Document Type : Original Article
Authors
- . Ali Salehi Sahlabadi 1
- . Faezeh Abbasi Balochkhaneh 2
- . Seyed Nouredin Hosseini Gousheh 3
- . Javad Vatani 4
- . Maliheh Eshaghzadeh 5
- . Hamideh Bidel 2
1 Department of Occupational Health and Safety, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Student research committee, Department of Occupational Health and Safety, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
4 Department of Occupational Health, Guilan Road Trauma Research Center, School of Health, Guilan University of Medical Sciences, Rasht, Iran
5 Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
Abstract
BACKGROUND: Medical students are exposed to stresses which have irreversible consequences,
such as suicidal ideation. The present study aimed to investigate the level of occupational stress in
medical students and its relationship with the prevalence of suicidal ideation and attention among
them and then provide mental health promotion approaches.
MATERIALS AND METHODS: This cross‑sectional descriptive study was performed on
325 undergraduate medical students residing at the dormitory of Shahid Beheshti University of Medical
Sciences. The sample size was determined by the census method. Osipow and Suicide Behaviors
Questionnaires were used to measure job stress and suicidal ideation, respectively. The condition
of entry into the study was living in the dormitory and spent at least one semester. Linear regression
and logistic regression were used to examine the relationship between variables.
RESULTS: The mean score of occupational stress among students with a mean age of 21 (±2.18)
years was 158.84 (±27.07) and 60% (n = 180) of students had high levels of stress. There
was a significant relationship between age and educational level with stress level and suicidal
ideation (P < 0.05). They had the highest effect on stress (P = 0.031) and suicidal ideation (P = 0.001),
respectively, among students. High level of stress was 11.829 times more likely to have suicidal
thoughts than low‑stress level (P < 0.001).
CONCLUSIONS: Stress and suicidal ideation are much higher in students of lower semesters and
lower ages than students with higher semesters. Students should learn how and with what approach
to control and manage exposure to stressors. Measures such as holding stress management training
courses as well as managing stressful situations are among the effective measures in improving
mental health and reducing stress levels and its effects.
Keywords
Geneva: World Health Organization; 2014.
2. Han B, Compton WM, Eisenberg D, Milazzo‑Sayre L, McKeon R,
Hughes A. Prevalence and mental health treatment of suicidal
ideation and behavior among college students aged 18‑25 years
and their non‑college‑attending peers in the United States. J Clin
Psychiatry 2016; 77:815‑24.
3. Organization WH. Preventing Suicide: A Global Imperative.
World Health Organization Publication: World Health Organization, Luxemburg; 2014.
4. Eskin M, AlBuhairan F, Rezaeian M, Abdel‑Khalek AM, Harlak H,
El‑Nayal M, et al. Suicidal thoughts, attempts and motives among
university students in 12 Muslim‑majority countries. Psychiat
Quart 2019; 90:229‑48.
5. Moslemi Z, Ghomi M, Mohammadi SD. The relationship between
creativity with mental health and academic achievement in
students at Qom University of Medical Sciences. Educ Dev
Judishapur 2019;9:229‑42.
6. Poursadeqiyan M, Kasiri N, khedri B, ghalichi-zaveh Z, Pouya
AB, barzanouni s, Abbasi M, et al. The fear of COVID-19 infection
after one years of jobs reopening in Iranian society, J Health Sci
Surveillance Sys. 2022;10,3:284-292.
7. Dopolani FN, Arefi MF, Akhlaghi E, Ghalichi Z, Salehi AS,
Khajehnasiri F, Hami M, Poursadeqiyan M, KHammar A.
Investigation of occupational fatigue and safety climate among
nurses using the structural equation model. Work.,2022, 72(3).
1129-1139.
8. Arefi MF, Babaei AP, Barzanouni S, Ebrahimi S, Salehi AR,
Khajehnasiri F, Poursadeghian M. Risk Perception in the
COVID-19 pandemic; a health promotion approach. J Edu Health
Promot 2022;11:118.
9. Sun L, Zhou C, Xu L, Li S, Kong F, Chu J. Suicidal ideation, plans
and attempts among medical college students in china: The effect
of their parental characteristics. Psychiatry Res 2017;247:139‑43.
10. Eskin M, Sun JM, Abuidhail J, Yoshimasu K, Kujan O,
Janghorbani M, et al. Suicidal behavior and psychological distress
in university students: A 12‑nation study. Arch Suicide Res
2016;20:369‑88.
11. Shafiee-Kandjani AR, Alizadeh M, Nasirzadehghan A, KehtaryHarzang L, Vahedi M, Poursadeqiyan M, et al. Socioeconomic
Status and Dimensions of Mental Health with Suicidal Ideations
among Students. Iran J Public Health. 2021;50(10):2158-2160.
12. Panahi D, pirposhteh EA, Moradi B,Poursadeqiyan M, sahlabadi
AS , kavousi a ,Effectiveness of Educational Intervention on
reducing oxidative stress caused by Occupational Stress in nurses:
A Health Promotion Approach, J Edu Health Promot 2022;12:XX.
13. Rosiek A, Rosiek‑Kryszewska A, Leksowski Ł, Leksowski K.
Chronic stress and suicidal thinking among medical students.
Int J Environ Res Public Health 2016;13:212.
14. Naseem S, Munaf S. Suicidal ideation, depression, anxiety, stress,
and life satisfaction of medical, engineering, and social sciences
students. J Ayub Med Coll Abbottabad 2017;29:422‑7.
15. Wu D, Yang T, Rockett IR, Yu L, Peng S, Jiang S. Uncertainty
stress, social capital, and suicidal ideation among Chinese medical
students: Findings from a 22‑university survey. J Health Psychol
2021;26:214‑25.
16. Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C,
et al. Prevalence of depression, depressive symptoms, and suicidal
ideation among medical students: A systematic review and
meta‑analysis. JAMA 2016;316:2214‑36.
17. Farzaneh F, Momayyezi M, Lotfi MH. Relationship between
quality of sleep and mental health in female students of Shahid
Sadoughi University of Medical Sciences (2015). J Fundam Ment
Health 2018;20:167‑71.
18. Saberinia A, Abdolshahi A, Khaleghi S, Moradi Y, Jafarizadeh
H, Sadeghi Moghaddam A, et al. Investigation of Relationship
between Occupational Stress and Cardiovascular Risk Factors
among Nurses. Iran J Public Health.2020, 49(10):1954-1958.
19. Osman A, Bagge CL, Gutierrez PM, Konick LC, Kopper BA,
Barrios FX. The suicidal behaviors questionnaire‑revised (SBQ‑R):
Validation with clinical and nonclinical samples. Assessment
2001;8:443‑54.
20. Saipanish R. Stress among medical students in a Thai medical
school. Med Teach 2003;25:502‑6.
21. Hashemi SY, Emkani M, Dehghan A, Kalantari R, Gholami M.
The relationship of general health and job stress in industrial
workers. J Health Sci Surveill Sys 2019;7:31‑5.
22. Rostamani M, Rostamani AA, Rostamani HR, Fallah S,
Mousavi HS, Jenabian E. Occupational stress among female
employees of the golestan university of medical sciences in 2015.
J Clin Basic Res 2017;1:36‑40.
23. Nojomi M, Gharayee B. Medical students and mental health by
SCL‑90‑R. Med J Islam Repub Iran 2007;21:71‑8.
24. Melaku L, Mossie A, Negash A. Stress among medical students
and its association with substance use and academic performance.
J Biomed Educ 2015;2015.
25. Dyrbye LN, Harper W, Durning SJ, Moutier C, Thomas MR,
Massie FS Jr., et al. Patterns of distress in US medical students.
Med Teach 2011;33:834‑9.
26. Lamis DA, Ballard ED, May AM, Dvorak RD. Depressive
symptoms and suicidal ideation in college students: The
mediating and moderating roles of hopelessness, alcohol
problems, and social support. J Clin Psychol 2016;72:919‑32.
27. Torres AR, Campos LM, Lima MC, Ramos‑Cerqueira AT. Suicidal
ideation among medical students: Prevalence and predictors.
J Nerv Ment Dis 2018;206:160‑8.
28. Moradi Y, Baradaran HR, Yazdandoost M, Atrak S, Kashanian M.
Prevalence of burnout in residents of obstetrics and gynecology:
A systematic review and meta‑analysis. Med J Islam Repub Iran
2015;29:235.
29. Kosik RO, Nguyen T, Ko I, Fan AP. Suicidal ideation in medical
students. Neuropsychiatry 2017;7:09‑11.
30. Peltzer K, Yi S, Pengpid S. Suicidal behaviors and associated
factors among university students in six countries in the
Association of Southeast Asian Nations (ASEAN). Asian J
Psychiatr 2017;26:32‑8.
31. Yang C, Shi S, Liu J, Jia R, Chui W. Analysis on suicide ideation
and its risk factors among medical college students. Chinese J Soc
Med 2013;30:193‑5.
32. Guo L, Xu Y, Deng J, Huang J, Huang G, Gao X, et al. Association
between sleep duration, suicidal ideation, and suicidal attempts
among Chinese adolescents: The moderating role of depressive
symptoms. J Affect Disord 2017;208:355‑62.
33. Bahrami‑Ahmadi A, Mortazavi SA, Soleimani R ,
Nassiri‑Kashani MH. The effect of work‑ related stress on
development of neck and shoulder complaints among nurses
in one tertiary hospital in Iran. Med J Islam Repub Iran
2016;30:471.
34. Kabir‑Mokamelkhah E, Bahrami‑Ahmadi A, Aghili N.
Work‑related stress and quality of life among Iranian blue‑collar
workers with self‑reported low back pain. Med J Islam Repub Iran
2016;30:474.
35. Farshad AA, Mirkazemi R, Falahati A, Tabatabaei SH, Taheri F,
Ghaemi Mood S. Health needs assessment of workers in Kaveh
industrial city. Med J Islam Repub Iran 2019;33:22.
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