Comparison of Attitudes towards suicide and its Prevention in Medical Students before and after the Apprenticeship Course

Document Type : Original Article


1 Assistant Professor of Psychiatry.Department of Psychiatry, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Thepartement of Fars education,Department of Psychology, Shahid Chamran University of Ahvaz,Iran.

3 phd student of psychology,Department of Psychology, Shahid Chamran University of Ahvaz,Iran.


Background and Objective: Doctor patient relationship is directly overshadowed by physician’s attitude toward suicide. This study was aimed to compare the attitudes towards suicide and its prevention in medical students before and after the apprenticeship course.
Subjects and Methods: In this study96 medical students participate (44 before and 50 after apprenticeship course (were selected using the available sampling in University of medical sciences of Ahvaz. A questionnaire on attitudes towards suicide ATTS (Attitudes towards Suicide) was used to measure suicide related attitudes and thoughts. The ATTS items address attitudes, knowledge, and personal beliefs toward suicide and suicide prevention. Also, this questionnaire includes six subscales. Permissiveness, preventability, incomprehensibility, avoidance of talking, unpredictability and loneliness& appeal.
Results: The results showed that medical students who had passed the training course in comparision with students who had not passed; there were no significant difference in subscales of incomprehensibility, avoidance of talking, unpredictability and loneliness& appeal. But there were significant difference in subscales of permissiveness and preventability.
Conclusion: Results showed that the total student views towards prevention of suicide and the relationship with these patients is positive. The views of students who had passed the course is more negative than other groups. Therefore, perhaps, the training in the attitude of students who have passed the course has not a positive effect.


1-world Health Organization. Suicide rates. 2003. Available at: URL: http://www.who. int/mental_health/ prevention/suicide/suiciderates/en/.  Accessed  in 2008.
2-Ghoreishi SA, Mousavinasab N. [Systematic review of researches on suicide and suicide attempt in Iran]. Iran J Psychiatr Clin Psychol  2008;14(2):115-21. [In Persian]
3-Panaghi L, Ahmadabadi Z, Peiravi H, Abolmasoomi FZ. [Suicide Trend in University Students during 2003 to 2008]. Iran J Psychiatr Clin psychol 2009;16(2):87-98. [In Persian]
4-Moradi A, Akbari Zardkhaneh S, Cheraghi F, Foladvand Kh. [An investigation on the role of family and social factors on suicide of university students]. J Family Res 2009;5(4):487-502. [In Persian]
5-Meshkini A, Meshkini MA. [A case report of suicide attempt in adolescent with exceptional technique]. Tabriz univ Med Sci 2005;51: 89-94. [In Persian]
6-Khalkhali MR, Najafi K, Jahanbakhsh J, Hasani H. [Contact with physicians prior to suicide attempt]. Hakim Med J 2007;9 (4):17-23. [In Persian]
7-Brent DA. The aftercares of adolescents with deliberate self-harm. J Child Psychol Psychiatry 1997;38(3):277-86.
8-Anderson M. Waiting for harm: deliberate self-harm and suicide in young people--a review of the literature. J Psychiatr Men Health Nurs 1999;6(2):91-100.
9-Lindeman S, Läärä E, Vuori E, Lönnqvist J. Suicides among physicians, engineers and teachers: the prevalence of reported depression, admission to hospital and contributory causes of death. Acta Psychiatr Scand 1997;96(1):68–71.
10-Tyssen R, Vaglum P, Gronvold NT, Ekeberg O. Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. J Affect Disord 2001;64(1):69–79.
11-Wallin U, Runeson B. Attitudes towards suicide and suicidal patients among medical students.  Eur Psychiatry 2003;18(7):329–33.
12-Arnautovska U, Grad OT. Attitudes towards suicide in the adolescent population. Crisis 2010;31(1):22-9.
13-Farrow R, Arensman E, Corcoran E, Williamson, P, Perry IJ. Irish coroners' attitudes towards suicide and its prevention. Ir J Med Sci 2009; 178(1):61–7.
14-Renberg ES, Jacobsson L .Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide Life Threat Behav 2003;33(1):52–64.
15-Kodaka M, Postuvan V, Inagaki M, Yamada M. A systematic review of scales that measure attitude toward suicide. Int J Soc Psychiatry 2011;57(4):338-61
 16-Mofidi N. Ghazinour M, Salander-Renberg E, Richter J. Attitudes towards suicide among Kurdish people in Iran. Soc Psychiatry Psychiatr Epidemiol 2008;43(4):291–8.
17-Anderson M. Nurses' attitudes towards suicidal behavior--a comparative study of community mental health nurses and nurses working in an accident and emergency department. J Adv Nurs 1997;25(6):1283-91.
18-Wallin U, Runeson B. Attitudes towards suicide and suicidal patients among medical students. Eur Psychiatry 2003;18(7):329-33.
19-Anderson M, Standen P, Nazir S, Noon JP. Nurses' and doctors' attitudes towards suicidal behavior in young people. Int J Nurs Stud 2000;37(1):1-11.
20-Burgess P, Pirkis J, Morton J, Croke E. Lessons from a comprehensive clinical audit of user of psychiatric services who committed suicide. Psychiatr Serv 2000;51(12):1555-60.