OBJECTIVES: Medical students represent a group of undergraduate students who are exposed to specific risk factors that may lead to the onset of depression and the occurrence of suicidal ideation. The aim of the article is to present information about the prevalence of symptoms of depression in medical students of different faculties at Charles University, Prague, compared to other students of this university. METHODS: We used a standardized Beck's Inventory scale II (BDI-II) with added specific questions electronically distributed to undergraduate students of the full-time forms of study of all faculties of Charles University. The data collection was anonymous and took place in December 2020. The data were statistically assessed in relation to the occurrence of moderate and severe depression using univariate and multivariable analysis. RESULTS: Moderate and severe depression rate (MSDR) was recorded in 19.6% of medical school students, who returned the questionnaire, compared to 23.4% of students of other faculties (p = 0.001) of Charles University in Prague. Differences in MSDR among students of different faculties of medicine of Charles University were not statistically significant. The total number of previous suicide attempts among respondents was 542, of which 115 were medical students, with the lifetime prevalence of suicide attempts among all students participating in the study 6.96% and in medical students of Charles University 5.73%. CONCLUSIONS: The findings of our study highlight the need for systematic, accessible and timely assistance to university students, both in terms of prevention and early intervention, which can take place at the university level and within the mental healthcare system.

Department of Biostatistics National Institute of Public Health Prague Czech Republic

Department of Epidemiology and Biostatistics 3rd Faculty of Medicine Charles University Prague Czech Republic

Department of Public Health 3rd Faculty of Medicine Charles University and University Hospital Kralovske Vinohrady Prague Czech Republic

Private Paediatric Department Prague Czech Republic

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World Health Organization. Mental health atlas 2020. Geneva: WHO; 2021.

Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-93. DOI

Meyer OL, Castro-Schilo L, Aguilar-Gaxiola S. Determinants of mental health and self-rated health: a model of socioeconomic status, neighborhood safety, and physical activity. Am J Public Health. 2014;104(9):1734-41. PubMed DOI

Byrd DR, McKinney KJ. Individual, interpersonal, and institutional level factors associated with the mental health of college students. J Am Coll Health. 2012;60(3):185-93. PubMed DOI

Hernández-Torrano D, Ibrayeva L, Sparks J, Lim N, Clementi A, Almukhambetova A, et al. Mental health and well-being of university students: a bibliometric mapping of the literature. Front Psychol. 2020;11:1226. doi: 10.3389/fpsyg.2020.01226. PubMed DOI

Pedrelli P, Nyer M, Yeung A, Zulauf C, Wilens T. College students: mental health problems and treatment considerations. Acad Psychiatry. 2015;39(5):503-11. PubMed DOI

Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustün TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007;20(4):359-64. PubMed DOI

Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):593-602. PubMed DOI

Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C. A systematic review of studies of depression prevalence in university students. J Psychiatr Res. 2013;47(3):391-400. PubMed DOI

Centers for Disease Control and Prevention. Disparities in Suicide [Internet]. Atlanta: CDC [cited 2022 Aug 20]. Available from: https://www.cdc.gov/suicide/facts/disparities-in-suicide.html.

Downs MF, Eisenberg D. Help seeking and treatment use among suicidal college students. J Am Coll Health. 2012;60(2):104-14. PubMed DOI

Gregoire S, Lachance L, Bouffard T, Dionne F. The use of acceptance and commitment therapy to promote mental health and school engagement in university students: a multisite randomized controlled trial. Behav Ther. 2018;49(3):360-72. PubMed DOI

Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456-68. PubMed DOI

Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214-36. PubMed DOI

Jia Q, Qu Y, Sun H, Huo H, Yin H, You D. Mental health among medical students during COVID-19: a systematic review and meta-analysis. Front Psychol. 2022;13:846789. doi: 10.3389/fpsyg.2022.846789. PubMed DOI

Azim SR. Mental distress among medical students. In: Kalinin VV, Hocaoglu C, Mohamed S, editors. Anxiety disorders - the new achievements. London: IntechOpen; 2020. p. 21-37.

Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, et al. The global prevalence of anxiety among medical students: a meta-analysis. Int J Enviro Res Public Health. 2019;16(15):2735. doi: 10.3390/ijerph16152735. PubMed DOI

Wang YP, Gorenstein C. Psychometric properties of the Beck Depression Inventory-II: a comprehensive review. Braz J Psychiatry. 2013 Oct-Dec;35(4):416-31. PubMed DOI

Boland R, Verduin M, Ruiz P. Kaplan & Sadock's synopsis of psychiatry. 12th North American ed. Philadelphia: Lippincott Williams & Wilkins; 2021.

Odriozola-González P, Planchuelo-Gómez Á, Irurtia MJ, de Luis-García R. Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Res. 2020;290:113108. doi: 10.1016/j.psychres.2020.113108. PubMed DOI

Zhang Y, Zhang H, Ma X, Di Q. Mental health problems during the COVID-19 pandemics and the mitigation effects of exercise: a longitudinal study of college students in China. Int J Environ Res Public Health. 2020;17(10):3722. doi: 10.3390/ijerph17103722. PubMed DOI

Aristovnik A, Keržič D, Ravšelj D, Tomaževič N, Umek L. Impacts of the COVID-19 pandemic on life of higher education students: a global perspective. Sustainability. 2020;12(20):8438. doi: 10.3390/su12208438. DOI

Ochnik D, Rogowska AM, Kuśnierz C, Jakubiak M, Schütz A, Held MJ, et al. Mental health prevalence and predictors among university students in nine countries during the COVID-19 pandemic: a cross-national study. Sci Rep. 2021;11(1):18644. doi: 10.1038/s41598-021-97697-3. PubMed DOI

Pec O. Mental health reforms in the Czech Republic. BJPsych Int. 2019;16(1):4-6. PubMed DOI

Kozeny J, Tisanska L, Höschl C. Assessing empathy among Czech medical students: a cross-sectional study. Cesk Psychol. 2013;57(3):246-54.

Kasi PM, Naqvi HA, Afghan AK, Khawar T, Khan FH, Khan UZ, et al. Coping styles in patients with anxiety and depression. ISRN Psychiatry. 2012;2012:128672. doi: 10.5402/2012/128672. PubMed DOI

Crispim MO, Santos CMRD, Frazão IDS, Frazão CMFQ, Albuquerque RCR, Perrelli JGA. Prevalence of suicidal behavior in young university students: a systematic review with meta-analysis. Rev Lat Am Enfermagem. 2021;29:e3495. doi: 10.1590/1518-8345.5320.3495. PubMed DOI

Tsegay L, Abraha M, Ayano G. The global prevalence of suicidal attempt among medical students: a systematic review and meta-analysis. Psychiatr Q. 2020;91(4):1089-101. PubMed DOI