Depression, Stigma, and Suicidal Ideation in Medical Students
Top Cited Papers
- 15 September 2010
- journal article
- research article
- Published by American Medical Association (AMA)
- Vol. 304 (11), 1181-90
- https://doi.org/10.1001/jama.2010.1300
Abstract
There is a concerning prevalence of depression and suicidal ideation among medical students, a group that may experience poor mental health care due to stigmatization. To characterize the perceptions of depressed and nondepressed medical students regarding stigma associated with depression. Cross-sectional Web-based survey conducted in September-November 2009 among all students enrolled at the University of Michigan Medical School (N = 769). Prevalence of self-reported moderate to severe depression and suicidal ideation and the association of stigma perceptions with clinical and demographic variables. Survey response rate was 65.7% (505 of 769). Prevalence of moderate to severe depression was 14.3% (95% confidence interval [CI], 11.3%-17.3%). Women were more likely than men to have moderate to severe depression (18.0% vs 9.0%; 95% CI for difference, -14.8% to -3.1%; P = .001). Third- and fourth-year students were more likely than first- and second-year students to report suicidal ideation (7.9% vs 1.4%; 95% CI for difference, 2.7%-10.3%; P = .001). Students with moderate to severe depression, compared with no to minimal depression, more frequently agreed that "if I were depressed, fellow medical students would respect my opinions less" (56.0% vs 23.7%; 95% CI for difference, 17.3%-47.3%; P < .001), and that faculty members would view them as being unable to handle their responsibilities (83.1% vs 55.1%; 95% CI for difference, 16.1%-39.8%; P < .001). Men agreed more commonly than women that depressed students could endanger patients (36.3% vs 20.1%; 95% CI for difference, 6.1%-26.3%; P = .002). First- and second-year students more frequently agreed than third- and fourth-year students that seeking help for depression would make them feel less intelligent (34.1% vs 22.9%; 95% CI for difference, 2.3%-20.1%; P < .01). Depressed medical students more frequently endorsed several depression stigma attitudes than nondepressed students. Stigma perceptions also differed by sex and class year.Keywords
This publication has 19 references indexed in Scilit:
- Burnout and Serious Thoughts of Dropping Out of Medical School: A Multi-Institutional StudyAcademic Medicine, 2010
- Depressive Symptoms in Medical Students and Residents: A Multischool StudyAcademic Medicine, 2009
- Burnout and Suicidal Ideation among U.S. Medical StudentsAnnals of Internal Medicine, 2008
- Systematic Review of Depression, Anxiety, and Other Indicators of Psychological Distress Among U.S. and Canadian Medical StudentsAcademic Medicine, 2006
- White Coat, Mood Indigo — Depression in Medical SchoolThe New England Journal of Medicine, 2005
- Stress and depression among medical students: a cross-sectional studyMedical Education, 2005
- Factors Associated With Undertreatment of Medical Student DepressionJournal of American College Health, 2005
- 'I wouldn't want it on my CV or their records': medical students' experiences of help-seeking for mental health problemsMedical Education, 2003
- Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictorsJournal of Affective Disorders, 2001
- Mental Health in Medical Students a Case Control Study Using the 60 Item General Health QuestionnaireScottish Medical Journal, 2000