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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

SO318

Prevalence of Depression and Suicidal Ideation Among Family Medicine Residents in Mexico

PREVALENCE OF DEPRESSION AND SUICIDAL IDEATION IN FAMILY MEDICINE RESIDENTS IN MEXICO

Approximately three in five family medicine residents in Mexico were found to have depressive symptoms, and 7.9% reported at least one suicide attempt.

The aim was to determine the prevalence of depression and suicidal ideation among family medicine residents. A multicenter, cross-sectional, exploratory study was conducted among resident physicians in 18 Mexican states using a four-part questionnaire covering sociodemographic characteristics, experiences during residency, the Patient Health Questionnaire-9 (PHQ-9), and personal and family history. PHQ-9 scores above 15 were classified as moderately severe or severe depression, and a positive response to item 9 was considered indicative of suicidal ideation. The study included 365 family medicine residents, of whom 238 (65.2%) were women and 127 (34.8%) were men. The mean age was 31.4 years (standard deviation 4.94), with ages ranging from 24 to 57 years. The PHQ-9 distribution was as follows: no depression, 40.3%; mild, 32.9%; mild-to-moderate, 12.6%; moderately severe, 8.5%; and severe, 5.8%. The prevalence of moderately severe and severe depression was 14.3%, rising to 59.7% when the mild and mild-to-moderate subgroups were included. Among the residents, 54.5% reported not having experienced harassment, bullying, discrimination, or violence during residency, 31.5% reported experiencing such incidents, and 14% did not respond. Reported incidents were distributed as follows: peer violence, 34.2%; violence by supervisors, 26.4%; bullying, 23.3%; and sexual harassment, 16%. Of the residents, 61 (16.70%) reported thoughts of death, and 29 (7.90%) reported one or more suicide attempts. The authors note that the prevalence of moderately severe and severe depression (14.3%) was close to the 15.4% reported for the general population in the 2021 ENBIARE national well-being survey, whereas the suicide attempt rate was one to three times higher than rates reported in other studies. The study was presented as the pilot phase of a data collection instrument to be implemented across 82 medical and surgical specialties at the UNAM Faculty of Medicine, emphasizing the need to establish targeted screening and institution-level treatment intervention protocols.

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