Document Type : Original Article

Authors

1 Department of Public Health, College of Medical, Veterinary and Life Sciences, Glasgow, UK

2 Department of Public Health Dentistry, Sree Sai Dental College and Research Institute, Srikakulam, Andhra Pradesh, India

3 Department of Mental Health Nursing, KSR College of Nursing, Guntur, Andhra Pradesh, India

Abstract

BACKGROUND: The challenges of dental education place students at high risk of stress. Because
dental education is a highly demanding and challenging course, placing heavy demands on the
mental resources of the students, making them vulnerable to high levels of stress, this study aimed to
determine the prevalence of depression, suicidal ideation, and suicidal behaviors in dental students.
MATERIALS AND METHODS: A descriptive cross‑sectional study was done on a convenience
sample of 388 dental students in a teaching dental institution. Data were collected using standard,
prevalidated, self‑administered questionnaires (Patient Health Questionnaire‑9 and Suicidal
Behaviours Questionnaire‑Revised [SBQ‑R]). Analysis was done using SPSS version 20. Descriptive
statistics, Chi‑square test, and logistic regression were performed.
RESULTS: At least half of the students were in major depression with different levels of severity.
When students from different years were analyzed, majority from each year fell under II and III
categories (P < 0.001). Most of the students reported that they do not have any suicidal ideation
or behavior (SBQ‑R). Nearly 16% of the students either presented the threat of suicidal attempt
or likelihood of suicidal behavior in future. Almost 13% of the dental students thought of killing
themselves in the past year for at least two times. Around 16% of them expressed to someone about
their thought of committing suicide.
CONCLUSION: Even though depression and suicidal tendencies were not prominent in dental
students, there is a need to shed light on those who responded positively and take necessary reforms
to relieve academic stress.

Keywords

1. American Psychological Association. Encyclopedia of Psychology.
Available from: https://www.apa.org/topics/suicide.
[Last accessed on 2020 Sep 25].
2. WHO Mental Health. Available from: http://who.int/
mental_health/management/depression/en/. [Last accessed on
2020 Jul 02].
3. Levi‑Belz Y, Gvion Y, Apter A. Editorial: The psychology of
suicide: from research understandings to intervention and
treatment. Front Psychiatry 2019;10:214.
4. GOI. Suicides in India. Available from: https://ncrb.gov.
in/sites/default/files/chapter‑2suicides‑2017.pdf.
[Last accessed on 2020 Jul 02].
5. WHO. Suicide. Available from: http://www.who.int/
mediacentre/factsheets/fs398/en/. [Last accessed on 2020 Jul 02].
6. Deeb GR, Braun S, Carrico C, Kinser P, Laskin D, Golob Deeb J. Burnout, depression and suicidal ideation in dental and dental
hygiene students. Eur J Dent Educ 2018;22:e70‑4.
7. Murphy RJ, Gray SA, Sterling G, Reeves K, DuCette J.
A comparative study of professional student stress. J Dent Educ
2009;73:328‑37.
8. Shetty A, Shetty A, Hegde MN, Narasimhan D, Shetty S. Stress
and burnout assessment among postgraduate dental students.
NUJHS 2015;5:31‑6.
9. Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and
suicidal behavior. J Child Psychol Psychiatry 2006;47:372‑94.
10. WHO. Mental Health. Available from: https://www.who.int/
mental_health/management/depression/en/. [Last accessed on
2020 Sep 22].
11. Ganguly S, Samanta M, Roy P, Chatterjee S, Kaplan DW, Basu B.
Patient health questionnaire‑9 as an effective tool for screening
of depression among Indian adolescents. J Adolesc Health
2013;52:546‑51.
12. OsmanA, BaggeCL, GuitierrezPM, KonickLC, KooperBA, Barrios
F×. The Suicidal Behaviours Questionnaire‑ Revised (SBQ‑R):
Validation with clinical and nonclinical samples. Assessment
2001;8:443‑54.
13. Galan F, Rios‑Santos JV, Polo J, Rios‑Carrosco B, Bullon P.
Burnout, depression and suicidal ideation in dental students.
Med Oral Patol Oral Cir Buccal 2014;19:206‑11.
14. Lacey JI, Lacey BC. Verification and extension of the principle of
autonomic response stereotyping. Am J Psychol 1958;71:50‑73.
15. Schmitter M, Liedl M, Beck J, Rammelsberg P. Chronic stress in
medical and dental education. Med Teach 2008;30:97‑9.