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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 4/2015

01.04.2015 | Original Paper

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

verfasst von: Vladimir Miletic, Jasminka Adzic Lukovic, Nevena Ratkovic, Danijela Aleksic, Anita Grgurevic

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 4/2015

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Abstract

Purpose

The purpose of the study was to identify demographic risk factors associated with depression and suicidality among medical school students in Serbia, as well as to determine the prevalence of symptoms of depression and suicide attempts in the student population.

Method

This was a cross-sectional study conducted on the sample of 1,296 students recruited from the School of Medicine, University of Belgrade. Following questionnaires were assigned to participating subjects: PHQ-9, Suicide Behaviors Questionnaire, and Social-demographic survey.

Results

PHQ-9 scores in our sample ranged from 0 to 27, averaging at 6.21 (SD = 4.96). Symptoms of depression were associated with grade point average, age, relationship status, and gender. Reported history of suicide attempts was associated with PHQ-9 scores, grade point average, relationship status, gender, history of mental illness and drug use.

Conclusion

Our findings suggest that medical school students in Serbia may be considered an “at-risk” population. Preventative programs in the future should target symptoms of depression and should provide students with adequate mechanisms to cope successfully with school-related pressure. Alternative stress management strategies may also be useful, especially for younger students who seem to be at greater risk for depression and suicide.
Literatur
1.
Zurück zum Zitat Sadock BJ, Sadock VA (2007) Kaplan and Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry, 10th edn. Lippincot, Philadelphia Sadock BJ, Sadock VA (2007) Kaplan and Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry, 10th edn. Lippincot, Philadelphia
2.
Zurück zum Zitat Wasserman D, Cheng Q, Jiang GX (2005) Global suicide rates among young people aged 15-19. World Psychiatry 4(2):112–114 Wasserman D, Cheng Q, Jiang GX (2005) Global suicide rates among young people aged 15-19. World Psychiatry 4(2):112–114
4.
Zurück zum Zitat University of Manchester Centre for Mental Health and Risk. “The national confidential inquiry into suicide and homicide by people with mental illness”. Retrieved 25 July 2012 University of Manchester Centre for Mental Health and Risk. “The national confidential inquiry into suicide and homicide by people with mental illness”. Retrieved 25 July 2012
5.
Zurück zum Zitat Chang B, Gitlin D, Patel R (2011) “The depressed patient and suicidal patient in the emergency department: evidence-based management and treatment strategies. Emerg Med Pract 13(9):1–23 (quiz 23–4. PMID 22164363)PubMed Chang B, Gitlin D, Patel R (2011) “The depressed patient and suicidal patient in the emergency department: evidence-based management and treatment strategies. Emerg Med Pract 13(9):1–23 (quiz 23–4. PMID 22164363)PubMed
6.
Zurück zum Zitat Bertolote JM, Fleischmann A, De Leo D, Wasserman D (2004) Psychiatric diagnoses and suicide: revisiting the evidence. Crisis 25(4):147–155 PMID 15580849PubMed Bertolote JM, Fleischmann A, De Leo D, Wasserman D (2004) Psychiatric diagnoses and suicide: revisiting the evidence. Crisis 25(4):147–155 PMID 15580849PubMed
7.
Zurück zum Zitat Neeleman J, Lewis G (1999) Suicide, religion, and socioeconomic conditions. An ecological study in 26 countries, 1990. J Epidemiol Commun Health 53(4):204–210CrossRef Neeleman J, Lewis G (1999) Suicide, religion, and socioeconomic conditions. An ecological study in 26 countries, 1990. J Epidemiol Commun Health 53(4):204–210CrossRef
8.
Zurück zum Zitat Stack S, Lester D (1991) The effect of religion on suicide ideation. Soc Psychiatry Psychiatr Epidemiol 26(4):168–170PubMed Stack S, Lester D (1991) The effect of religion on suicide ideation. Soc Psychiatry Psychiatr Epidemiol 26(4):168–170PubMed
9.
Zurück zum Zitat Dervic K, Oquendo MA, Grunebaum MF, Ellis S, Burke AK, Mann JJ (2004) Religious affiliation and suicide attempt. Am J Psychiatry 161(12):2303–2308CrossRefPubMed Dervic K, Oquendo MA, Grunebaum MF, Ellis S, Burke AK, Mann JJ (2004) Religious affiliation and suicide attempt. Am J Psychiatry 161(12):2303–2308CrossRefPubMed
10.
Zurück zum Zitat Rasic DT, Belik SL, Elias B, Katz LY, Enns M, Sareen J (2009) Spirituality, religion and suicidal behavior in a nationally representative sample. J Affect Disord 114(1–3):32–40CrossRefPubMed Rasic DT, Belik SL, Elias B, Katz LY, Enns M, Sareen J (2009) Spirituality, religion and suicidal behavior in a nationally representative sample. J Affect Disord 114(1–3):32–40CrossRefPubMed
12.
Zurück zum Zitat Lukic B, Perunicic I, Mandic-Maravic V, Lecic-Tosevski D (2009) Odnos agresivnosti i suicidalnosti kod pacijenata sa afektivnim poremecajima. Psihijatrija danas 41(1–2):17–27 Lukic B, Perunicic I, Mandic-Maravic V, Lecic-Tosevski D (2009) Odnos agresivnosti i suicidalnosti kod pacijenata sa afektivnim poremecajima. Psihijatrija danas 41(1–2):17–27
13.
Zurück zum Zitat Nordentoft M (2007) Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups. Dan Med Bull 54(4):306–369PubMed Nordentoft M (2007) Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups. Dan Med Bull 54(4):306–369PubMed
14.
Zurück zum Zitat Evans E, Hawton K, Rodham K (2004) Factors associated with suicidal phenomena in adolescents: a systematic review of population-based studies. Clin Psychol Rev 24(8):957–979CrossRefPubMed Evans E, Hawton K, Rodham K (2004) Factors associated with suicidal phenomena in adolescents: a systematic review of population-based studies. Clin Psychol Rev 24(8):957–979CrossRefPubMed
15.
17.
Zurück zum Zitat Slap G, Goodman E, Huang B (2001) Adoption as a risk factor for attempted suicide during adolescence. Pediatrics 108(2):E30CrossRefPubMed Slap G, Goodman E, Huang B (2001) Adoption as a risk factor for attempted suicide during adolescence. Pediatrics 108(2):E30CrossRefPubMed
18.
Zurück zum Zitat Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. J Am Med Assoc 282(18):1737–1744. doi:10.1001/jama.282.18.1737 (PMID 10568646)CrossRef Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. J Am Med Assoc 282(18):1737–1744. doi:10.​1001/​jama.​282.​18.​1737 (PMID 10568646)CrossRef
19.
Zurück zum Zitat MacInnes D (2003) Evaluating an assessment scale of irrational beliefs for people with mental health problems. Nurse Res 10(4):53–67CrossRefPubMed MacInnes D (2003) Evaluating an assessment scale of irrational beliefs for people with mental health problems. Nurse Res 10(4):53–67CrossRefPubMed
22.
Zurück zum Zitat Buchanan JL Prevention of depression in the college student population: a review of the literature Buchanan JL Prevention of depression in the college student population: a review of the literature
23.
Zurück zum Zitat Kragovic J, Ignjatovic-Ristic D, Djokovic D, et al (2011) Samoprocena depresivnosti i suicidalnosti kod studenata medicine. 33 (4): 47-54 Kragovic J, Ignjatovic-Ristic D, Djokovic D, et al (2011) Samoprocena depresivnosti i suicidalnosti kod studenata medicine. 33 (4): 47-54
24.
Zurück zum Zitat Hysenbegasi A, Hass SL, Rowland CR (2005) The impact of depression on the academic productivity of university students. J Mental Health Policy Econ 8(3):145–151 Hysenbegasi A, Hass SL, Rowland CR (2005) The impact of depression on the academic productivity of university students. J Mental Health Policy Econ 8(3):145–151
25.
Zurück zum Zitat Kessler RC, Borges G, Walters EE (1999) Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry 56(7):617–626CrossRefPubMed Kessler RC, Borges G, Walters EE (1999) Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry 56(7):617–626CrossRefPubMed
26.
Zurück zum Zitat Marotic V, Miletic V, Pejovic-Milovancevic M (2009) Stavovi adolescenata o problemima mentalnog zdravlja. Psihijatrija danas 41(1–2):55–64 Marotic V, Miletic V, Pejovic-Milovancevic M (2009) Stavovi adolescenata o problemima mentalnog zdravlja. Psihijatrija danas 41(1–2):55–64
Metadaten
Titel
Demographic risk factors for suicide and depression among Serbian medical school students
verfasst von
Vladimir Miletic
Jasminka Adzic Lukovic
Nevena Ratkovic
Danijela Aleksic
Anita Grgurevic
Publikationsdatum
01.04.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 4/2015
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0950-9

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