Knowledge and attitude towards suicide among medical students in Japan: Preliminary study
Knowledge and attitude towards suicide among medical students in Japan: Preliminary study
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DOI：
10.1111/j.1440-1819.2006.01558.x
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发表时间：
2006-10-01
影响因子：
11.9
通讯作者：
Hirayasu, Yoshio
中科院分区：
文献类型：
--
作者：
Sato, Ryoko;Kawanishi, Chiaki;Hirayasu, Yoshio
日本是世界上自杀率最高的国家之一。1998年的自杀人数为32 863人，此后每年都超过30 000人。对那些参与一般和心理社会病人护理的人进行教育，可以大大有助于预防自杀。作者对日本一所医学院的一年级、三年级和五年级学生进行了一份关于自杀的简短知识和态度评估问卷。参与者人数为160人（94名男性，平均年龄21.8岁，SD = 3.01，66名女性，平均年龄21.2岁，SD = 2.64）; 59名第一年，52名第三年，49名第五年。问卷由八个多项选择题和一个开放式问题组成，分别询问自杀知识和态度。在知识部分，只有大约一半的项目被正确回答（平均得分为4.21，SD = 1.28）。一个显着的差异，观察到的患病率的态度作为分类变量之间的学生年（P = 0.001）。同情的评论随着学生年龄的增长而沿着增加，而批评的评论则减少。鉴于基层医疗接触的频繁和干预机会，从医学角度对自杀的理解不足令人担忧。此外，评判态度很常见，特别是在上学的前几年。医生和其他保健专业人员如果更了解情况、更善解人意，可大大有助于预防工作。
Japan has one of the highest suicide rates in the world. Suicides numbered 32 863 in 1998 and have exceeded 30 000 in every subsequent year. Education of those involved in general and psychosocial patient care can contribute greatly to suicide prevention. The authors administered a brief knowledge and attitude assessment questionnaire concerning suicide to students in their first, third, and fifth years at a Japanese medical school. Participants numbered 160 (94 men with a mean age of 21.8 years, SD = 3.01, and 66 women with a mean age of 21.2 years, SD = 2.64); 59 first year, 52 third year, and 49 in their fifth year. The questionnaire consists of eight multiple-choice questions asking knowledge of suicide and one open-ended question asking attitude. In the knowledge part, only about half of the items were answered correctly (mean score was 4.21, SD = 1.28). A significant difference was observed in prevalence of attitudes as categorical variables between student years (P = 0.001). Sympathetic comments increased along with student years, while critical comments decreased. Given the frequent and interventional opportunities of primary-care medical contacts, poor understanding of suicide from the medical viewpoint was of concern. Moreover, judgmental attitudes were common, especially in earlier school years. Better informed, more understanding physicians and other health professionals could contribute greatly to prevention.