Document Type : Original Article


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


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.


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