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Well being, depression and suicidal ideation among medical students throughout Vietnam

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 Anh Tran Quynh, Michael P. Dunne , Hoat Luu Ngoc

ABSTRACT

Medical school is a stressful environment that can affect the well-being of students. Research worldwide indicates that medical students experience high stress and depression. However, little is known about the mental health of medical students in Vietnam.

Objectives

This study investigated psychological well-being, depressive symptoms and suicidal ideation among Vietnamese medical students, and examined associations with a wide range of possible influences on mental health.

Methods

A cross-sectional survey was conducted in 2013 at eight medical universities throughout Vietnam. A total of 2,099 students from years 1, 3 and 5 completed the anonymous self-report questionnaire.

Results

A positive finding shown that over half of these students (54.5%) reported good well-being. However, about one in every fourth experienced recent mild to moderate depression. Past year suicidal thoughts, planning or attempts were reported by 8.7%, 3.9% and 0.9%, respectively. Importantly, 5.8% of the students may have clinically significant difficulties as they reported both depression and suicidal thoughts. Female students generally and first year males and females experienced higher levels of depression. Problems finding suitable accommodation, financial difficulties, interpersonal problems with peers including breakup of romantic relationships, and conflict with parents were most strongly related to adverse mental health.

Conclusion

Although many medical students in Vietnam report good quality of life, a significant minority do not. Interpersonal difficulties appear to be more strongly associated with poor mental health than are study-related factors. To promote students’ psychological wellbeing, medical universities should provide counseling services to assist students, especially in first year as they are making the transition into this career.

Keywords

Well-being, depression, suicidal ideation, medical students, Vietnam

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