Prevalence of Suicidal Behavior and Self-Injury Endorsement Among Saudi Medical Students: A Cross-Sectional Study of Academic Year Trajectories and Associated Factors.

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Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Bander A HaddadPsychiatry Department, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 11623, Saudi Arabia.ORCID 0009-0003-7587-9689

Funding

The Deanship of Scientific Research at Imam Mohammad ibn Saud Islamic University (IMSIU) IMSIU-DDRSP2601

6 · The paper itself

Abstract

objectiveThis study examined the prevalence and correlates of suicidal behavior and self-injury endorsement among Saudi medical students, with particular attention to academic year trajectories.

methodA cross-sectional survey was conducted among 1138 medical students from colleges across all five Saudi administrative regions. Outcomes were self-reported endorsement of suicidal behaviors and self-injury behaviors. The Rosenberg Self-Esteem Scale assessed self-esteem. Multivariable logistic regression identified independently associated factors.

resultsThe prevalence of suicidal behavior endorsement was 17.0% (95% CI: 14.9-19.3) and self-injury endorsement was 16.9% (95% CI: 14.8-19.2). Both outcomes peaked during the 2nd year of training (suicidal: 24.1%; self-injury: 26.3%) and were significantly higher among pre-clinical compared to clinical-stage students (suicidal: 21.5% vs. 13.8%,

conclusionsSaudi medical students demonstrate substantial prevalence of suicidal behavior and self-injury endorsement, with a pronounced vulnerability window during the pre-clinical years. Findings support targeted mental health screening and intervention during early medical training, with self-esteem enhancement as a potentially modifiable protective factor.

Indexed as

medical studentsmental healthSaudi Arabiaself-esteemself-injurysuicidal behavior

Identifiers

PMID42194387

DOI10.3390/healthcare14101295

PMCPMC13205328

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LicenceCC BY

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