Online training to prevent suicidal ideation and depressive symptoms in Medical students: a randomized controlled trial

• Grant number: 18/21480-4
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• Start date: June 01, 2019
• End date: May 31, 2021
• Field of knowledge: Health Sciences - Medicine - Psychiatry
• Principal Investigator: Jair de Jesus Mari
• Grantee: Karina Pereira Lima
• Host Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil

Abstract

Despite the high prevalence of depressive symptoms and suicidal ideation among Medical students, recent studies suggest that less than a quarter of students with depression receive some sort of psychological care. Some of the main barriers to mental health care utilization reported by Medical students in recent studies include lack of time, stigma associated with using mental health services, concerns about confidentiality, lack of convenient access to support services and financial costs. Considering the need for interventions reducing these barriers, we propose to carry out a postdoctoral study aiming to develop and assess the efficacy of an online training tool to reduce depressive symptoms and prevent suicidal ideation among Medical students at risk. The study will have a multicenter randomized controlled trial design. Second-year Medical students from four Brazilian Medical schools will be included. Students with depressive symptoms indicators at baseline will be randomly assigned to two groups (intervention group and control group). During five weeks, participants in the intervention group will complete five modules (one per week) of the online training tool and those assigned to the control group will receive one email per week containing information about stress and mental health of Medical students, as well as local mental health services. Self-report assessment instruments validated for the Brazilian population will be used at baseline, post-test and follow-up assessments at three and six months after the intervention. Data-analysis will be carried-out using intention-to-treat principles with last observation carried forward. It is expected to develop and evaluate the efficacy of an online, free, anonymous, accessible and easily disseminated tool to assist in the reduction of depressive symptoms and prevention of suicidal ideation among Medical students. (AU)

Scientific publications

(5)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

PEREIRA-LIMA, KARINA; MATA, DOUGLAS A.; LOUREIRO, SONIA R.; CRIPPA, JOSE A.; BOLSONI, LIVIA M.; SEN, SRIJAN. Association Between Physician Depressive Symptoms and Medical Errors A Systematic Review and Meta-analysis. JAMA NETWORK OPEN, v. 2, n. 11, NOV 2019. (16/01801-5, 16/13410-0, 18/21480-4)

FANG, YU; BOHNERT, AMY S. B.; PEREIRA-LIMA, KARINA; CLEARY, JENNIFER; FRANK, ELENA; ZHAO, ZHUO; DEMPSEY, WALTER; SEN, SRIJAN. rends in Depressive Symptoms and Associated Factors During Residency, 2007 to 2019 A Repeated Annual Cohort Stud. Annals of Internal Medicine, NOV 2021. (18/21480-4)

FANG, YU; BOHNERT, AMY S. B.; PEREIRA-LIMA, KARINA; CLEARY, JENNIFER; FRANK, ELENA; ZHAO, ZHUO; DEMPSEY, WALTER; SEN, SRIJAN. Trends in Depressive Symptoms and Associated Factors During Residency, 2007 to 2019 A Repeated Annual Cohort Study. Annals of Internal Medicine, v. 175, n. 1, p. 20-pg., 2022-01-01. (18/21480-4)

MEEKS, LISA M.; CLEARY, JENNIFER; HORWITZ, ADAM; PEREIRA-LIMA, KARINA; ZHAO, ZHUO; FANG, YU; SEN, SRIJAN. Analysis of Depressive Symptoms and Perceived Impairment Among Physicians Across Intern Year. JAMA NETWORK OPEN, v. 5, n. 1, JAN 25 2022. (16/13410-0, 18/21480-4)

PEREIRA-LIMA, KARINA; REGINA LOUREIRO, SONIA; MACHADO SILVEIRA, ISABELLA LARA; CRIPPA, JOSE ALEXANDRE; CECILIO HALLAK, JAIME EDUARDO; ZUARDI, ANTONIO WALDO; OSORIO, FLAVIA DE LIMA. Workplace Protections and Burnout Among Brazilian Frontline Health Care Professionals During the COVID-19 Pandemic. FRONTIERS IN PSYCHOLOGY, v. 13, p. 6-pg., 2022-04-26. (18/21480-4)