Demographic risk factors for suicide and depression among Serbian medical school students

Miletić, Vesna; Lukovic, Jasminka Adzic; Ratkovic, Nevena; Aleksic, Danijela; Grgurević, Anita

doi:10.1007/s00127-014-0950-9

Cited by 58 publications

(63 citation statements)

References 14 publications

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“…Our data confirm previous studies (Lester, 2013; Nyer et al, 2013) in which no effects were found for lifetime death wish or suicidal ideation on (self-reported) AYP. They are also in line with recent findings (Miletic et al, 2015) in showing a significant association between suicide attempt and academic performance, and, in addition, a significant association between STB plans and reduction in GPA. This suggests that only severe STB, suicide plans and attempts, may have a negative impact on academic performance.…”

Section: Discussionsupporting

confidence: 93%

“…For example, no association was found between suicidal ideation and grade point average (GPA) in two smaller samples (Lester, 2013; Nyer et al, 2013). A larger study of 1296 medical students (Miletic et al, 2015) found that those with lifetime suicidal ideation and/or suicide attempt(s) had a lower GPA as compared to those who never experienced STB (7.90 vs. 8.24; p =0.001). Unfortunately, no separate analyses were conducted for those with more severe STB (e.g., plans or attempts), and those with suicidal ideation only, although a Spearman's coefficient of −1.25 ( p <0.001) was found between GPA and severity of suicidal behaviors.…”

Section: Introductionmentioning

confidence: 99%

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The impact of lifetime suicidality on academic performance in college freshmen

Mortier¹,

Demyttenaere²,

Auerbach³

et al. 2015

Journal of Affective Disorders

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Background While suicidal thoughts and behaviors (STB) among college students are common, the associations between STB and academic performance are not well understood. Methods As part of the World Mental Health Surveys International College Student project, web-based self-reported STB of KU Leuven (Leuven, Belgium) incoming freshmen (N=4921; response rate=65.4%) was collected, as well as academic year percentage (AYP), and the departments to which students belong. Single- and multilevel multivariate analyses were conducted, adjusted for gender, age, parental educational level, and comorbid lifetime emotional problems. Results Lifetime suicide plan and attempt upon college entrance were associated with significant decreases in AYP (3.6% and 7.9%, respectively). A significant interaction was found with average departmental AYP, with STB more strongly associated with reduced AYP in departments with lower than higher average AYP. Limitations Limited sample size precluded further investigation of interactions between department-level and student-level variables. No information was available on freshman secondary school academic performance. Conclusions Lifetime STB has a strong negative association with academic performance in college. Our study suggests a potential role for the college environment as target for treatment and prevention interventions.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

The impact of lifetime suicidality on academic performance in college freshmen

Mortier¹,

Demyttenaere²,

Auerbach³

et al. 2015

Journal of Affective Disorders

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“…Medical schools are known to be environments associated with stressors and factors that negatively impact academic performance as well as both physical and emotional health of students. 9,22,23 With regard to the changes in mental health found for the different semesters, students from the first semester commenced activities with a high level of anxiety, exceeding that of students from the tenth and eleventh semesters, most likely stemming from the experience of the unknown, from the expectations of embarking on this new path, and from moving away from home (as it happens to most students in our university). Miller et al, 24 investigating first-year students, postulated that stress in this group stemmed from the nature and overload of the work inherent to the medical course, as well as from the academic structure of the course and its teaching methods.…”

Section: Discussionmentioning

confidence: 99%

Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters

Moutinho

Maddalena

Roland

et al. 2017

Rev. Assoc. Med. Bras.

235

151

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Depression, stress anD anxiety in meDical stuDents: a cross-sectional comparison between stuDents from Different semesters rev assoc Med Bras 2017; 63 (1) Objective: To compare the prevalence of anxiety, depression, and stress in medical students from all semesters of a Brazilian medical school and assess their respective associated factors. Method: A cross-sectional study of students from the twelve semesters of a Brazilian medical school was carried out. Students filled out a questionnaire including sociodemographics, religiosity (DUREL -Duke Religion Index), and mental health (DASS-21 -Depression, Anxiety, and Stress Scale). The students were compared for mental health variables (Chi-squared/ANOVA). Linear regression models were employed to assess factors associated with DASS-21 scores.Results: 761 (75.4%) students answered the questionnaire; 34.6% reported depressive symptomatology, 37.2% showed anxiety symptoms, and 47.1% stress symptoms. Significant differences were found for: anxiety -ANOVA: [F = 2.536, p=0.004] between first and tenth (p=0.048) and first and eleventh (p=0.025) semesters; depression -ANOVA: [F = 2.410, p=0.006] between first and second semesters (p=0.045); and stress -ANOVA: [F = 2.968, p=0.001] between seventh and twelfth (p=0.044), tenth and twelfth (p=0.011), and eleventh and twelfth (p=0.001) semesters. The following factors were associated with (a) stress: female gender, anxiety, and depression; (b) depression: female gender, intrinsic religiosity, anxiety, and stress; and (c) anxiety: course semester, depression, and stress. Conclusion: Our findings revealed high levels of depression, anxiety, and stress symptoms in medical students, with marked differences among course semesters. Gender and religiosity appeared to influence the mental health of the medical students.

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“…Der Cronbachs Alpha von Originalversion und deutscher Übersetzung liegt zwischen 0,86 und 0,89 [20][21][22]. Offizielle Übersetzungen des PHQ liegen auch für die im Rahmen dieser Studie genutzten zusätzlichen Sprachen vor [23][24][25][26][27][28]. Fehlende Werte auf dem PHQ wurden gemäß Empfehlung durch den Wert "0" (nicht relevant) ersetzt [20].…”

Section: Instrumenteunclassified

Die Inanspruchnahme psychotherapeutischer Leistungen durch Diabetes Patienten mit Migrationshintergrund

Wiborg

Joksimović

2019

Psychother Psych Med

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ZusammenfassungPatienten mit Migrationshintergrund sind laut vorhandener Erhebungen häufiger von Diabetes mellitus und komorbiden psychischen Beschwerden betroffen als Patienten ohne Migrationshintergrund. Weniger bekannt ist, ob diese Patienten psychotherapeutische Leistungen erhalten und welche Faktoren eine Inanspruchnahme dieser Leistungen möglicherweise beeinflussen. Ziel der vorliegenden Studie ist es, die Inanspruchnahme psychotherapeutischer Leistungen bei psychisch belasteten Diabetes Patienten mit Migrationshintergrund anhand sprachsensibler Materialien näher zu untersuchen und so eine erste Antwort auf diese Fragen zu geben. Dafür wurde in 2 Hausarztpraxen aus dem Raum Düsseldorf, die am Disease Management Program (DMP) für Diabetes mellitus (Typ 2) teilnehmen, über einen Zeitraum von 12 Monaten mithilfe des Patient Health Questionnaire (PHQ) die depressive Symptomatik von Patienten einmalig zusammen mit weiteren soziodemografischen Daten erhoben. Von den insgesamt 90 eingeschlossenen Patienten hatten 42% eine klinisch relevante depressive Symptomatik. Ein Drittel (34%) dieser depressiven Patienten befand sich in psychotherapeutischer Behandlung. Eine der wesentlichen Hürden für die Inanspruchnahme von Psychotherapie waren, unabhängig von der Schwere der depressiven Symptomatik, vorhandene sprachliche Barrieren auf Seiten der Patienten, welche mit einem fast zehnmal höheren Risiko keine psychotherapeutischen Leistungen zu erhalten, einhergingen. Die Aufenthaltsdauer in Deutschland und kulturelle Übereinstimmung mit den behandelnden Hausärzten spielte, wie auch das Alter und Geschlecht der Patienten, keine signifikante Rolle. Das Vorliegen von Todes- und Suizidphantasien erhöhte hingegen die Wahrscheinlichkeit, dass Patienten psychotherapeutisch eingebunden waren. Die Implikationen dieser Ergebnisse werden, gemeinsam mit Empfehlungen für zukünftige Studien, diskutiert.

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Demographic risk factors for suicide and depression among Serbian medical school students

Cited by 58 publications

References 14 publications

The impact of lifetime suicidality on academic performance in college freshmen

The impact of lifetime suicidality on academic performance in college freshmen

Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters

Die Inanspruchnahme psychotherapeutischer Leistungen durch Diabetes Patienten mit Migrationshintergrund

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