率,并找出相关因素,从而为制定有效的自杀预防策略提供经验证据:方法:在 COVID-19 大流行的第一年即将结束时,我们对医学生进行了一次在线调查,在此基础上开展了一项横断面研究,以了解自杀风险的发生频率及其相关因素。样本包括来自八个医疗保健专业的 477 名学生(70.8% 为女性,平均年龄为 21.7 ± 2.5 岁)。数据收集于 2021 年 1 月。结果显示:22.6% 的年轻人在奥卡沙量表中报告有较高的自杀风险,3.4% 的年轻人在过去一年中有过自杀企图。与高自杀风险相关的因素包括:非异性恋取向、不正常的学业轨迹、身体和/或心理暴力经历、较高水平的抑郁和焦虑症状以及较低水平的亲友社会支持:这部分学生的自杀风险和自杀未遂率都很高,有一组因素可以指导采取更有效的行动,如为高风险群体提供支持,进行筛查以识别高自杀风险和有心理健康问题的青少年并为其提供支持。
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Factors associated with suicide risk and attempts in healthcare students: A cross-sectional study.

Introduction: Suicide deaths in young people have been increasing in recent decades and are considered a major public health problem worldwide, being a partially preventable event. The prevalence of suicidal ideation is high among university students, especially in health careers. The objective of this study was to measure the prevalence of high suicidal risk in this specific group and to identify associated factors, aiming to provide empirical evidence for the construction of effective suicide prevention strategies.

Methods: A cross-sectional study was conducted based on an online survey directed to healthcare students near the end of the first year of the COVID-19 pandemic to learn about the frequency of suicidal risk and its associated factors. The sample consisted of 477 students (70.8% female, mean age 21.7 ± 2.5 years) from eight healthcare majors. The data were collected in January 2021.

Results: 22.6% of the young people reported a high suicide risk on the Okasha scale, and 3.4% made a suicide attempt in the previous year. Factors associated with high suicidal risk were having a non-heterosexual orientation, an irregular academic trajectory, experiences of physical and/or psychological violence, higher levels of depressive and anxious symptomatology, as well as lower levels of social support from friends and family.

Conclusions: Suicide risk and attempt levels are high in this group of students, and there is a group of factors that could guide more effective actions, such as support for higher-risk groups and screening to identify and provide support to young people at high suicidal risk and with mental health conditions.

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来源期刊
Medwave
Medwave MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
8.30%
发文量
50
审稿时长
12 weeks
期刊介绍: Medwave is a peer-reviewed, biomedical and public health journal. Since its foundation in 2001 (Volume 1) it has always been an online only, open access publication that does not charge subscription or reader fees. Since January 2011 (Volume 11, Number 1), all articles are peer-reviewed. Without losing sight of the importance of evidence-based approach and methodological soundness, the journal accepts for publication articles that focus on providing updates for clinical practice, review and analysis articles on topics such as ethics, public health and health policy; clinical, social and economic health determinants; clinical and health research findings from all of the major disciplines of medicine, medical science and public health. The journal does not publish basic science manuscripts or experiments conducted on animals. Until March 2013, Medwave was publishing 11-12 numbers a year. Each issue would be posted on the homepage on day 1 of each month, except for Chile’s summer holiday when the issue would cover two months. Starting from April 2013, Medwave adopted the continuous mode of publication, which means that the copyedited accepted articles are posted on the journal’s homepage as they are ready. They are then collated in the respective issue and included in the Past Issues section.
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