Web-Based Cognitive Behavioral Therapy Intervention for the Prevention of Suicidal Ideation in Medical Interns

Guille, Constance; Zhuo, Zhao; Krystal, John H.; Nichols, Breck; Brady, Kathleen T.; Sen, Srijan

doi:10.1001/jamapsychiatry.2015.1880

Cited by 143 publications

(136 citation statements)

References 31 publications

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“…En el último año de la carrera se evidencia un incremento notorio en la percepción de abuso sexual, lo que se podría explicar por el aumento del contacto individual docente-estudiante y las largas horas de trabajo propias del internado (13) . Además, se ha descrito que ese año es el de mayor riesgo con incremento de la ideación suicida, por lo que se sugiere, a nivel internacional, la implementación de programas de prevención (35) .…”

Section: Discussionunclassified

Percepción de bullying en alumnos de sexto año de la escuela de medicina de una universidad pública de Lima 2015

et al. 2016

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ResumenIntroducción. Las conductas agresivas y discriminatorias afectan la salud física y mental incluso de quienes las cometen. Los estudiantes están sometidos a situaciones de estrés, las cuales aumentan el riesgo de desarrollar dichas conductas y a sufrir sus consecuencias. Por otro lado, la Escuela de Medicina tiene como propósito formar integralmente profesionales médicos, con capacidad de evitar situaciones de violencia y convivir pacíficamente. Es por ello el interés de describir este problema en la Escuela de Medicina de la Universidad Nacional Mayor de San Marcos, Lima, Perú. Objetivo. Abordar la situación de violencia (bullying) en estudiantes de Medicina Humana del 6° año que no habían participado en el Programa de Formación Integral en la UNMSM. Diseño. Estudio descriptivo-transversal. Lugar. Sede docente "Instituto Nacional de Salud del Niño", Lima, Perú. Participantes. Muestra conformada por 93 (63%) estudiantes matriculados en el sexto año de la Facultad de Medicina que llevaron el curso de Pediatría durante los meses de julio a noviembre de 2015. Intervenciones. Se utilizó un instrumento desarrollado y validado por la Defensoría del Pueblo de España, modificado y corregido por Hoyos y col. Se calcularon las frecuencias y porcentajes de las respuestas. Resultados. Las conductas de violencia fueron más prevalentes entre estudiantes, entre ellas la conducta de agresión verbal más practicada fue la de expresarse de mala manera (40,8%). Conclusiones. La existencia de violencia se presenta en un alto porcentaje de la población estudiada y están implicados en ella docentes y estudiantes. Palabras clave. Violencia; Bullying; Estudiantes; Docentes. Abstract Introduction. Aggressive and discriminatory behavior affects physical and mental health even on those who commit them. Students are subjected to stress, which increases the risk of those behaviors and makes them likely to suffer from its consequences. On the other hand, the Medical School aims to educate medical professionals integrally, with abilities to avoid violence and live peacefully. That is why the interest of describing this problem in Universidad Nacional Mayor de San Marcos, Lima, Peru's Medical School. Objective. To address violence in students from the sixth year of Human Medicine who had not participated in the Integral Formation Program in UNMSM. Design: Descriptive, transversal study. Setting. "Instituto Nacional del Niño", Lima, Peru, teaching hospital. Participants. Sample consisted in 93 (63%) students enrolled in the sixth year of the Faculty of Medicine who took the course of Pediatrics during the months of July to November 2015. Interventions. An instrument developed and validated by the Spanish Office of the Ombudsman, modified and corrected by Hoyos et al was used. Frequencies and percentages of responses were calculated. Results. Violent behaviors were more prevalent among students; the most practiced behavior was to express badly (40.8%). Conclusions. The existence of violence occurs in a high percentage of the studied populat...

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Section: Discussionunclassified

Percepción de bullying en alumnos de sexto año de la escuela de medicina de una universidad pública de Lima 2015

et al. 2016

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“…2015 designed a study to assess the effectiveness of a web-based cognitive behavioral therapy for the prevention of suicide in a sample of medical physicians at the beginning of their internships. Results suggested that this intervention helped reduce the he development of suicidal ideation among this population [18].…”

Section: Introductionmentioning

confidence: 89%

A Revision of Preventive Web-based Psychotherapies in Subjects at Risk of Mental Disorders

Sánchez-Gutiérrez¹,

Barbeito²,

Calvo³

2017

IJIMAI

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“…These positive strategies can be categorized into: Interventions. Examples: online cognitive behavioral therapy (CBT), 21 Interactive Screening Program (ISP).…”

Section: Scaling Up Solutionsmentioning

confidence: 99%

Physician Mental Health: An Evidence-Based Approach to Change

Moutier

2018

Journal of Medical Regulation

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Awareness of high rates of physician burnout, depression and suicide is leading to changes within the medical profession at all levels. Most mental health problems can be effectively managed, but real and perceived barriers — such as confidentiality concerns and fear of negative ramifications on one's reputation, licensure, or hospital privileging — keep many physicians from addressing their mental health needs. Unattended distress has ramifications for physicians as well as the health care industry and patient safety. A number of factors contribute: in addition to individual risk factors and stress load, institutional culture plays a critical role in leading physicians to rationalize and internalize distress as part of their professional identity. There are several initiatives with demonstrated effectiveness in medical settings that can be scaled up for greatest impact: education and stigma reduction efforts, policies and procedures that treat mental health on par with physical health, and efforts that promote an overarching culture of respect. Further strides can be made by addressing hospital and state licensing forms' questions related to mental health — ensuring that questions pertain to competence rather than illness — or replacing questions altogether with a statement encouraging proactive actions to protect physician mental health and safe practice.

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Web-Based Cognitive Behavioral Therapy Intervention for the Prevention of Suicidal Ideation in Medical Interns

Cited by 143 publications

References 31 publications

Percepción de bullying en alumnos de sexto año de la escuela de medicina de una universidad pública de Lima 2015

Percepción de bullying en alumnos de sexto año de la escuela de medicina de una universidad pública de Lima 2015

A Revision of Preventive Web-based Psychotherapies in Subjects at Risk of Mental Disorders

Physician Mental Health: An Evidence-Based Approach to Change

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