What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India
Background: Medical students face great stress and put their mental health at risk to become an individual contributing to society, and impulsively attempt suicide. Little is known in the Indian context, so additional knowledge on the magnitude and covariates is required. Aims: This study aims to ev...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-04-01
|
| Series: | Indian Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_400_22 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832593599435374592 |
|---|---|
| author | Sunny Garg Aakanksha Kharb Kirti Bansal |
| author_facet | Sunny Garg Aakanksha Kharb Kirti Bansal |
| author_sort | Sunny Garg |
| collection | DOAJ |
| description | Background:
Medical students face great stress and put their mental health at risk to become an individual contributing to society, and impulsively attempt suicide. Little is known in the Indian context, so additional knowledge on the magnitude and covariates is required.
Aims:
This study aims to evaluate the magnitude and covariates of suicidal ideation, plan, and attempts among medical students.
Methods:
This was a cross-sectional study conducted in two medical colleges located in rural Northern India and enrolled 940 medical students for a period of two months from February to March 2022. A convenience sampling method was executed to collect the data. The research protocol incorporates a self-administered questionnaire regarding sociodemographic and personal domains, as well as standardized tools to assess psychopathological domains such as depression, anxiety, stress, and stressors. The Suicidal Behavior Questionnaire-Revised (SBQ-R) scale was used to measure the outcomes. Stepwise backward logistic regression (LR) analysis was used to determine the covariates associated with suicidal ideation, plan, and attempts.
Results:
A sample of 787 participants (87.1% response rate) were finally enrolled in the survey, with a mean age of 21.08 (±2.78) years. Around 293 (37.2%) of respondents had suicidal ideation, 86 (10.9%) claimed planning suicide, and 26 (3.3%) mentioned attempting suicide in their lifetime as well as 7.4% of participants assessed the risk of suicidal behavior in the future. The identified covariates poor sleep, family history of psychiatric illness, never seeking psychiatric aid, regret for choosing the field of medicine, bullying, depressive symptoms, high stress, emotion-focused coping, and avoidant coping, were significantly associated with a higher likelihood of lifetime suicidal ideation, plan, and attempt.
Conclusion:
A high frequency of suicidal thoughts and attempts, indicates the need of addressing these concerns promptly. The incorporation of mindfulness techniques, resilience, faculty mentorship programs, and proactive student counseling may help foster the mental health of the students. |
| format | Article |
| id | doaj-art-24a22aecff18433da9d33243adfdfcf5 |
| institution | Kabale University |
| issn | 0019-5545 1998-3794 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Psychiatry |
| spelling | doaj-art-24a22aecff18433da9d33243adfdfcf52025-01-20T11:15:19ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-04-0165443144210.4103/indianjpsychiatry.indianjpsychiatry_400_22What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North IndiaSunny GargAakanksha KharbKirti BansalBackground: Medical students face great stress and put their mental health at risk to become an individual contributing to society, and impulsively attempt suicide. Little is known in the Indian context, so additional knowledge on the magnitude and covariates is required. Aims: This study aims to evaluate the magnitude and covariates of suicidal ideation, plan, and attempts among medical students. Methods: This was a cross-sectional study conducted in two medical colleges located in rural Northern India and enrolled 940 medical students for a period of two months from February to March 2022. A convenience sampling method was executed to collect the data. The research protocol incorporates a self-administered questionnaire regarding sociodemographic and personal domains, as well as standardized tools to assess psychopathological domains such as depression, anxiety, stress, and stressors. The Suicidal Behavior Questionnaire-Revised (SBQ-R) scale was used to measure the outcomes. Stepwise backward logistic regression (LR) analysis was used to determine the covariates associated with suicidal ideation, plan, and attempts. Results: A sample of 787 participants (87.1% response rate) were finally enrolled in the survey, with a mean age of 21.08 (±2.78) years. Around 293 (37.2%) of respondents had suicidal ideation, 86 (10.9%) claimed planning suicide, and 26 (3.3%) mentioned attempting suicide in their lifetime as well as 7.4% of participants assessed the risk of suicidal behavior in the future. The identified covariates poor sleep, family history of psychiatric illness, never seeking psychiatric aid, regret for choosing the field of medicine, bullying, depressive symptoms, high stress, emotion-focused coping, and avoidant coping, were significantly associated with a higher likelihood of lifetime suicidal ideation, plan, and attempt. Conclusion: A high frequency of suicidal thoughts and attempts, indicates the need of addressing these concerns promptly. The incorporation of mindfulness techniques, resilience, faculty mentorship programs, and proactive student counseling may help foster the mental health of the students.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_400_22covariateslifetime suicidal attemptlifetime suicidal ideationlifetime suicidal planmedical students |
| spellingShingle | Sunny Garg Aakanksha Kharb Kirti Bansal What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India Indian Journal of Psychiatry covariates lifetime suicidal attempt lifetime suicidal ideation lifetime suicidal plan medical students |
| title | What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India |
| title_full | What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India |
| title_fullStr | What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India |
| title_full_unstemmed | What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India |
| title_short | What covariates drive medical students to the brink of suicidal ideation, plan, and attempt? A double-centric cross-sectional study in a resource-constrained rural setting in North India |
| title_sort | what covariates drive medical students to the brink of suicidal ideation plan and attempt a double centric cross sectional study in a resource constrained rural setting in north india |
| topic | covariates lifetime suicidal attempt lifetime suicidal ideation lifetime suicidal plan medical students |
| url | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_400_22 |
| work_keys_str_mv | AT sunnygarg whatcovariatesdrivemedicalstudentstothebrinkofsuicidalideationplanandattemptadoublecentriccrosssectionalstudyinaresourceconstrainedruralsettinginnorthindia AT aakankshakharb whatcovariatesdrivemedicalstudentstothebrinkofsuicidalideationplanandattemptadoublecentriccrosssectionalstudyinaresourceconstrainedruralsettinginnorthindia AT kirtibansal whatcovariatesdrivemedicalstudentstothebrinkofsuicidalideationplanandattemptadoublecentriccrosssectionalstudyinaresourceconstrainedruralsettinginnorthindia |