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Medical students’ subjective ratings of stress levels and awareness of student support services about mental health
  1. Garry Walter1,2,
  2. Nerissa Li-Wey Soh2,
  3. Sanna Norgren Jaconelli3,
  4. Lisa Lampe1,4,
  5. Gin S Malhi1,4,
  6. Glenn Hunt1,5
  1. 1Discipline of Psychiatry, University of Sydney, Sydney, New South Wales, Australia
  2. 2Child and Adolescent Mental Health Services, Northern Sydney Local Health District, North Ryde, New South Wales, Australia
  3. 3Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden
  4. 4Department of CADE Clinic, Northern Sydney Local Health District, St Leonards, New South Wales, Australia
  5. 5Concord Centre for Mental Health, Concord Hospital, Concord, New South Wales, Australia
  1. Correspondence to Dr Nerissa Li-Wey Soh, Child and Adolescent Mental Health Services, Coral Tree Family Service, PO Box 142, North Ryde NSW 1670, Australia; nsoh{at}


Purpose To descriptively assess medical students’ concerns for their mental and emotional state, perceived need to conceal mental problems, perceived level of support at university, knowledge and use of student support services, and experience of stresses of daily life.

Study design From March to September 2011, medical students at an Australian university were invited to complete an anonymous online survey.

Results 475 responses were received. Students rated study and examinations (48.9%), financial concerns (38.1%), isolation (19.4%) and relationship concerns (19.2%) as very or extremely stressful issues. Knowledge of available support services was high, with 90.8% indicating they were aware of the university's medical centre. Treatment rates were modest (31.7%). Students’ concerns about their mental state were generally low, but one in five strongly felt they needed to conceal their emotional problems.

Conclusions Despite widespread awareness of appropriate support services, a large proportion of students felt they needed to conceal mental and emotional problems. Overall treatment rates for students who were greatly concerned about their mental and emotional state appeared modest, and, although comparable with those of similarly aged community populations, may reflect undertreatment. It would be appropriate for universities to address stressors identified by students. Strategies for encouraging distressed students to obtain appropriate assessment and treatment should also be explored. Those students who do seek healthcare are most likely to see a primary care physician, suggesting an important screening role for these health professionals.

  • Mental health
  • Medical education & Training
  • Psychiatry

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