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Inicio Educación Médica Suicidal ideation and mental health instability: A silent crisis in medical stud...
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66
Vol. 26. Núm. 4. (En progreso)
(julio - agosto 2025)
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Suicidal ideation and mental health instability: A silent crisis in medical students
Ideación suicida e inestabilidad mental: Una crisis silenciosa en los estudiantes de medicina
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Diana Matías-Pérez, Iván Antonio García-Montalvo
Autor para correspondencia
c.invest.medicina@urse.edu.mx

Corresponding author at: Facultad de Medicina y Cirugía, Universidad Regional del Sureste, Libramiento Sur No.100 Esq. con Hornos Ex-hacienda del Rosario San Sebastián Tutla, Oaxaca, Mexico. C. P. 71323.
Facultad de Medicina y Cirugía, Universidad Regional del Sureste, Oaxaca, Mexico
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Dear Editor,

Mental health is essential in the training of future physicians, as it affects their well-being and their ability to practice medicine effectively and empathetically. Medical students face an intense academic load and long hours of study, creating an environment prone to stress and anxiety.1 The stigma associated with seeking psychological help can lead many to hide their suffering until it becomes incapacitating.2 Suicidal ideation is a complex phenomenon that begins with thoughts of suicide and can culminate in attempted or completed suicides. Studies show that students with high levels of anxiety are less empathetic and less effective in-patient care, which is of concern given that empathy is crucial in the physician-patient relationship.3 During the early years of medical school, students experience excitement and anxiety as they adjust to college life. Although many manage the initial stress with the support of family and friends, academic demands increase in the later years, creating increasing pressure to excel, which can be detrimental to their emotional well-being.4 Suicidal ideation is less frequent in first-year students compared to those in fifth or sixth years, suggesting a progressive deterioration of mental health in the face of more significant challenges.5 The competitive environment may also contribute to isolation and fear of stigma, making it difficult to seek help. This critical problem requires urgent attention, and families play a vital role in its prevention by recognizing the importance of emotional well-being. Psychoeducation from an early age is key to identifying problems before they escalate, promoting a culture that values mental health.6 By prioritizing this aspect, institutions can train more resilient and empathetic physicians to cope with the demands of the medical field while caring for their own mental health.

Financing

This work has not received any type of funding.

Ethics committee

The writing of this opinion does not merit research committee approval by my institution.

Informed consent

The following opinion manuscript does not apply the use of informed consent by patients.

References
[1]
M. Nair, N. Moss, A. Bashir, D. Garate, D. Thomas, S. Fu, et al.
Mental health trends among medical students.
Proc (Bayl Univ Med Cent), 36 (2023), pp. 408-410
[2]
M. Berliant, N. Rahman, C. Mattice, C. Bhatt, K.A. Haykal.
Barriers faced by medical students in seeking mental healthcare: a scoping review.
MedEdPublish, 12 (2022), pp. 70
[3]
H. Chen, H. Xuan, J. Cai, M. Liu, L. Shi.
The impact of empathy on medical students: an integrative review.
BMC Med Educ, 24 (2024), pp. 455
[4]
C. Bergmann, T. Muth, A. Loerbroks.
Medical students' perceptions of stress due to academic studies and its interrelationships with other domains of life: a qualitative study.
[5]
A. Mateen, V. Kumar, A.K. Singh, B. Yadav, M. Mahto, S. Mahato.
Suicide and suicidal ideation in medical students: a systematic review.
[6]
S.M. Savell, J. Lee, J.A. Stern, M.N. Wilson.
Exploring the benefits of psychoeducation on college students' mental health during the COVID-19 pandemic.
J Am Coll Heal, 72 (2024), pp. 3546-3555
Copyright © 2025. The Authors
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