Evidence map›Paper›PMID 39909524›Full record

ArticleBMJ open2025

UK medical students' mental health and their intention to drop out: a longitudinal study.

Asta Medisauskaite, Milou Silkens, Neha Lagisetty, Antonia Rich

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Asta MedisauskaiteResearch Department of Medical Education, University College London Medical School, London, UK.ORCID http://orcid.org/0000-0002-0404-775X
Milou SilkensErasmus School of Health Policy & Management, Erasmus University, Rotterdam, The Netherlands silkens@eshpm.eur.nl.
Neha LagisettyUniversity College London, London, UK.
Antonia RichResearch Department of Medical Education, University College London Medical School, London, UK.ORCID http://orcid.org/0000-0002-1548-6328

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe attrition of medical students is an incredibly important problem feeding into healthcare workforce issues. This study seeks to explore the relationships between various mental health issues and dropout.

designThis is a longitudinal study where medical students completed an online questionnaire between November 2020 and February 2021 and those who took part were invited (February-May 2021) to complete the questionnaire again 3 months later. SETTINGS: Students from nine geographically spread medical schools in the UK took part in this study.

participants792 (71.16%) participants filled in the baseline questionnaire and 407 (51.39%) of these students completed the follow-up survey (385 participants were lost to follow-up). OUTCOME MEASURES: Dropout intentions. EXPOSURES: Various mental ill-health symptoms using validated scales: emotional exhaustion, insomnia, somatisation, hazardous drinking, anxiety/depression, anorexia tendencies, obsessive-compulsive disorder (OCD), paranoia and bipolar.

resultsA large number of students met the criteria for mental health disorders (eg, 54.1% insomnia, 37.9% anxiety/depression, 19.4% paranoia) and 19.4% (79) said that they considered dropping out from medical school. Those students who were more emotionally exhausted (B

conclusionsA substantial number of UK medical students experienced mental ill-health symptoms, about one in five medical students considers leaving medical school, and mental ill-health symptoms contributed to students' intentions to leave their medical education. Medical schools should improve the learning environment for students and encourage them to seek help to reduce the stigma of mental ill-health symptoms (eg, through education, signposting). It may be useful for medical schools to help applicants/medical students understand whether medical school is the right decision for them and provide them with resources should they wish to leave.

Indexed as

IntentionMental DisordersMental HealthStudent DropoutsStudents, MedicalAdultFemaleHumansLongitudinal StudiesMaleSurveys and QuestionnairesUnited KingdomYoung AdultBurnoutDepression & mood disordersInsomniaMEDICAL EDUCATION & TRAININGMENTAL HEALTH

Identifiers

PMID39909524
PMCPMC11800202

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.