Depression and suicidal ideation among dental students of Southern Saudi Arabia: A cross sectional study.
dental
depression
prevalence
students
suicide
Journal
Journal of dental education
ISSN: 1930-7837
Titre abrégé: J Dent Educ
Pays: United States
ID NLM: 8000150
Informations de publication
Date de publication:
20 Aug 2021
20 Aug 2021
Historique:
revised:
12
07
2021
received:
03
04
2021
accepted:
28
07
2021
entrez:
20
8
2021
pubmed:
21
8
2021
medline:
21
8
2021
Statut:
aheadofprint
Résumé
To assess depression and suicidal ideation among dental students at King Khalid University College of Dentistry, Abha, Saudi Arabia. A cross-sectional questionnaire-based study was carried out among dental students between January and March 2020. The Arabic version of the Patient Health Questionnaire (PHQ-9) was used to assess depression, while suicidal ideation was assessed using three questions related to suicidal behaviors drawn from the literature. A total of 218 participants completed the questionnaires. More than 40% of the participants experienced depression while the prevalence of suicidal ideation was 48.2%; around a third of the sample had suicidal ideation, and half of which made a suicidal attempt in the preceding year (p < 0.05). There was a lack of association between depression severity and suicidal ideation. A large proportion of dental students experienced depression and suicidal ideation. These findings invite in depth analysis of the causative and contributing factors for such high rates as well as ways for addressing them.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2021 American Dental Education Association.
Références
Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. Int J Med Educ. 2017;8:179-186.
Aboalshamat K, Hou X-Y, Strodl E. Psychological well-being status among medical and dental students in Makkah, Saudi Arabia: a cross-sectional study. Med Teach. 2015;37:S75.
Alzahem AM van der Molen HT, Alaujan AH, Schmidt HG, Zamakhshary MH. Stress amongst dental students: a systematic review. Eur J Dent Educ. 2011;15(1):8-18.
Bergdahl J, Bergdahl M. Perceived stress in adults: prevalence and association of depression, anxiety and medication in a Swedish population. Stress Health. 2002;18(5):235-241.
Yang L, Zhao Y, Wang Y, et al. The effects of psychological stress on depression. Curr Neuropharmacol. 2015;13(4):494-504.
Depression. WHO. Accessed Febuary 28, 2021. https://www.who.int/news-room/fact-sheets/detail/depression
Brondani M, Ramanula D, Pattanaporn K. Tackling stress management, addiction, and suicide prevention in a predoctoral dental curriculum. J Dent Educ. 2014;78(9):1286-1293.
Mihailescu AI, Diaconescu LV, Ciobanu AM, Donisan T, Mihailescu C. The impact of anxiety and depression on academic performance in undergraduate medical students. Eur Psychiatry. 2016;33(S1):S284.
Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456-468.
Newbury-Birch D, Lowry RJ, Kamali F. The changing patterns of drinking, illicit drug use, stress, anxiety and depression in dental students in a UK dental school: a longitudinal study. Br Dent J. 2002;192(11):646-649.
Prinz P, Hertrich K, Hirschfelder U, de Zwaan M. Burnout, depression and depersonalisation - Psychological factors and coping strategies in dental and medical students. GMS Z Med Ausbild. 2012;29(1):1-14.
Preventing suicide a global imperative. Geneva: World Health Organization. 2014. http://apps.who.int/iris/bitstream/10665/131056/1/9789241564779_eng.pdf?ua=1&ua=1 [Accessed 5 March. 2017].
Rey JM. IACAPAP Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions; 2012.
Owusu-Ansah FE, Addae AA, Peasah BO, et al. Suicide among university students: prevalence, risks and protective factors. Health Psychol Behav Med. 2020;8(1):220-233.
Gili-Planas M, Roca-Bennasar M, Ferrer-Perez V, Bernardo-Arroyo M. Suicidal ideation, psychiatric disorder, and medical illness in a community epidemiological study. Suicide Life Threat Behav. 2001;31(2):207-213.
Arria AM, O'Grady KE, Caldeira KM, Vincent KB, Wilcox HC, Wish ED. Suicide ideation among college students: a multivariate analysis. Arch Suicide Res. 2009;13(3):230-246.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81(4):354-373.
Dahlin ME, Runeson B. Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Med Educ. 2007;7:6.
Rada RE, Johnson-Leong C. Stress, burnout, anxiety and depression among dentists. J Am Dent Assoc. 2004;135(6):788-794.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613.
Dyrbye LN, Thomas MR, Massie FS, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008;149(5):334-341.
Kim YE, Lee B. The psychometric properties of the patient health questionnaire-9 in a sample of Korean university students. Psychiatry Investig. 2019;16(12):904-910.
Adewuya AO, Ola BA, Afolabi OO. Validity of the patient health questionnaire (PHQ-9) as a screening tool for depression amongst Nigerian university students. J Affect Disord. 2006;96(1-2):89-93.
Becker S, Al Zaid K, Al Faris E. Screening for somatization and depression in Saudi Arabia: a validation study of the PHQ in primary care. Int J Psychiatry Med. 2002;32(3):271-283.
AlHadi AN, AlAteeq DA, Al-Sharif E, et al. An arabic translation, reliability, and validation of patient health questionnaire in a Saudi sample. Ann Gen Psychiatry. 2017;16:32.
BinDhim NF, Althumiri NA, Basyouni MH, et al. Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends. Eur J Psychotraumatol. 2021;12(1):1875642.
Kroenke K, Spitzer RL. The PHQ-9: a new depression diagnostic and severity measure. Psychiatric Annals. 2002;32(9):509-515.
Meehan PJ, Lamb JA, Saltzman LE, O'Carroll PW. Attempted suicide among young adults: progress toward a meaningful estimate of prevalence. Am J Psychiatry. 1992;149(1):41-44.
Ozkurt-Kayahan Z, Cabbar F, Ozcakir-Tomruk C, Dolekoglu S. Evaluation of depression levels of dental students. Biomed Res. 2017;28(7):3318-3321.
Moschos MM, Nitoda E, Lavaris A. Estimation of depression prevalence in patients with Stargardt disease using PHQ-9 and Zung scores. Eur J Ophthalmol. 2016;26(3):268-272.
Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. J R Soc Med. 1998;91(5):237-243.
Gorter R, Freeman R, Hammen S, Murtomaa H, Blinkhorn A, Humphris G. Psychological stress and health in undergraduate dental students: fifth year outcomes compared with first year baseline results from five European dental schools. Eur J Dent Educ. 2008;12(2):61-68.
Bathla M, Singh M, Kulhara P, Chandna S, Aneja J. Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: a cross-sectional study. Contemp Clin Dent. 2015;6(2):215-222.
Al-Sowygh ZH, Alfadley AA, Al-Saif MI, SH Al-Wadei. Perceived causes of stress among Saudi dental students. King Saud Univ J Dent Sci. 2013;4(1):7-15.
McDermott LM, Ebmeier KP. A meta-analysis of depression severity and cognitive function. J Affect Disord. 2009;119(1-3):1-8.
Aboalshamat K, Salman W, Almehman R, et al. The relationship between loneliness and suicidal ideation in private medical and dental students in Jeddah, Saudi Arabia. J Int Med Dentist. 2018;5(1):11-19.
Amr M, Amin TT, Saddichha S, et al. Depression and anxiety among Saudi university students: prevalence and correlates. Arab J Psychiatr. 2013;24(1):1-7.
Niederkrotenthaler T, Reidenberg DJ, Till B, Gould MS. Increasing help-seeking and referrals for individuals at risk for suicide by decreasing stigma: the role of mass media. Am J Prev Med. 2014;47(3 Suppl 2):S235-43.
Shah A. The relationship between suicide rates and age: an analysis of multinational data from the World Health Organization. Int Psychogeriatr. 2007;19(6):1141-1152.
Galan F, Rios-Santos JV, Polo J, Carrasco BR, Bullon P. Burnout, depression and suicidal ideation in dental students. Med Oral Patol Oral Cir Bucal. 2014;19(3):e206-11.
Weissman MM, Bland RC, Canino GJ, et al. Cross-national epidemiology of major depression and bipolar disorder. JAMA. 1996;276(4):293-299.
Lu L, Xu L, Luan X, et al. Gender difference in suicidal ideation and related factors among rural elderly: a cross-sectional study in Shandong, China. Ann Gen Psychiatry. 2020;19(1):2-9.
Smith WG. Does Gender Influence Online Survey Participation? A Record-Linkage Analysis of University Faculty Online Survey Response Behavior. San Jose State University; 2008.
Braga LL, Dell'Aglio DD. Suicidionaadolescência: fatores de risco, depressao e genero. Suicide in adolescence: risk factors, depression and gender. Contextos Clínicos. 2013;6(1):2-14.
Gvion Y, Horesh N, Levi-Belz Y, Apter A. A proposed model of the development of suicidal ideations. Compr Psychiatry. 2015;56(6):93-102.
Divaris K, Barlow PJ, Chendea SA, et al. The academic environment: the students’ perspective. Eur J Dent Educ. 2008;12(1):120-130.
Bauer AM, Chan YF, Huang H, Vannoy S, Unutzer J. Characteristics, management, and depression outcomes of primary care patients who endorse thoughts of death or suicide on the PHQ-9. J Gen Intern Med. 2013;28(3):363-369.
Hakami Z, Khanagar SB, Vishwanathaiah S, et al. Psychological impact of the coronovirus disease 2019 (COVID-19) pandemic on dental students: a nationwide study. J Dent Educ. 2021;85(4):494-503.