1. Increase awareness. Require every medical schools to establish a suicide awareness campaign and program for early detection. There are marathons/fundraisers to bring awareness to just about everything. Talk about medical student suicide in public, out loud, and utilize every form of media. Alert students’ families to watch for warning signs. Let students know “you are not alone.” Practicing physicians must stop pretending this isn’t happening. To be accredited schools must meet a minimum level safety, requiring suicide prevention initiatives. 2. Decrease stigma. Minimize stigma by addressing mental health throughout the curriculum. We need physician role models who admit to struggling academically and psychologically and are willing to share how they’ve overcome these struggles. Create a culture where it’s not just okay, but encouraged to seek mental health help. Never threaten a student. Never say that divulged information will be documented and used against students academically. This shuts down communication. Do not force medical leave for mental health issues. Some of us just need guidance, and high stress brings out our maladaptive coping mechanisms. Forcing us to leave school penalizes us for voicing our mental health concerns. 3. Share resources. Students must know what is available and how to get help. Offer social/financial/academic resources. Students have real-life milestones during school, like death of loved ones and the end of long-term relationships. The message should be: if you find yourself in trouble, you have options, and we’re here to help. We want you to graduate! Give students step-by-step instructions, easy to follow — even when at their lowest low — of what to do if they are contemplating killing themselves. 4. Institute a hotline (online and offline). Establish suicide hotlines everywhere there are medical students. Offer a website messaging service answered anonymously by students who have survived depression and suicide. People who actually relate to our perspective and can offer hope. The online site would be overseen by licensed mental health professionals and would allow students to access help without time constraints, travel, or treatment costs. The support group atmosphere would allow anonymity, but also rapid intervention via Skype or video chat. 5. Start annual screening. Because most suicides come as a total shock, require meetings with a counselor. A mental health check might catch symptoms that others miss. Plus if everyone has to go then no one is being singled out. Let it be okay for students to ask for help with anxiety, depression, suicidal thoughts. 6. Provide mentorship and therapy. Match mentors with med students to give them a reality check and make sure that they’re okay psychologically. Ask students about their hopes and dreams! Send reminder emails every few months with ports of call for help and make it very obvious at a glance that the services will be confidential. Create intentional safe spaces in which students can work through feelings or grief and guilt that arise inevitably during rotations. Many feel traumatized in school. Trauma therapy can really help heal the wounded. 7. Humanize medical education. Avoid curriculums that dehumanize and completely molecularize the human body. Improve academic support for struggling students. Offer the opportunity to retake tests. Learn clinically relevant material rather than stupid factoids. Reform the board exam system so students don’t get feel they have to study every hour of every day memorizing minutiae that is completely irrelevant. Integrate clinical work during first two years. Give students time to take care of basic needs like eating good food, sleeping at least seven hours per night, exercising, and caring for relationships. Mental health starts with self-care. 8. Offer peer support. Peer-run support groups at least weekly between classes where students can have heart-to-heart conversations about their day. Start a mental health advocacy group on campus and create a dialogue centered around openness and mutual understanding. 9. Require physical education. It sounds really trite, but so many students talk about how they’d love to go for a run if they could just … Group exercise or class outings into nature. P.E. Yeah. Physical education. We have all kinds of required science classes that build stress and keep us sitting, but we need a reason to get up and get moving. Depression builds when we sit all day. Helping medical students be physically active would reduce depression and hopefully, suicide. 10. Stop bullying. The #1 recommendation: a learning environment free of bullying, with harsh consequences for negative or mean instructors. If we disagree with something the school does, we should not be worried about being in a hostile work environment. Let students know it’s okay to make mistakes and stumble and fall along the way. That is how we grow. Instead of bullying, it’s going to sound silly, but dole out hugs. Like the “Free Hug” movement (where people stand around town, holding a sign: “Free hugs”). Such a basal connection, free from malice. When our loved ones hug us, the release of endorphins and feeling of security is unmatched. Tell medical students it is 100 percent acceptable to feel what they feel, and to be anything other than honest with themselves is not OK — that the best physicians remember their shared humanity. Pamela Wible pioneered the community-designed ideal medical clinic and blogs at Ideal Medical Care. She is the author of Pet Goats and Pap Smears. Watch her TEDx talk, How to Get Naked with Your Doctor. She hosts the physician retreat, Live Your Dream, to help her colleagues heal from grief and reclaim their lives and careers. Source
Its about time someone stepped up to the plate on behalf of human beings. Bet you dollars to donuts that the instructors are only acting out of the same behavior given to them when they were students. Merciless. The merciful shall obtain mercy.
