Hyd medico’s suicide: Doctors say 18% students in classroom setting may experience clinical depression

The suicide of Dixit Reddy, a 21-year-old second-year MBBS student of Gandhi Medical College, has once again underscored the need for developing preventive strategies to address the mental health issues of doctors.

Even though medicine is a coveted career option, sporadic cases of suicide of medicos, especially junior doctors, post-graduates, and under-graduates often hit the headlines.

In the case of Dixit, it is revealed that he had been suffering from depression for the last four years and had stopped taking his medicines for the last two months, claiming that he was alright. He bizarrely committed suicide by cutting his private organ on Sunday.

Mental health issues are mostly pre-existing

However, this is a one-off case and unless the person is seriously mentally ill, they will not commit suicide in this unusual manner. Especially a doctor, who has access to and awareness about various chemicals and drugs, will usually pop some pills to commit suicide, points out Dr. S Vijay Mohan, a senior consultant physician from Care Hospitals, Hyderabad.

Speaking about mental health issues of doctors, the senior physician avers, “The academic pressure is much more on post-graduate students than MBBS medicos. When a person chooses to study medicine, they are mentally prepared to take up one of the world’s toughest and never-ending courses and are also aware that it is more than a decade-long academic perusal while the learning and upgradation continue life-long.”

“Apart from academic pressure, failed love affairs and family or domestic problems and mental torture also cause depression and suicidal tendencies in some students. But it must be noted that even though several people undergo some kind of financial, academic, professional, and personal crisis, not even one percent commit suicide. Those who commit suicide usually have some pre-existing or underlying mental health issues and their brain chemicals or wiring is different. So when faced with some triggers due to adverse circumstances, they resort to taking their own lives,” avers Dr Vijay Mohan.

Changes in curriculum and exam patterns add to the stress

However, it cannot be denied that the mental health of medical students is a growing concern. “The changes in medical education and examination systems can add to their stress and affect their well-being. The transition to the new curriculum and examinations can be overwhelming, leading to increased anxiety and decreased focus on learning. The pressure to perform well can result in depression and even suicidal thoughts. Moreover, factors such as sexuality issues, gender identity struggles, or other personal conflicts can contribute to a person’s distress. Unfortunately, individuals experiencing these issues may face difficulties in seeking help due to societal stigma and lack of an adequate support system,” says Dr Charan Teja Koganti, consultant neuropsychiatrist, KIMS Hospitals and associate professor, VRKMC, Hyderabad.

Warning signs of depression

Awareness about mental health issues, especially depression, is crucial. Warning signs such as expressing thoughts of death, sudden changes in behaviour or clarity about suicidal intentions, withdrawal from social interactions, and expressing goodbyes through social media should be taken seriously, says the neuropsychiatrist.

Medication is part of the treatment

“Approximately 18% of students in a classroom setting may experience clinical depression, while subclinical depression (those who don’t require medication but can benefit from lifestyle modification and social support) affects even more. It is important to emphasize that a significant portion of individuals requires medication as part of their treatment. Just like with other medical conditions, if a prescribed medication doesn’t suit an individual, it is crucial to consult the healthcare provider to explore alternative options. Discontinuing medication without proper guidance can worsen the condition,” explains Dr Charan Teja.

Need to combat stigma, raise awareness in society

“Unfortunately, mental health awareness is predominantly found on social media platforms, while the real impact should be in society itself. Parents, especially, need to be educated about the symptoms of clinical depression, which is highly prevalent among young individuals,” says Dr. Charan Teja.

“To combat the stigma surrounding mental health, open discussions and education about depression and its treatment options are essential. Parents, teachers, and healthcare professionals need to work together to create a safe and understanding environment for those experiencing mental health challenges.”