Who attempts suicide among medical students?

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Arquivos
art_MARCON_Who_attempts_suicide_among_medical_students_2020.PDF.pdf (235.89 KB)
Citações na Scopus
24
Tipo de produção
article
Data de publicação
2020
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY
Autores
MARCON, G.
MONTEIRO, G. Massaro Carneiro
BALLESTER, P.
CASSIDY, R. M.
ZIMERMAN, A.
DIEMEN, L. von
HAUCK, S.
PASSOS, I. C.
Citação
ACTA PSYCHIATRICA SCANDINAVICA, v.141, n.3, p.254-264, 2020
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective To identify factors associated with a history of suicide attempt in medical students. Methods A Web-based survey was sent out to a sample of medical students. A multi-predictor Poisson regression was performed to identify factors associated with a history of suicide attempt. In addition, an elastic net regularization was used to build a risk calculator to identify students at risk for attempted suicide. Results A total of 4,840 participants were included in the study. Prevalence of suicide attempts in the sample was 8.94%. Risk factors associated with past suicide attempt in the multi-predictor Poisson regression were as follows: female gender (P < 0.001); homosexuality (P < 0.001); low income (P = 0.026); bullying by university peers (P = 0.006); childhood (P = 0.001) or adult (P = 0.001) trauma; family history of suicide (P = 0.005); suicidal ideation within the last month (P < 0.001); daily tobacco use (P = 0.037); and being at severe risk for alcohol abuse (P = 0.023). Our elastic net model performed well with an AUC of 0.83. Conclusions This study identifies a number of key factors associated with a history of suicide attempts among medical students. Future longitudinal studies should assess the causal relationship between these factors and suicide attempts. Additionally, these results demonstrate that current available data on suicide attempts among medical students can be used to develop an accurate risk algorithm.
Palavras-chave
suicide, risk factors, self-report
URI
https://observatorio.fm.usp.br/handle/OPI/35378
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - LIM/27
Artigos e Materiais de Revistas Científicas - ODS/03