Medical Students and Suicide Prevention: Training, Education, and Personal Risks

Gramaglia, Carla; Zeppegno, Patrizia

doi:10.3389/fpsyg.2018.00452

Cited by 7 publications

(8 citation statements)

References 30 publications

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“…Newer teaching and learning methods such as simulation, role plays instead of traditional lecture methods, need to be adopted. 5 Culture-sensitive teaching methods for prevention of suicide can help in improving skills toward suicide. There is a need for studies assessing the effectiveness of such intervention in the hospital setting by assessing the suicide rates before and after the intervention.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Brief Educational Training on Medical Students' Attitude toward Suicide Prevention

Nebhinani

Kuppili

Paul

et al. 2020

JNRP

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Objectives Medical students are future physicians, and their attitude toward suicide attempters can impact outcome of patient management and quality of care. This study aimed to assess the effects of brief educational intervention on medical students' attitude toward suicide prevention. Materials and Methods The prospective study was conducted at a tertiary care center in northwestern India. The total enumeration method was employed to recruit 243 medical students. Attitude toward suicide prevention scale was applied before and after three hours’ training on management of suicide attempters and strategies for suicide prevention. Statistical Analysis Mean, median, standard deviation, frequencies, and percentages were calculated through descriptive statistics. Mean values were compared before and after the intervention through paired sample student's t-test. Chi-square test or Fischer exact test was used to compare categorical variables and p ≤ 0.05 was set for level of significance. Results Ten out of 14 attitudinal statements were significantly more favorable after imparting brief training on suicide prevention and management of suicide attempters. They reported lesser resentment, more responsible efforts, with greater competence and positive expectation associated with working for suicidal patients. They agreed on the need for multidisciplinary efforts for effective suicide prevention. After the intervention, they considered the possibility of suicidal ideas emerging due to the need for help, not for the purpose of attention-seeking, and instead of considering suicidal communication as individual's choice, they agreed on substantial preventability of suicide with comprehensive management. Their misconceptions were resolved to a greater extent. Conclusion Brief educational intervention was found effective in improving their attitude toward suicide prevention. The medical curriculum should incorporate regular educational programs, suicide prevention and comprehensive assessment, and management of suicide attempters.

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Section: Discussionmentioning

confidence: 99%

“…Limited focus on suicide in the medical curriculum, stigma, and deficit in skills leading to decreased confidence are some of the reasons purported to be responsible for the negative beliefs about suicide. 5 6 …”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Brief Educational Training on Medical Students' Attitude toward Suicide Prevention

Nebhinani

Kuppili

Paul

et al. 2020

JNRP

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“…While psychiatrists may play a large role in suicide assessment and management (SAM), many other health care professionals, including medical professionals in the emergency department or primary care setting, will also encounter patients at risk for suicide. 2,3 Many patients follow up with their primary care provider prior to attempting or dying by suicide. [4][5][6][7][8][9] It is essential for health care professionals to possess the knowledge and skills to manage suicidal patients; unfortunately, training in this area is often limited, and health care professionals may not be well equipped to properly handle such patients.…”

Section: Introductionmentioning

confidence: 99%

“…4 According to Gramaglia and Zeppegno, there are gaps in training students about suicide prevention and management. 2 In order to address these gaps, it is thought that interactive learning techniques can better educate students about the difficult and multifaceted world of suicide. 2 There are very few such resources available in MedEdPORTAL.…”

Section: Introductionmentioning

confidence: 99%

Suicide Assessment and Management Team-Based Learning Module

et al. 2020

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Introduction: Suicide is a global health problem that health care providers must feel comfortable addressing. Unfortunately, many health care providers are not equipped to assess and treat patients at risk for suicide due to lack of training and education. Interactive resources are needed to educate health professions students about the management of suicidal patients. Methods: The suicide assessment and management team-based learning (TBL) module was developed to address the gap in suicide education. After completing the module, students were able to identify key elements for a comprehensive assessment of a patient's risk for suicide and to discuss clinical management for a suicidal patient. The activity was designed for second-year medical students during a psychopathology course, the last organ-system course prior to clerkships. This module could also be used or modified to meet the educational requirements for other health professions, including medical residents, nurse practitioner students, and physician assistant students. Results: A total of 342 students among 62 teams participated in the TBL over a period of 3 consecutive years. The class averages for the individual Readiness Assurance Test ranged from 80% to 88%. The class averages for the team Readiness Assurance Test and application questions were comparable across all 3 years. Course evaluations showed the TBL helped students think critically and integrate information to prepare them for their future careers. Discussion: Overall, this TBL was an effective educational tool that stimulated high-quality discussion, in which students remained engaged and asked thought-provoking questions.

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“…Os médicos da Atenção Primária atendem a pacientes cerca de um mês antes de uma tentativa de suicídio, sobrepondo aos atendimentos por médicos especialistas. Diante desse fato, fica evidente que é dever dos médicos generalistas e de outras especialidades, além dos psiquiatras e psicólogos, diagnosticar pacientes com eminente risco de suicídio (Gramaglia & Zeppegno, 2018).…”

Section: Introductionunclassified

Avaliação das atitudes e autopercepção de capacitação de estudantes de medicina frente ao comportamento suicida e determinação de fatores associados

Barcelos

Figueiredo

Carvalho

et al. 2020

RSD

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O Brasil se encontra entre os dez países com maior número de casos de morte por suicídio do mundo. A capacidade de identificação precoce de pacientes com ideação suicida por parte dos acadêmicos do setor saúde em seus ambientes de prática se mostra promissora e fundamental para prevenção desse fenômeno. Esse estudo teve como objetivo investigar, por meio do questionário validado QUACS, a atitude e a autopercepção de capacitação de estudantes de medicina frente ao comportamento suicida, bem como determinar fatores associados. A amostra foi composta por acadêmicos do 6º e 8º períodos de medicina da Universidade do Estado de Minas Gerais (UEMG), unidade Passos. Tratou-se de um estudo observacional, tipo transversal, com abordagem quantitativa e qualitativa. Com a avaliação estatística dos resultados, concluiu-se que os acadêmicos do 6º e 8º período do curso de medicina da UEMG não se sentem capacitados para lidar com um caso de comportamento suicida. Pode-se inferir que isso se deva à possíveis lacunas no processo de ensino da medicina que precisam ser detectadas e preenchidas. Medidas como a ampliação do contato dos estudantes de medicina com casos de comportamento suicida nos ambientes de prática podem se mostrar promissoras nesse cenário. Como limitação desse estudo, destaca-se o fato dele ter sido conduzido em uma única universidade pública da região sul de Minas Gerais. Portanto, observa-se a necessidade de expandir a amostra para outras universidades, incluindo as universidades particulares, de Passos e de outras regiões do país.

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Medical Students and Suicide Prevention: Training, Education, and Personal Risks

Cited by 7 publications

References 30 publications

Effectiveness of Brief Educational Training on Medical Students' Attitude toward Suicide Prevention

Effectiveness of Brief Educational Training on Medical Students' Attitude toward Suicide Prevention

Suicide Assessment and Management Team-Based Learning Module

Avaliação das atitudes e autopercepção de capacitação de estudantes de medicina frente ao comportamento suicida e determinação de fatores associados

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