Clinical and demographic profile of users of a mental health system for medical residents and other health professionals undergoing training at the Universidade Federal de São Paulo.
BACKGROUND
A postgraduate and resident trainee mental health assistance center was created in September 1996 within our university.


OBJECTIVE
To describe the clinical and demographic profile of its users.


METHODS
Retrospective.


METHODS
Universidade Federal de São Paulo--Escola Paulista de Medicina (Unifesp-EPM).


METHODS
The study was carried between September 1996 and November 2002, when 233 semi-structured registration forms were filled out either by the psychologist or the psychiatrist during their first contact with the trainees, who were medical and nursing residents, and postgraduate students at specialization, master or doctoral levels. The registration forms included demographic, occupational and clinical data.


RESULTS
The trainees were predominantly young (mean of 27 years old), single (82.0% of cases), women (79.4%), seeking help especially during the first year of training (63.1%). In 70.8% of the cases, they came to the service spontaneously. Such individuals showed greater adherence to the treatment than those who were referred by supervisors (p < 0.05). In 30% of the cases, the trainee sought psychological guidance or support at the service due to specific situational conflicts. Depression and anxiety disorders were the most frequent diagnoses; 22.3% of the trainees followed up mentioned a tendency towards suicidal thoughts. In comparison with other trainees, there was a higher prevalence of males among the medical residents (p < 0.01), with more cases of sleep disorders (p < 0.05), a smaller number of individuals refraining from the use of alcohol (p < 0.05) and a higher number of trainees requiring leave of absence (p < 0.001).


CONCLUSIONS
The first year of training in health sciences is the most stressful, especially for women. Depression and anxiety symptoms are common, reflecting transitory self-limited deadaptation. However, the severity of the cases can also be evaluated in view of the large number of trainees who mentioned suicidal tendencies.


CONCLUSIONS
This study emphasizes the need and importance of providing formal, structured and confidential mental health services for medical residents and postgraduate students from other health professions, in the training programs of academic institutions.
Fagnani Neto
Rafael
R
Núcleo de Assistência e Pesquisa em Residência Médica, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.
Obara
Cristina Sueko
CS
Macedo
Paula Costa Mosca
PC
Cítero
Vanessa Albuquerque
VA
Nogueira-Martins
Luiz Antonio
LA
D000328:Adult; D004522:Educational Status; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education / Q000523:psychology*; D008603:Mental Health; D008605:Mental Health Services / Q000592:standards / Q000706:statistics & numerical data*; D008875:Middle Aged; D016272:Occupational Health; D012189:Retrospective Studies; D013315:Stress, Psychological / Q000453:epidemiology / Q000628:therapy