Cited by 583Healthcare professionals’ stress and burnoutMental Health Treatment and AccessInnovations in Medical Education

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Depressed Medical Studentsʼ Use of Mental Health Services and Barriers to Use

Givens, Jane L., Tjia, Jennifer·2002·Academic Medicine

DOI 10.1097/00001888-200209000-00024

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Abstract

PURPOSE: Depression is an underrecognized yet common and treatable disorder among medical students. Little is known about the rate of mental health service use by depressed medical students. This study sought to determine the level of mental health service use by depressed medical students and their reported barriers to use. METHOD: In the spring of 1994, a one-time survey of 194 first- and second-year medical students was conducted in the School of Medicine at the University of California, San Francisco. Outcome measures were self-reported use of counseling services, barriers to use, suicidal ideation, and depressive symptoms as measured by the 13-item Beck Depression Inventory (BDI). RESULTS: Twenty-four percent (n = 46) of the medical students were depressed by BDI criteria. Of the depressed students, only 22% (n = 10) were using mental health counseling services. The most frequently cited barriers to using these services were lack of time (48%), lack of confidentiality (37%), stigma associated with using mental health services (30%), cost (28%), fear of documentation on academic record (24%), and fear of unwanted intervention (26%). CONCLUSION: These data demonstrate that depression among medical students may be undertreated. Medical schools can assist depressed students by addressing issues such as the stigma of using mental health services, confidentiality, and documentation. Early treatment of impaired future caregivers may have far-reaching implications for the individual students, their colleagues, and their future patients.

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Authors: Givens, J. L., & Tjia, J.
Affiliations: University of Pennsylvania (US)
Corresponding author: Tjia, Jennifer
ORCID: Tjia, Jennifer
Venue: Academic Medicine
Publisher: Oxford University Press (OUP)
Published: 2002-09
Volume: 77
Issue: 9
Pages: 918-921
ISSN: 1040-2446 (ISSN-L)
DOI: 10.1097/00001888-200209000-00024
OpenAlex: W2045639353
Cited by: 583
References: 14
Citations by year: 2026: 14 · 2025: 15 · 2024: 45 · 2023: 32 · 2022: 41 · 2021: 57 · 2020: 39 · 2019: 36 · 2018: 31 · 2017: 31 · 2016: 31 · 2015: 30 · 2014: 21 · 2013: 32 · 2012: 23
FWCI: 11.60
Type: journal article
Language: en
Open access: closed
Locations: Academic Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Education › Innovations in Medical Education
Keywords: depression, medical students, mental health service utilization, barriers to care, help-seeking, stigma, confidentiality, suicidal ideation, Beck Depression Inventory, counseling services, undertreatment
MeSH terms: Adult, Confidentiality, Cross-Sectional Studies, Depressive Disorder, Female, Health Services Accessibility, Health Surveys, Humans, Male, Mental Health Services, Severity of Illness Index, Students, Medical, Time Factors

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