FEATURES OF RISK BEHAVIOR AND SUICIDAL IDEATION IN MEDICAL STUDENTS
Relevance: Deficient education system and insufficient psychological support for medical students is high possible to lead to a decrease in the adaptive capabilities of doctors in the future. This item becomes the development of dependent behavior and suicide as the extreme form of auto-aggressive behavior or emotional disorders.
Objective: Due to appropriate psychological support among medical students in NJSC «Semey Medical University», this study was shown features of risk behavior and suicidal ideation.
Materials and Methods: 386 medical students in Semey Medical University were surveyed: 242 (62.7%) females and 144 (37.3%) males. The main psychometric methods of the study were the following: questionnaires to determine the predisposition to behavioral and chemical addictions; test questionnaires to identify 6 types of behavioral addictions: internet, gambling, shopping, eating, love, and sex; a questionnaire to identify suicidal ideations. Statistical analysis was performed using Fisher's exact test.
Results: In medical students in the present study, 25.91% of the students were identified with positive results for a predisposition to the development of behavioral addictions. Among them, 58.0% of the students was suicidal ideation, and a statistically significant predominance of the ideation was found among females. Internet accident was major problems each males and females. Females were also associated with the abnormal risk of eating behaviors.
Conclusions: Based on the results of this study, early diagnosis of the personal characteristics associated with dependent and suicidal trends among medical students, especially females, is important, and support from their families and universities is necessary. In addition, this study was concluded that we have to understand these features of risk behavior and suicidal ideation.
Nursultan Zh. Seksenbayev1*, Ken Inoue2*, Timur M. Moldagaliyev1,
Zhannat Zh. Sarsembina1, Gulzhan K. Altybayeva1,
Aliya A. Almagambetova1, Askhat U. Yermekbayev1, Akerke A. Kaliyeva1, Yoshihiro Noso3, Sadayuki Hashioka4, Gulnar M. Shalgumbayeva5,
Nailya Zh. Chaizhunussova6, Nargul N. Ospanova1
1 Semey Medical University, Department of Psychiatry, Semey, Republic of Kazakhstan;
2 Kochi University, Research and Education Faculty, Medical Sciences Cluster, Health Service Center, Kochi, Japan.
3 Hiroshima International University, Department of Health Services Management, Hiroshima, Japan.
4 Shimane University, Department of Psychiatry, Faculty of Medicine, Shimane, Japan.
5 Semey Medical University, Department of Family Medicine, Semey, Republic of Kazakhstan.
6 Semey Medical University, Department of Public Health, Semey, Republic of Kazakhstan.
1. Баркова Н.П. Коррекция Образа я у женщин с пищевой аддикцией. Журнал Известия Иркутского Государственного Университета. 2014; 8:2-9.
2. Егоров А.Ю. К вопросу о новых теоретических аспектах аддиктологии. Наркология и аддиктология: Сб. науч. тр. Казань, 2004; 80-88.
3. Егоров А.Ю. Нехимические (поведенческие) аддикции. Аддиктология. 2005; 1: 65-77.
4. Куликова Я.А., Пенькова Т.А. Анализ исходного уровня компьютерной зависимости обучающихся. Вестник Северо-Кавказского федерального университета. 2019; 5(74): 163-168.
5. Макаренко И.В. Психологические особенности любовной аддикции у мужчин и женщин. Наука и знание: векторы развития конкурентоспособности общества, науки и бизнеса: материалы XVII международной научно-практической конференции. Центр научного знания Логос. 2016; 181-8.
6. Руженкова В.В., Руженков В.А., Гомеляк Ю.Н., Боева В.А. Учебный стресс: риск расстройств психического здоровья и формирования суицидального поведения у студентов-медиков первого курса. Журнал Научные Ведомости. Серия: Медицина. Фармация. 2017; 19(268): 148-157.
7. Синицкая Т.В. Структура аддиктивного поведения у студентов. Сборник тезисов Всероссийской конференции с международным участием Мир аддикций: химические и нехимические зависимости, ассоциированные психические расстройства; 120-121.
8. Хриптович В.А. Проблема раннего выявления предрасположенности обучающихся к формированию химической зависимости. Республиканский институт высшей школы, Минск. 2016; 16(2): 258-264.
9. Andreassen C.S., Griffiths M.D., Pallesen S., Bilder R. The Bergen Shopping Addiction Scale: reliability and validity of a brief screening test. Front. Psychol. 2015; 6: 1-5, doi:10.3389/fpsyg.2015.01374.
10. Bastiaens L., Francis G., Lewis K. The RAFFT as a Screening Tool for Adolescent Substance Use Disorders. American Journal on Addictions. 2000; 9(1): 10-6, doi: 10.1080/10550490050172182.
11. Billingsley M. More than 80% of medical students with mental health issues feel under-supported, says Student BMJ survey. 2015; 351: h4521 [cited 2020 November 21]; Available From: //www.bmj.com/content/351/sbmj.h4521
12. Buzik O.Zh., Efimova A.D. Love addiction among students in the university: relationship with other dependent behaviours and personal auto-aggressiveness. Science of the young (Eruditio Juvenium). 2019; 7(2): 163-9, doi:10.23888/HMJ201972163-169.
13. Carnes P.J., Green B.A., Merlo L.J., Polles A. PATHOS: A brief screening application for assessing sexual addiction. J. Addict. Med. 2012; 6: 29-34, doi:10.1097/ADM.0b013e3182251a28.
14. Charzyńska E., Sussman S., Atroszko P.A. Profiles of potential behavioral addictions' severity and their associations with gender, personality, and well-being: A person-centered approach. Addictive Behaviours. 2021; 119(2): 106941. doi: 10.1016/j.addbeh.2021.106941
15. Dixon R., Adair V., O’Connor S. Parental Influences on the Dieting Beliefs and Behaviors of Adolescent Females in New Zealand. J Adolesc Health. 1996; 19: 303-307, doi: 10.1016/S1054-139X (96) 00084-5. [Pubmed: 8897109].
16. Dyrbye L.N., West C.P., Satele D., Boone S., Tan L., Sloan J., et al. Burnout Among U.S. Medical Students, Residents, and Early Career Physicians Relative to the General U.S. population. Acad Med. 2014; 89: 443-451, doi: 10.1097 / ACM.0000000000000134. [Pubmed: 24448053].
17. Faraci P., Craparo G., Messina R., Severino S. Internet Addiction Test (IAT): Which is the Best Factorial Solution? Journal of Medical Internet Research. 2013; 15(10): e225, doi:10.2196/jmir.2935.
18. Ghasemi P., Shaghaghi A., Allahverdipour H. Measurement Scales of Suicidal Ideation and Attitudes: A Systematic Review Article. Heal Promot Perspect. 2015; 5: 156-168, doi: 10.15171/hpp.2015.019.
19. Inoue K., Chaizhunusova N., Seksenbayev N., Moldagaliyev T., Ospanova N., Zhunussov Y.T. The realities of a new era featuring truly international lectures during the prolonged COVID-19 pandemic: international collaboration and advances in medical education. Int Marit Health. 2021;72(1):79. doi: 10.5603/IMH.2021.0012.
20. Inoue K., Seksenbayev N., Moldagaliyev T., Takeichi N., Noso Y., Sarsembina Z., et al. Changes in university classes as COVID-19 continues and new findings regarding future university instruction methods: from the perspective of Japan and Semey, Republic of Kazakhstan. Int Marit Health. 2020;71(4):297. doi: 10.5603/IMH.2020.0051.
21. Inoue K., Tanii H., Fukunaga T., Abe S., Nishimura F., Kimura Y., et al. The importance of the frequency of suicide attempts as a risk factor of suicide. J Forensic Leg Med. 2008; 15: 24-26.
22. Magni S., Christofides N., Johnson S., Weiner R. Alcohol Use and Transactional Sex among Women in South Africa: Results from a Nationally Representative Survey. PLoS One. 2015;10(12):e0145326. doi: 10.1371/journal.pone.0145326.
23. Mata D.A., Ramos M.A., Bansal N., Khan R., Guille C., Angelantonio E.D., et al. Prevalence of depression and depressive symptoms among resident physicians a systematic review and meta-analysis. JAMA. 2015; 314: 2373-2383, doi: 10.1001/jama.2015.15845. [Pubmed: 26647259].
24. Medical school burnout: How to take care of yourself. American Medical Association Available From: https://www.ama-assn.org/residents-students/resident-student-health/medical-school-burnout-how-take-care-yourself [cited 2020 November 21];
25. Melaku L., Mossie A., Negash A. Stress among Medical Students and Its Association with Substance Use and Academic Performance. Journal of Biomedical Education. 2015; 9, doi: 10.1155/2015/149509.
26. Rosiek A., Rosiek-Kryszewska A., Leksowski L., Leksowski K. Chronic stress and suicidal thinking among medical students. Int. J. Environ. Res. Public Health. 2016; 13(2): 212, doi: 10.3390/ijerph13020212. [Pubmed: 26891311].
27. Salas-Wright C.P., Oh S., Vaughn M.G., Cohen M., Scott J.C., Amodeo M. Trends and drug-related correlates in residential mobility among young adults in the United States, 2003-2016. Addict Behav. 2019; 90:146-150. doi: 10.1016/j.addbeh.2018.10.045.
28. Shanafelt T.D., Sloan J.A., Habermann T.M. The well-being of physicians. Am J Med. 2003; 114: 513-519, doi: 10.1016/s0002-9343(03)00117-7. [Pubmed: 12727590].
29. Strien T.V. Causes of Emotional Eating and Matched Treatment of Obesity. Current Diabetes Reports. 2018; 18(6): 1-8, doi:10.1007/s11892-018-1000-x.
30. Tavares H., Martins S.S., Lobo D.S., Silveira C.M., Gentil V., Hodgins D.C. Factors at play in faster progression for female pathological gamblers: an exploratory analysis. J Clin Psychiatry. 2003; 64: 433-438, doi: 10.1590/S0041-87812002000500008.
References:
1. Barkova N.P. Korrektsiya Obraza ya u zhenshhin s pishhevoi addiktsiei [Correction of the Self-image in women with food addiction]. Zhurnal Izvestiya Irkutskogo Gosudarstvennogo Universiteta [The Journal Izvestia of Irkutsk State University]. 2014; 8:2-9. [in Russian]
2. Egorov A.Ju. K voprosu o novyh teoreticheskih aspektah addiktologii [On the question of new theoretical aspects of addictology]. Narkologija i addiktologija: Sb. nauch. tr. Kazan' [Narcology and addictology: Collection of scientific tr. Kazan], 2004; 80-88. [in Russian]
3. Egorov A.Ju. Nehimicheskie (povedencheskie) addiktsii [Non-chemical (behavioral) addictions]. Addiktologija [Addictology]. 2005; 1: 65-77. [in Russian]
4. Kulikova Ja.A., Pen'kova T.A. Analiz iskhodnogo urovnya komp'yuternoi zavisimosti obuchayushhikhsya [Analysis of the initial level of computer dependence of students]. Vestnik Severo-Kavkazskogo federal'nogo universiteta [Bulletin of the North Caucasus Federal University]. 2019; 5(74): 163-168. [in Russian]
5. Makarenko I.V. Psikhologicheskie osobennosti lyubovnoi addiktsii u muzhchin i zhenshhin [Psychological features of love addiction in men and women]. Nauka i znanie: vektory razvitiya konkurentosposobnosti obshhestva, nauki i biznesa: materialy XVII mezhdunarodnoi nauchno-prakticheskoi konferentsii. Centr nauchnogo znaniya Logos [Science and knowledge: vectors of development of competitiveness of society, science and business: materials of the XVII International scientific and practical conference. Logos Scientific Knowledge Center]. 2016; 181-8. [in Russian]
6. Ruzhenkova V.V., Ruzhenkov V.A., Gomelyak Ju.N., Boeva V.A. Uchebnyi stress: risk rasstroistv psikhicheskogo zdorov'ya i formirovaniya suitsidal'nogo povedeniya u studentov-medikov pervogo kursa [Educational stress: the risk of mental health disorders and the formation of suicidal behavior in first-year medical students]. Zhurnal Nauchnye Vedomosti. Seriya: Meditsina. Farmatsiya [The journal Scientific Vedomosti. Series: Medicine. Pharmacy] 2017; 19(268): 148-157. [in Russian]
7. Sinitskaya T.V. Struktura addiktivnogo povedeniya u studentov [The structure of addictive behavior in students]. Sbornik tezisov Vserossiiskoi konferentsii s mezhdunarodnym uchastiem Mir addiktsii: khimicheskie i nekhimicheskie zavisimosti, assotsiirovannye psikhicheskie rasstroistva [Collection of abstracts of the All-Russian conference with international participation The world of addictions: chemical and non-chemical addictions, associated mental disorders]; 120-121. [in Russian]
8. Hriptovich V.A. Problema rannego vyyavleniya predraspolozhennosti obuchayushhikhsya k formirovaniyu khimicheskoj zavisimosti [The problem of early detection of students ' predisposition to the formation of chemical dependence]. Respublikanskii institut vysshei shkoly, Minsk [Republican Institute of Higher Education, Minsk] 2016; 16(2): 258-264. [in Russian]
9. Andreassen C.S., Griffiths M.D., Pallesen S., Bilder R. The Bergen Shopping Addiction Scale: reliability and validity of a brief screening test. Front. Psychol. 2015; 6: 1-5, doi:10.3389/fpsyg.2015.01374.
10. Bastiaens L., Francis G., Lewis K. The RAFFT as a Screening Tool for Adolescent Substance Use Disorders. American Journal on Addictions. 2000; 9(1): 10-6, doi: 10.1080/10550490050172182.
11. Billingsley M. More than 80% of medical students with mental health issues feel under-supported, says Student BMJ survey. 2015; 351: h4521 [cited 2020 November 21]; Available From: //www.bmj.com/content/351/sbmj.h4521
12. Buzik O.Zh., Efimova A.D. Love addiction among students in the university: relationship with other dependent behaviours and personal auto-aggressiveness. Science of the young (Eruditio Juvenium). 2019; 7(2): 163-9, doi:10.23888/HMJ201972163-169.
13. Carnes P.J., Green B.A., Merlo L.J., Polles A. PATHOS: A brief screening application for assessing sexual addiction. J. Addict. Med. 2012; 6: 29-34, doi:10.1097/ADM.0b013e3182251a28.
14. Charzyńska E., Sussman S., Atroszko P.A. Profiles of potential behavioral addictions' severity and their associations with gender, personality, and well-being: A person-centered approach. Addictive Behaviours. 2021; 119(2): 106941. doi: 10.1016/j.addbeh.2021.106941
15. Dixon R., Adair V., O’Connor S. Parental Influences on the Dieting Beliefs and Behaviors of Adolescent Females in New Zealand. J Adolesc Health. 1996; 19: 303-307, doi: 10.1016/S1054-139X (96) 00084-5. [Pubmed: 8897109].
16. Dyrbye L.N., West C.P., Satele D., Boone S., Tan L., Sloan J., et al. Burnout Among U.S. Medical Students, Residents, and Early Career Physicians Relative to the General U.S. population. Acad Med. 2014; 89: 443-451, doi: 10.1097 / ACM.0000000000000134. [Pubmed: 24448053].
17. Faraci P., Craparo G., Messina R., Severino S. Internet Addiction Test (IAT): Which is the Best Factorial Solution? Journal of Medical Internet Research. 2013; 15(10): e225, doi:10.2196/jmir.2935.
18. Ghasemi P., Shaghaghi A., Allahverdipour H. Measurement Scales of Suicidal Ideation and Attitudes: A Systematic Review Article. Heal Promot Perspect. 2015; 5: 156-168, doi: 10.15171/hpp.2015.019.
19. Inoue K., Chaizhunusova N., Seksenbayev N., Moldagaliyev T., Ospanova N., Zhunussov Y.T. The realities of a new era featuring truly international lectures during the prolonged COVID-19 pandemic: international collaboration and advances in medical education. Int Marit Health. 2021;72(1):79. doi: 10.5603/IMH.2021.0012.
20. Inoue K., Seksenbayev N., Moldagaliyev T., Takeichi N., Noso Y., Sarsembina Z., et al. Changes in university classes as COVID-19 continues and new findings regarding future university instruction methods: from the perspective of Japan and Semey, Republic of Kazakhstan. Int Marit Health. 2020;71(4):297. doi: 10.5603/IMH.2020.0051.
21. Inoue K., Tanii H., Fukunaga T., Abe S., Nishimura F., Kimura Y., et al. The importance of the frequency of suicide attempts as a risk factor of suicide. J Forensic Leg Med. 2008; 15: 24-26.
22. Magni S., Christofides N., Johnson S., Weiner R. Alcohol Use and Transactional Sex among Women in South Africa: Results from a Nationally Representative Survey. PLoS One. 2015;10(12):e0145326. doi: 10.1371/journal.pone.0145326.
23. Mata D.A., Ramos M.A., Bansal N., Khan R., Guille C., Angelantonio E.D., et al. Prevalence of depression and depressive symptoms among resident physicians a systematic review and meta-analysis. JAMA. 2015; 314: 2373-2383, doi: 10.1001/jama.2015.15845. [Pubmed: 26647259].
24. Medical school burnout: How to take care of yourself. American Medical Association Available From: https://www.ama-assn.org/residents-students/resident-student-health/medical-school-burnout-how-take-care-yourself [cited 2020 November 21];
25. Melaku L., Mossie A., Negash A. Stress among Medical Students and Its Association with Substance Use and Academic Performance. Journal of Biomedical Education. 2015; 9, doi: 10.1155/2015/149509.
26. Rosiek A., Rosiek-Kryszewska A., Leksowski L., Leksowski K. Chronic stress and suicidal thinking among medical students. Int. J. Environ. Res. Public Health. 2016; 13(2): 212, doi: 10.3390/ijerph13020212. [Pubmed: 26891311].
27. Salas-Wright C.P., Oh S., Vaughn M.G., Cohen M., Scott J.C., Amodeo M. Trends and drug-related correlates in residential mobility among young adults in the United States, 2003-2016. Addict Behav. 2019; 90:146-150. doi: 10.1016/j.addbeh.2018.10.045.
28. Shanafelt T.D., Sloan J.A., Habermann T.M. The well-being of physicians. Am J Med. 2003; 114: 513-519, doi: 10.1016/s0002-9343(03)00117-7. [Pubmed: 12727590].
29. Strien T.V. Causes of Emotional Eating and Matched Treatment of Obesity. Current Diabetes Reports. 2018; 18(6): 1-8, doi:10.1007/s11892-018-1000-x.
30. Tavares H., Martins S.S., Lobo D.S., Silveira C.M., Gentil V., Hodgins D.C. Factors at play in faster progression for female pathological gamblers: an exploratory analysis. J Clin Psychiatry. 2003; 64: 433-438, doi: 10.1590/S0041-87812002000500008.
Количество просмотров: 384
Категория статей:
Оригинальные исследования
Библиографическая ссылка
Seksenbayev N.Zh., Inoue Ken, Moldagaliyev T.M., Sarsembina Zh.Zh., Altybayeva G.K., Almagambetova A.A., Yermekbayev A.U., Kaliyeva A.A., Noso Yoshihiro, Hashioka Sadayuki, Shalgumbayeva G.M., Chaizhunussova N.Zh., Ospanova N.N. Features of risk behavior and suicidal ideation in medical students // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 4, pp. 138-146. doi 10.34689/SH.2021.23.4.015Похожие публикации:
МЕХАНИКАЛЫҚ САРҒАЮ ОПЕРАЦИЯСЫ КЕЗІНДЕ КОАГУЛОПАТИЯЛЫҚ ҚАН КЕТУДІҢ АЛДЫН АЛУ ӘДІСІ
ОПТИМИЗАЦИЯ РЕЗУЛЬТАТОВ АУТОДЕРМОПЛАСТИКИ ПРИ ЛЕЧЕНИИ ГРАНУЛИРУЮЩИХ ГНОЙНЫХ РАН
BASICS OF REHABILITATION OF CHILDREN AFTER OPERATIONS ON THE COLON AND ANORECTAL AREA
HEALTH INDICATORS OF FIRST-YEAR-OF-LIFE CHILDREN IN THE REPUBLIC OF KAZAKHSTAN FOR 2013-2022
ОЦЕНКА УДОВЛЕТВОРЕННОСТИ ТРУДОВОЙ ДЕЯТЕЛЬНОСТЬЮ ВРАЧЕЙ АНЕСТЕЗИОЛОГОВ-РЕАНИМАТОЛОГОВ ГОРОДА АСТАНА