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Contemp Clin Dent. 2015 Apr-Jun;6(2):215-22. doi: 10.4103/0976-237X.156050.

Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: A cross-sectional study.

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Department of Psychiatry, MM Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India.
Department of Periodontics, MM College of Dental Sciences and Research, Mullana, Ambala, Haryana, India.



There is an increasing amount of stress in undergraduate dental students leading to anxiety, depression, and suicidal attempts/suicide.


This study aims to evaluate anxiety, depression and suicidal intent in undergraduate dental students and to find out the various areas of stress.


A cross-sectional study was conducted using a semi-structured questionnaire (to assess academic and nonacademic areas of stress) and three scales-Hamilton scale for anxiety (HAM-A); Hamilton depression rating scale (HDRS) and Beck's Suicide Intent Scale (BSI). Descriptive statistics; Pearson's Chi-square test; Multiple ANOVA; Kruskal-Wallis test and Mann-Whitney test were used to analyze the data at the significant level of P ≤ 0.05.


In a total of 258 dental undergraduate students, academic areas of stress that were found to be statistically significant were long teaching hours (P = 0.002); high workload (P ≤ 0.001); frequency of tests (P ≤ 0.001) and competition/fear of failure (P = 0.009). Lack of interest in the profession was a statistically significant nonacademic area for stress (P ≤ 0.001). The students of first and final year reported higher anxiety (HAM-A 13.93 ± 6.908 and 16.44 ± 7.637 respectively) and depression (HDRS 14.29 ± 6.302 and 14.22 ± 5.422); whereas suicidal intent was reported almost the same throughout the study sample (BSI 5.65 ± 5.465).


An increasing level of anxiety, depression and suicidal intent due to various stressors in undergraduate dental students indicate a need to modify current education system and timely help to have psychological healthy dental professionals in future.


Academic stress; anxiety; dental students; depression; nonacademic stress; suicidal intent

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