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Introduction: Medical residents suffer from high rates of depression and anxiety disorders, as well insomnia due to long working shifts. This could increase the risk of using psychoactive medication without being assessed by a specialist (auto medication), which can lead to substance-related disorders due to its dependence potential. Objectives: To estimate the prevalence of automedication in Medical residents in Spain. Methods: We conducted a cross-sectional online survey directed to all medical residents in Spain and analysed the proportion of automedication and clinically significant related variables. A multivariate analysis was performed to study potential risk factors. Results: From a total of 656 Medical residents, 19.20% (95%CI 16.19-22.22%) reported to have medicated themselves, mostly with Benzodiazepines (15.87%). Psychiatrist had the highest estimated prevalence (36.84%; 27.14-46.54%) with an OR of 3.09 (1.86-5.15) compared their fellow residents. Passive suicidal ideation was founded to be most important risk factor (OR 3.68; 1.98-6.82). Conclusions: The estimated prevalence of automedication with psychoactive drugs in Medical residents in Spain was 19.20% (95%CI 16.19-22.22%). More than one third of psychiatric resident reported to medicate themselves. Being a psychiatric resident (OR 3.09; 1.86-5.15) and suffering from passive suicidal ideation (OR 3.68; 1.98-6.82 were founded to be the highest risk factors. [ABSTRACT FROM AUTHOR]

Introduction: Psychiatry residents are constantly exposed to critical situations as without the experience to feel safe with their management, which it has been postulated that this differential characteristic compared could be associated with a high prevalence in suicidal ideation. Objectives: To study the prevalence and characteristics of suicidal thoughts of Psychiatry residents in Spain. Methods: We conducted a cross-sectional online survey directed to all medical residents in Spain. We analysed the proportion of passive and active suicidal ideation and its association with relevant Clinical and sociodemographic variables in the Psychiatry resident subpopulation. Results: From a total of 94 Psychiatry residents, 13.83% (CI 95% 6.85-20.81%) reported passive suicidal ideation 2.13% (0.00-7.48%) reported active suicidal ideation. These thoughts have the same prevalence among the whole residency program. The most influential association with passive suicidal thoughts were automedication (OR 6.81; 1.86-24.96) and attending to mental health consultation (OR 3.46; 0.95-12.58). Conclusions: The prevalence of passive an active suicidal ideation among Psychiatry residents in Spain is 13.83% (CI 95% 6.85-20.81%) and 2.13% (CI 95% 0.00-7.48%) respectively. These prevalences remained constant throughout the residency program. The most important risk factor founded were auto-medication and mental health consultation. [ABSTRACT FROM AUTHOR]

Introduction: The association of academic results and psychopathology has been extensively studied and contradictory results have been reported. One important estimator of academic abilities in Spain is the residency entry exam, a mandatory test which result serve as a way of ordering medical students to choose the hospital in which they will perform their medical training. Objectives: To analyse the association of the residency entry exam and the presence of automedication and suicidal ideation within the residency program. Methods: We conducted a cross-sectional online survey directed to all medical residents in Spain and analysed the association of the order number in the residency entry exam and the presence of automedication and suicidal ideation within the residency program with a non-parametric approach (Wilcoxon-Mann-Whitney test). Results: The median difference of the order number of the residency entry exam between the medical residents with and without active suicidal ideation was 45 (WMW p 0.49), 11 in the case of passive suicidal ideation(WMWp=0.75) and 43 in automedication (WMW p=0.34). Conclusions: Academic results, measured with the medical residency exam grade, is not associated with the presence of suicidal ideation or automedication in medical residents in Spain. [ABSTRACT FROM AUTHOR]

Introduction: Several studies have shown an increase in suicidal ideation among physicians and medical students, but there is a lack of information concerning medical residents. This population has high prevalence of depression, anxiety disorders, burnout, bullying and face a tough work-life balance well known risk factors for suicidal thoughts. Objectives: To study the prevalence and characteristics of suicidal thoughts of medical residents in Spain. Methods: We conducted a cross-sectional online survey directed to all medical residents in Spain. We analysed the proportion of passive and active suicidal ideation and its association with relevant clinical and sociodemographic variables. Results: From a total of 653 medical residents, 13.69% (CI 95% 11.05-16.34%) reported passive suicidal ideation, from which 22.47% were rated as strong. Active suicidal ideation prevalence was 3.52% (CI 95% 2.11-4.94), 13.04% of high intensity. Passive suicidal thoughts were higher in the 3rd year and active in 4th, being the 2nd the one with lowest prevalence in both. Between the different specialities groups the rates of active suicidal ideation was estimated to be Central Services: 6.45% (0.33-12.57%); Clinical Specialities 4.03% (2.10-5.96%); Psychiatrist 2.12% (0-5.04%) and Surgical 1.00% (0-2.95%). the proportion of residents with suicidal ideation was attended to mental health consultation was 78.26%. Conclusions: The prevalence of passive an active suicidal ideation among medical residents in Spain is 13.69% (CI 95% 11.05-16.34%) and 3.52% (CI 95% 2.11-4.94%) respectively. The highest risk of active suicidal ideation was founded in last year of the residency program. Central Services specialities had the highest rates. [ABSTRACT FROM AUTHOR]