Evidence map›Paper›PMID 41009245›Full record

ReviewBehavioral sciences (Basel, Switzerland)2025

Suicidal Behaviors Among Medical Students: A Scoping Review of Systematic Reviews and Meta-Analyses.

Felix Agyapong-Opoku, Nadine Agyapong-Opoku, Belinda Agyapong, Andrew Greenshaw

Abstract readReview
In one paragraph

Review in Behavioral sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Felix Agyapong-OpokuSchool of Medicine, University of Galway, H91 TK33 Galway, Ireland.ORCID 0009-0002-1522-0535
Nadine Agyapong-OpokuDepartment of Psychiatry, University of Alberta, Edmonton, AB T6G 2H5, Canada.ORCID 0009-0008-7914-319X
Belinda AgyapongDepartment of Psychiatry, University of Alberta, Edmonton, AB T6G 2H5, Canada.ORCID 0000-0001-7633-6529
Andrew GreenshawDepartment of Psychiatry, University of Alberta, Edmonton, AB T6G 2H5, Canada.

Funding

Alberta Innovates N/A
6 · The paper itself

Abstract

backgroundSuicidal ideation and attempts are major public health concerns among young adults, particularly those in demanding academic settings. Medical students exhibit disproportionately high rates compared to peers in the general population and other fields of study, highlighting the urgent need to understand and address mental health challenges in medical education.

objectiveThis scoping review summarizes evidence from systematic reviews and meta-analyses on the prevalence and risk factors of suicidal ideation and suicide attempts among medical students worldwide.

methodsFollowing PRISMA-ScR guidelines, six databases were searched for peer-reviewed reviews published in the last ten years. Studies focused exclusively on medical students and reporting prevalence or risk factors of suicidal ideation or attempts were included. Data were charted on prevalence, risk factors, study characteristics, and recommendations.

resultsTwelve reviews comprising 378,081 medical students were included. Lifetime prevalence of suicidal ideation ranged from 2.9% to 53.6% among the systematic reviews, with pooled estimates from meta-analyses ranging from 11% and 25%. Attempted suicide pooled prevalences ranged from 1.64% to 8%. Depression was frequently reported as the most significant risk factor for both suicidal ideation and attempts. Other significant risk factors for suicidal ideation included anxiety, burnout, female gender, financial strain, and academic stress. Suicidal ideation was higher during the COVID-19 pandemic and among clinical-phase students. Gender differences in suicide attempts were inconsistent. Medical students' rates of suicidal behavior exceeded those of other university students.

conclusionSuicidal behavior remains a critical mental health issue for medical students globally. Despite known risk factors, targeted interventions are limited. Future research should emphasize longitudinal studies, post-pandemic effects, regional gaps, and intervention development. Implications are discussed.

Indexed as

academic stressburnoutdepressionmedical studentsmental healthprevalencerisk factorssuicidal ideationsuicide attempts

Identifiers

PMID41009245
PMCPMC12466721

What OpenQuestion holds

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LicenceCC BY
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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.