Introduction:Cannabis is the drug which use is the mostwidespread in the world, and particularly among young people. Medical students are not the exception. Exposure to a variety of factors, including stress, burnout, and relatively easy access to medications make them vulnerable to substance use. Objective: to study the prevalence of cannabis use among medical students and to assess its repercussions in terms of anxiety and depression. Methods: It is a descriptive and analytical cross-sectional study of medical students of different medical schools in Morocco. Data collection was through an anonymous online self-administered survey. The measuring instruments used were surveys evaluating the main socio-demographic data, the CASTfor identifying problematic cannabis use, and the HAD scale which evaluates anxiety and depression in the group. The data is grouped and analysed by statistical software. Results: In this sample of 183 students (44.8% boys, 55.2% girls), the average age was 23.31 years. 21% had a psychiatric history. 32.2% consumed cannabis, half occasionally versus a third on a daily basis. Men had higher consumption rates than women with a significant difference. For the CAST results, 40% of cannabis users had a high risk of addiction. Anxiety score averaged 7.66 cannabis users and 5.52 for non-users, depression score averaged 5.88 users and 4.43 for non-users with significantly higher averages among users. Conclusion:Medicalstudentsseemparticularlyaffected by addictions. They must benefitfrom an assistance in order to improvetheirhealth, sothey can exercisetheirrole and be able to provide care to patients.

Introduction: The prevalence of heroin use in Morocco was 0.02%. These figures were higher in the northern region of Morocco. The personality disorder represented a difficulty in the management of the heroin addicted patient. The aim of this study was to show that personality disorders were often comorbid with heroin addiction and to specify the predominant pathological personalities in the Moroccan population. Material and methods:A descriptive cross-sectional study in a population of 171 subjects.Collection of sociodemographic and clinical data by form.Scale:Personality Diagnostic Questionnaire (PDQ - 4+)Statistical analysis: Excel 2016, SPSS 2021: Student test, ANOVA and CHI-2 Results:Sample of 171 patients with 97.7% of male patients and average age of 43,59.Half of the population (48.5%) had only primary education80.7% never received psychiatric care.The average number of incarcerations in our population was 3,96The predominant personality disorders were borderline and antisocial personality disorder respectively.Statistically significant relationship between borderline personality disorder and psychiatric history and the number of hospitalizations in psychiatric units.Statistically significant relationship between the number of incarcerations and antisocial personality disorder. Conclusion: Heroin addicts in Morocco suffered from social instability, strong cannabis dependence, delinquency and frequent judicial recidivism. The most frequent personality disorders were borderline and antisocial. However, the causal link between the personality disorder and the addiction remained to be defined.

Background: Self-esteem is of great importance for positive and confident social behavior. Assertiveness is the component of self-esteem that allow that confident and forceful behavior while maintaining respect for others. Our study sought to evaluate the impact of an assertiveness training program on medical school students skills in communication and assertiveness. Method:123 first-year students (sex ratio (boys/girls):0,52) submitted to practical workshop training sessions during one month, evaluated at the beginning (T0) and the end (T1) of the training program by adapted auto-questionnaires measuring the feeling of self-efficacy when facing social situations, the assertiveness, self-esteem and also esteem in own communication capacity. Results: A significant improvement was seen in the mean scores of communications [58.51 to 64.62 i.e. + 6.11 (CI95% [4.66 7.56]). but also, in assertiveness [73.45 to 86.4 +12.95 (CI95% [10.46 15.43], for both sexes. Conclusion. Assertiveness programs have a positive impact in students self-esteem, assertiveness and communication skills. They must more seriously be considered as an important in schooling.

In addition to being a public physicalhealth emergency, Coronavirus disease 2019 (COVID-19) affected global mental health as cases increased. Objectives: The aim of thisstudyis to determine the psychologicalimpact on mental well-being and associatedriskfactorsamonghealthcareworkers. Researchmethodology: a cross-sectional studyamongMoroccanhealthcareworkerswasconducted to measureprevalence rates of symptoms of anxiety,depression, burn out and theirassociatedfactors, objectified by the Hospital Anxiety and DepressionScale(HADS), Maslach Burnout Inventory(MBI) and a questionnaire, respectively. Results:Symptoms of anxiety, depression, and emotional exhaustion werereported by 38.5%, 28.1% and 85.4% of the 96 respondents,respectively. Beingyoung and having a psychiatrichistorywereassociatedwith more anxietysymptomatology. Whileworking in the intensive care unit, feeling obliged to work in the covid circuit, living withfamilywereassociatedwithdepressionsymptoms. The factorsstatisticallyrelated to burnout wereyears of work, having an organichistory working in intensive care unit and consideringthat the number of staff isinsufficient, that the communication withtheircolleagues and superiorsisinadequate and that the training theyhadbeforejoining covid was not sufficient Conclusion: The COVID-19 pandemichad a high impact on the mental well-being of healthcareworkersincreasing the risk of dropout and compromisescontinuity of care. Efforts must be made to optimize working conditions and reduceworkload.

Introduction: The World Health Organization (WHO) defined suicide as a deliberate act performed by a person who is fully aware of, or hopes for, its fatal outcome. According to the WHO, suicide accounts for 804,000 deaths worldwide and was considered a public health problem. However, suicide could be prevented by well-timed, evidence-based and often inexpensive interventions.In Morocco, the WHO estimated suicide rate of 7.3 per 100,000 inhabitants per year in 2019. However, there was a great lack of scientific and epidemiological data on this subject, hence the importance of early screening and psychometric evaluation. Objective: The purpose of our work was to provide the clinician with a non-exhaustive list of different scales used internationally to screen and assess suicidal risk. Method: This review of the literature used the following databases: PubMed science direct psychinfo. We used the following key words: scale, suicide risk screening. Discussion: Of the 9 tools listed above to assess suicidal risk, the two most frequently mentioned and used scales were the: Beck Scale for Suicide Ideation and The Columbia Suicide Severity Rating Scale (C-SSRS), despite the fact that they were not free of charge and had flaws in their structure (Andreotti ET 2020).the MINI suicide risk module (kadri, 2020) was the only validated scale in Arabic, in addition to being brief and free of charge. Other scales are available free of charge, notably the modified SAD PERSON Scale, the DUCHER scale, the suicide probability scale and the P4 screener. Conclusion: This review allowed us to list the screening scales for suicidal risk, in particular the SIDAS, P4, MINI SR module, DUCHER, BSS, CSSRs. The study helped creating a toolbox that might facilitate the task of clinicians in aim of early diagnosis and appropriate care.