Change in attitude towards suicide with current undergraduate training in psychiatry: a cross-sectional study

Authors

  • V G Vinuprasad Associate Professor, Department of Psychiatry, Government Medical College, Palakkad.
  • N R Sharadha Associate Professor, Department of Psychiatry, Vinayaka mission Medical College, Karaikkal, Pondicherry.
  • Mehmet Eskin Professor of Clinical Psychology, Koç University College of Social Sciences and Humanities, Department of Psychology, Rumelifeneri, Yolu, Sarıyer, 34450 Istanbul, Turkey

DOI:

https://doi.org/10.30834/KJP.33.2.2020.221

Keywords:

undergraduate, medical student, curriculum, attitude, suicide

Abstract

Background:  Teachers in the field of psychiatry has the responsibility to impart changes in students' attitude towards important areas of the subject. Suicide is the psychiatric emergency that a primary care practitioner is most likely to encounter in day to day practice. In this cross-sectional study, we looked into the change in the attitude of an undergraduate student towards suicide with his/her training in psychiatry with the present undergraduate curriculum. Materials and Methods: We recruited undergraduate medical students doing their MBBS course from a medical college of South India. Their responses to Eskin's Attitudes towards Suicide Scale (E-ATSS) and Eskin's Social Reactions to Suicidal Persons Scale (E-SRSPS) were collected. The students were divided into groups of students completed undergraduate training in Psychiatry and those who are yet to get exposed to it.  Responses in E-ATSS and E-SRSPS from both groups were compared. Results: The overall attitude of students towards suicide and suicidal person were favourable compared to many previous studies. There was a significant difference in the factor ' suicide as a sign of mental illness' when responses from both groups were compared. 2.72±1.11 in the exposed group compared to 3.16±1.11 of unexposed group. p-value<0.001). Also, there was a significant difference in responses to the disapproval of suicidal disclosure. 2.83±0.65 in the exposed group and 2.67±0.67 in the unexposed group. (p-value - 0.01). Conclusion: The current undergraduate medical curriculum by Medical Council of India is successful in bringing attitude change in some important domains of the subject of suicide. Domains remain under-covered by the curriculum should be looked into in the future curriculum revisions.

References

undergraduate curriculum for the Indian medical graduate- 2018

Balhara YP, Yadav T, Arya K, Kataria D. Impact of psychiatric education and training on attitude of medical students towards mentally ill: A comparative analysis. Ind Psychiatry J. 2012; 21(1): 22–31.

Samuelsson M, Asberg M, Gustavsson JP. Attitudes of psychiatric nursing personnel towards patients who have attempted suicide. Acta Psychiatr Scand 1997; 95:222-30.

Barber JH, Hodgkin GK, Patel AR, Wilson GM. Effect of teaching on students' attitudes to self-poisoning. Br Med J 1975; 2:431-4.

National Crime Records Bureau. Suicides in India; 2014. Available from: http://www.ncrb.gov.in.

Sethi S, Shipra U. Attitudes of clinicians in emergency room towards suicide. Int J Psychiatry Clin Pract 2006;10:182-5.

Nebhinani N, Chahal S, Jagtiani A, Nebhinani M, Gupta R. Medical students? attitude toward suicide attempters. Ind Psychiatry J. 2016; 25(1): 17–22.

Nebhinani M, Nebhinani N, Tamphasana L, Gaikwad

A. Nursing students' attitude towards suicide attempters: A study from rural part of Northern India. J Neurosci Rural Pract. 2013; 4(4): 400–407

Poreddi V, Thimmaiah R, Chandra R, Bada Math S. Bachelor of nursing students' attitude towards people with mental illness and career choices in psychiatric nursing. An Indian perspective. Invest Educ Enferm. 2015; 33(1): 148-54

Desai R, Panchal B, Vala A, Ratnani IJ, Vadher S, Khania P. Impact of clinical posting in psychiatry on the attitudes towards psychiatry and mental illness in undergraduate medical students. Gen Psychiatry [Internet]. 2019;32(3). Available from: https://gpsych.bmj.com/content/32/3/e100072

Grover N, Jameel S, Dhiman V. Change in attitude among nursing undergraduate students following one-month exposure in a mental healthcare setting. Indian J Psychol Med 2019;41:462-5

Jilowa C, Meena P, Jain M, Dhanda G, Sharma K, Kumawat A, et al. attitude of undergraduate medical students toward psychiatry: A cross-sectional comparative study. Ind Psychiatry J. 2018;27(1): 124–30.

Khan R, Apramian T, Kang JH, Gustafson J, Sibbald S. Demographic and socioeconomic characteristics of Canadian medical students: A cross-sectional study. BMC Med Educ. 2020;20(1):151

"Census 2011, Chapter 6 (State of Literacy), p.14" (PDF). Government of India

Jianlin J. Suicide rates and mental health services in modern China. Crisis. 2000;21(3), 118–121.

Pirkola S, Sund R, Sailas E, Wahlbeck K. Community mental-health services and suicide rate in Finland: a nationwide small-area analysis. Lancet. 2009;373(9658):147-53.

Han J, Batterham PJ, Calear AL, Randall R. Factors influencing professional help-seeking for suicidality: A systematic review. Crisis. 2018;39(3), 175–196.

Oliffe JL, Broom A, Rossnagel E, Kelly MT, Affleck W, Rice SM. Help-seeking prior to male suicide: Bereaved men perspectives. Soc Sci Med. 2020;261, 113173.

Rasmussen ML, Hjelmeland H, Dieserud G. Barriers toward help-seeking among young men prior to suicide. Death Stud. 2018; 42(2), 96-103.

Cooper SL, Lezotte D, Jacobellis J, DiGuiseppi C. Does Availability of Mental Health Resources Prevent Recurrent Suicidal Behavior? An Ecological Analysis. Suicide Life-Threatening Behav. 2006;36(4), 409-17.

Downloads

Published

2020-12-12

How to Cite

Vinuprasad, V. G., N. R. Sharadha, and M. . Eskin. “Change in Attitude towards Suicide With Current Undergraduate Training in Psychiatry: A Cross-Sectional Study”. Kerala Journal of Psychiatry, vol. 33, no. 2, Dec. 2020, pp. 153-7, doi:10.30834/KJP.33.2.2020.221.

Issue

Section

Research Report