This study aimed to qualitatively explore medical students’ reasons for suspending, or thinking of suspending, their studies and the types of support services they request.
Method:
Data were collected through an anonymous online survey. Medical students’ responses to open-ended questions were analyzed thematically.
Results:
Responses were received from 475 students. Financial problems, doubts as to whether medicine was the right vocation, and depression were the most commonly reported themes. Students endorsed a wide range of other pressures and concerns, barriers to obtaining assistance, and also suggested solutions and services to address their concerns.
Conclusions:
Medical students’ financial concerns and potential depressive symptoms should be addressed by university and faculty support services. Government financial support mechanisms for students should also be reviewed. Students’ suggestions of the types of services and their location must be borne in mind when allocating resources.
BìróÉBalajtiIÁdányR. Determinants of mental well-being in medical students. Soc Psychiatry Psychiatr Epidemiol2010; 45: 253–258.
2.
RohMSJeonHJKimH. Factors influencing treatment for depression among medical students: a nationwide sample in South Korea. Med Educ2009; 43: 133–139.
3.
StallmanHM. Psychological distress in university students: a comparison with general population data. Aust Psychol2010; 45: 249–257.
4.
MikolajczykRTMaxwellAENaydenovaV. Depressive symptoms and perceived burdens related to being a student: survey in three European countries. Clin Pract Epidemiol Ment Health2008; 4: 19.
5.
CvetkovskiSReavleyNJormAF. The prevalence and correlates of psychological distress in Australian tertiary students compared to their community peers. Aust N Z J Psychiatry2012; 46: 395–396.
6.
ShahMHasanSMalikS. Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani Medical School. BMC Med Educ2010; 10: 2.
7.
SreeramareddyCTShankarPRBinuVS. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ2007; 7: 26.
8.
AniebuePNOnyemaGO. Prevalence of depressive symptoms among Nigerian medical undergraduates. Trop Doct2008; 38: 157–158.
9.
DyrbyeLNHarperWDurningSJ. Patterns of distress in US medical students. Med Teach2011; 33: 834–839.
10.
ComptonMTCarreraJFrankE. Stress and depressive symptoms/dysphoria among US medical students: results from a large, nationally representative survey. J Nerv Ment Dis2008; 196: 891–897.
11.
DyrbyeLNThomasMRPowerDV. Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Acad Med2010; 85: 94–102.
12.
DyrbyeLNThomasMRShanafeltTD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc2005; 80: 1613–1622.
13.
ShariatiMYunesianMVashJH. Mental health of medical students: a cross-sectional study in Tehran. Psychol Rep2007; 100: 346–354.
14.
AndrewsBWildingJM. The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol2004; 95: 509–521.
15.
LeahyCMPetersonRFWilsonIG. Distress levels and self-reported treatment rates for medicine, law, psychology and mechanical engineering tertiary students: cross-sectional study. Aust N Z J Psychiatry2010; 44: 608–615.
16.
MidtgaardMEkebergØVaglumP. Mental health treatment needs for medical students: a national longitudinal study. Eur Psychiatry2008; 23: 505–511.
17.
SchwenkTLMDavisLBWimsattLAP. Depression, stigma, and suicidal ideation in medical students. JAMA2010; 304: 1181–1190.
18.
Chew-GrahamCARogersAYassinN. ’I wouldn’t want it on my CV or their records’: medical students’ experiences of help-seeking for mental health problems. Med Educ2003; 37: 873–880.
19.
EisenbergDGolbersteinEGollustSE. Help-seeking and access to mental health care in a university student population. Med Care2007; 45: 594–601.
20.
MartinJM. Stigma and student mental health in higher education. Hig Educ Res Dev2010; 29: 259–274.
21.
YorgasonJBLinvilleDZitzmanB. Mental health among college students: do those who need services know about and use them?J Am Coll Health2008; 57: 173–181.
VergerPGuagliardoVGilbertF. Psychiatric disorders in students in six French universities: 12-month prevalence, comorbidity, impairment and help-seeking. Soc Psychiatry Psychiatr Epidemiol2010; 45: 189–199.
24.
SeritanAHuntJShyA. The state of medical student wellness: a call for culture change. Acad Psychiatry2012; 36: 7–10.
25.
WangJ. Perceived barriers to mental health service use among individuals with mental disorders in the Canadian general population. Med Care2006; 44: 192–195.
