SUICIDAL IDEATION AND ITS ASSOCIATION WITH THE TYPE-D PERSONALITY IN UNDERGRADUATE MEDICAL STUDENTS AT A PUBLIC SECTOR MEDICAL UNIVERSITY IN PAKISTAN

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Dr. Ramsha Urooj Baig
Dr. Ramlah Naz
Dr. Mehreen Fatima
Dr. Arshad Khan
Dr. Zubair Ahmed Tirmizi
Dr. Rafay Ahmed Siddiqui
Usama Ameen Ahmed7

Keywords

suicide, medical students, Type-D personality, suicidal ideation, Type-D personality traits

Abstract

Introduction: Worldwide, suicide is the second foremost cause of mortality among those aged 15 to 29, with medical students frequently reporting higher rates of suicidal ideation.


Objectives: This research sought to investigate the possible association between Type D (distressed) personality and suicidal ideation among medical students at the undergraduate level.


Methodology: We assessed suicidal ideation and Type D personality traits using the Beck Scale for Suicide Ideation and DS14 scales in MBBS students at a medical university in Karachi, Pakistan from April 2023 till October 2023.


Results: Out of 200 medical students surveyed, 9.5% (n = 19) reported experiencing suicidal ideation, with 3.5% (n = 7) exhibiting high suicide intent. The analysis revealed a significant association between social inhibition, a Type D personality trait, and suicidal ideation (p = 0.005). In contrast, negative affectivity, the other core trait of Type D personality, did not show a significant relationship with suicidal ideation (p > 0.05). Among participants with high suicide intent, a higher prevalence of social inhibition was observed; however, the small sample size limited further statistical analysis. These findings suggest that social inhibition may play a critical role in the relationship between Type D personality and suicidal ideation.


Conclusion: Our study identified a significant association between suicidal ideation and Type D personality in medical students. However, as this was a cross-sectional study, we cannot infer causation or the direction of this relationship. Further longitudinal research is needed to explore the temporal dynamics.

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References

1. M. Sertelli, G.L. Baiocchi, S Di Derverio, F. Ferrara, F.M. Labricciossa, L. Ansaloni, et al; Prospective observational study on Acute appendicitis worldwide (POSAW). World J Emerg Surg. 2018 Apr16;13:19. doi:10.1186/s13017-018-0179-0
2. L.H. Maghsoudi, A. Soltanian, A. Shirzadi, R. Alizadeh-Kashani, M. Ahmadinejad; Biomarker of urinary 5-HIAA as a valuable predictor of acute appendicitis. Pract Lab Med. 2020 Dec 13;23:e00198
3. F. Zarei, M. Ahmadinejad; Comparison of wound infection in uncomplicatedacute appendicitis by subcuticular suture and interrupted suture. Infect Diord Drug Targets. 2021 Sep16;21(6)e270421190327
4. M. Dzabic, L. Bostrom, A. Rahbar; High prevalence of anactive cytomegalovirus infection in the appendix of immuno competent patients with acute appendicitis. Inflamm Bowel Dis. 2008 Feb;14(2):236-41
5. L.W. Lamps; Infectious causes of appendicitis.Infectious Disease Clinics North Am, 2010 Dec;24(4), pp 995-1018
6. A. Bhangu, K. Soreide, S. Di Saverio, J.H. Assarsson, F.T. Drake; Acute appendicitis: modern understanding of pathogenesis, diagnosis and management. Lancet.2015 Sep26;386(10000):1278-1287
7. A. Pooria, A. Pourya, A. Gheini; Appendicitis clinical implications in negative appendicectomy. International Journal of Surgery Open; vol 29, February 2021, pages 45-49
8. Hartiwig K, Karl S, Jon AS, Egil A, Arne N, Tone HL, et al; Incidence of Acute Non perforated and perforated appendicitis: Age specific and Sex specific analysis. World J Surg. 1997:21: 313-317
9. Wilcox RT, Traverso LW. Have the evaluation and treatment of acute appendicitis changed with new technology? SurgClin North Am.1997
10. Jones MW, Lopez RA, Deppen JG; Appendicitis. StatPearls(Internet). TreasureIsland(FL): StatPearls Publishing; [2022May1;J.2022.Jan
11. Korner H, Sondenaa K, Soreide JA, Andersen E, Nysted A, Lende TH, et al. Incidence of acute nonperforated and perforated appendicitis: age specific and sex specific analysis. World J Surg. 1997 Mar-Apr;21(3):313-7
12. K. Deo, P. Yogi, A. Niroula, S. Maharjan; Appendicitis among Patients admitted to the department of surgery of a tertiary care centre: a descriptive cross sectional study;JNMA.2023Jan31;61(257):10-13
13. Chaudhari YP, Jawalw PG. Prevalence of appendicitis at surgery inpatient department of a tertiary care hospital: a descriptive study. MedPulse.2015nov;2(11)76870