Prevalencia y factores asociados a ideación suicida en estudiantes de medicina: una revisión de alcance
DOI:
https://doi.org/10.33936/qkrcs.v8i1.6475Resumen
La ideación suicida entre estudiantes de medicina es un tema crítico que requiere atención especializada. Similar importancia genera entender los factores personales, académicos y sociales asociados a ideación suicida. El objetivo fue explorar la evidencia disponible sobre la prevalencia y factores asociados a ideación suicida en estudiantes de medicina a nivel mundial. Se usaron bases de datos: PubMed, Springer, Dialnet Plus, Scopus, Science Direct, Académica Plus, Medline, ERIC, MedicLatina, Redalyc, Scielo y Google Scholar, utilizando términos extraídos de los DECS. La selección de evidencia se dividió en dos etapas: la primera evaluó la idoneidad de los registros y la segunda consistió en una revisión independiente a texto completo. Bajo la metodología de Joanna Briggs se seleccionó 18 investigaciones. La prevalencia reportada de ideas suicidas fue 7,1 % y pensamientos suicidas 17 %. Ser mujer, entorno familiar con problemas, bajo rendimiento académico, primeros años de carrera, ansiedad y depresión, fumar y beber alcohol fueron los factores asociados a ideación suicida. Se concluyó que factores personales, académicos, hábitos perniciosos y de salud mental están asociados con ideación suicida y pensamientos suicidas en jóvenes universitarios. Por ello, es necesario la detección temprana y apoyar a grupos vulnerables, a través, de estrategias preventivas y de apoyo emocional en entornos académicos.
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Veloso L, Lima C, Sales J, Monteiro C, Gonçalves A, da Silva F. Ideación suicida en universitarios del área de la salud: prevalencia y factores asociados. Rev Gaúcha Enferm. 2019;40:e20180144.
Owusu-Ansah FE, Addae AA, Peasah BO, Oppong Asante K, Osafo J. Suicide among university students: prevalence, risks and protective factors. Health Psychol Behav Med. 2020;8(1):220-33. https://doi.org/10.1080/21642850.2020.1766978
Picton A, Greenfield S, Parry J. Why do students struggle in their first year of medical school? A qualitative study of student voices. BMC Med Educ. 2022;22(1):100. https://doi.org/10.1186/s12909-022-03158-4
World Health Organitazion. Mental health of adolescents. Disponible en: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health; 2021[citado 1 de diciembre de 2023].
Žaludek A, Fialová A, Pokorná K, Hudáč P, David J, Marx D. Comparison of prevalence of depression symptoms and history of suicidality in students of medical schools and other study programmes of Charles University. Cent Eur J Public Health. 2023;31(3):217-22. https://doi.org/10.21101/cejph.a7680
Garg S, Chauhan A, Singh S, Bansal K. Epidemiological risk factors of suicidal behavior and effects of the components of coping strategies on suicidal behavior in medical students: An institution-based cross-sectional study in India. Indian J Psychiatry.2022;64(4):377. https://doi.org/10.1055/s-0042-1744225
Shen Y, Zhang Y, Chan BSM, Meng F, Yang T, Luo X, et al. Association of ADHD symptoms, depression and suicidal behaviors with anxiety in Chinese medical college students. BMC Psychiatry. 2020;20(1):180. https://doi.org/10.1186/s12888-020-02555-7
Harmer B, Lee S, Duong T, Saadabadi A. Suicidal Ideation. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK565877/
World Health Organitazion. Suicide. Disponible en: https://www.who.int/news-room/fact-sheets/detail/suicide: 2023 [citado 1 de diciembre de 2023].
Brailovskaia J, Teismann T, Lewitzka U, Gao Z, Zhang XC, Margraf J. Suicidal ideation, suicide attempts and positive mental health in Chinese medical students. J Affect Disord Rep. 2022;9:100354.
Atienza Carbonell B, Balanzá Martínez V. Prevalence of depressive symptoms and suicidal ideation among Spanish medical students. Actas Esp Psiquiatr. 2020;48(4):154-62.
Ministerio de Salud Pública del Ecuador. Lineamiento-de-intencion-e-intentos-de-suicidio.pdf. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2021/09/Lineamiento-de-intencion-e-intentos-de-suicidio.pdf; 2021 [citado 1 de diciembre de 2023].
Hernández-Torrano D, Ibrayeva L, Sparks J, Lim N, Clementi A, Almukhambetova A, et al. Mental Health and Well-Being of University Students: A Bibliometric Mapping of the Literature. Front Psychol. 2020; 11; 1226. https://www.frontiersin.org/articles/10.3389/fpsyg.2020.01226
Pillay J. Suicidal behaviour among university students: a systematic review. South Afr J Psychol. 2021;51(1):54-66.
Kaggwa MM, Najjuka SM, Favina A, Griffiths MD, Mamun MA. Suicidal behaviors and associated factors among medical students in Africa: A systematic review and meta-analysis. J Affect Disord Rep. 2023;11:100456.
Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco A, Khalil H. JBI. 11.2 Development of a scoping review protocol - JBI Manual for Evidence Synthesis - JBI Global Wiki. Disponible en: https://jbi-global-wiki.refined.site/space/MANUAL/4687810/11.2+Development+of+a+scoping+review+protocol; 2020 [citado 26 de noviembre de 2023].
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Rev Esp Cardiol. 2021;74(9):790-9.
Baquerizo-Quispe NS, Miguel-Ponce HR, Castañeda-Marinovich LF, Romero-Mejía A, Aquino-Canchari C. Asociación entre presencia de Estrés, Depresión y/o Ideación Suicida con el rendimiento académico en estudiantes de medicina de una universidad peruana en medio de pandemia por Covid-19. Rev Médica Rosario. 2022;88(1):7-15.
Asfaw H, Yigzaw N, Yohannis Z, Fekadu G, Alemayehu Y. Prevalence and associated factors of suicidal ideation and attempt among undergraduate medical students of Haramaya University, Ethiopia. A cross sectional study. Plos One. 2020;15(8):e0236398. https://doi.org/10.1371/journal.pone.0236398
Khosravi M, Kasaeiyan R. The relationship between neuroticism and suicidal thoughts among medical students: Moderating role of attachment styles. J Fam Med Prim Care. 2020;9(6):2680-7. https://doi.org/10.4103/jfmpc.jfmpc_1200_19
Chomon RJ. Depression and suicidal ideation among medical students in a private medical college of Bangladesh. A cross sectional web based survey. PloS One. 2022;17(4):e0265367. https://doi.org/10.1371/journal.pone.0265367
Tang W, Kang Y, Xu J, Li T. Associations of Suicidality with adverse life events, psychological distress and somatic complaints in a chinese medical student sample. Community Ment Health J. 2020;56(4):635-44. https://doi.org/10.1007/s10597-019-00523-4
Desalegn GT, Wondie M, Dereje S, Addisu A. Suicide ideation, attempt, and determinants among medical students Northwest Ethiopia: an institution-based cross-sectional study. Ann Gen Psychiatry. 2020;19(1):44. https://doi.org/10.1186/s12991-020-00295-2
Yamazaki J, Kizuki M, Fujiwara T. Association between Frequency of Conversations and Suicidal Ideation among Medical Students during COVID-19 Pandemic in Japan. Int J Environ Res Public Health. 2022;19(11). https://doi.org/10.3390/ijerph19116385
Madadin M, Menezes RG, Alassaf MA, Almulhim AM, Abumadini MS, Alnemer FA, et al. Suicidal Ideation Among Medical Students in Dammam, Saudi Arabia. Crisis. 2021;42(4):278-83. https://doi.org/10.1027/0227-5910/a000720
Leombruni P, Moro GL, Bert F, Siliquini R. Suicidal Ideation among Italian medical students: prevalence and associated factors from a multicenter study: Italian Med Students: suicidal ideation. Ann Ist Super Sanità. 2021;57(4):324-9. https://doi.org/10.4415/ANN_21_04_07
Shen Y, Chan BSM, Huang C, Cui X, Liu J, Lu J, et al. Suicidal behaviors and attention deficit hyperactivity disorder (ADHD): a cross-sectional study among Chinese medical college students. BMC Psychiatry. 2021;21(1):258. https://doi.org/10.1186/s12888-021-03247-6
Sol ÉGL, Campor Junior A, Abelha L, Lovisi GM, Brasil MAA. Avaliação do comportamento suicida em estudantes de Medicina. J Bras Psiquiatr. 2022;71(2):83-91.
Luo JM, Liu EZ, Yang HD, Du CZ, Xia LJ, Zhang ZC, et al. Prevalence and factors associated with Suicidal Ideation in medical students with migraine. Front Psychiatry. 2021;12. https://doi.org/10.3389/fpsyt.2021.683342
Neres BSP, Aquino MLA, Pedroso VSP. Prevalence and factors associated to depression and suicidal behavior among medical students. J Bras Psiquiatr. 2021;70:311-20.
Li J, Zhang Y, Siu Man Chan B, Tan SN, Lu J, Luo X, et al. Associations between anxiety, depression, and risk of suicidal behaviors in Chinese medical college students. Front Psychiatry. 2022; 13. https://doi.org/10.3389/fpsyt.2022.1012298
Seo EH, Yang HJ, Kim SG, Yoon HJ. Ego-resiliency moderates the risk of depression and social anxiety symptoms on suicidal ideation in medical students. Ann Gen Psychiatry. 2022;21(1):19. https://doi.org/10.1186/s12991-022-00399-x
Chaparro-Armoa MA, Aquino OS, Velilla MAP, Burguez N. Prevalencia de Ideación Suicida en estudiantes de Medicina de una Universidad de Paraguay, año 2022. Rev Científica Cienc Salud. 2023;5:01-8. https://doi.org/10.53732/rccsalud/2023.e5109
Gonzalez A, Frey BN. Understanding the complex interplay between violence, depression and suicidal ideation in women: Time for a comprehensive sex- and gender-based approach. Braz J Psychiatry. 2020 ;42(5):467-8. https://doi.org/10.1590/1516-4446-2020-1336
O’Rourke MC, Jamil RT, Siddiqui W. Suicide Screening and Prevention. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK531453/ 2023 [citado 12 de enero de 2024].
Kisaakye P, Kafuko A, Bukuluki P. Lifetime violence and suicidal ideation among young women (18–24 years) in Uganda: Results from a population-based survey. Front Glob Womens Health. 2023;4:1063846. https://doi.org/10.3389/fgwh.2023.1063846
Baek IC, Jo S, Kim EJ, Lee GR, Lee DH, Jeon HJ. A Review of Suicide Risk Assessment Tools and Their Measured Psychometric Properties in Korea. Front Psychiatry. 2021;12:679779. https://doi.org/10.3389/fpsyt.2021.679779
Jauhar S, Cowen PJ, Browning M. Fifty years on: Serotonin and depression. J Psychopharmacol Oxf Engl. 2023;37(3):237-41. https://doi.org/10.1177/02698811231161813
Daut RA, Fonken LK. Circadian regulation of depression: A role for serotonin. Front Neuroendocrinol. 2019;54:100746. https://doi.org/10.1016/j.yfrne.2019.04.003
Alabi AA, Oladimeji OK, Adeniyi OV. Prevalence and factors associated with suicidal ideation amongst college students in the Nelson Mandela Bay Municipality, South Africa. South Afr Fam Pract. 2021;63(1):5195. https://doi.org/10.4102/safp.v63i1.5195
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Derechos de autor 2024 Jazmín Beatriz Anzules Guerra, Ronald Alexander Murillo Ponce

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