KMAN Publication Inc. (KMANPUB) Journal of Adolescent and Youth Psychological Studies (JAYPS) 2981-2526 In Press 2027 07 01 Emergence of Suicide from Ideation to Action among Medical Students: A Qualitative Study Emergence of Suicide from Ideation to Action among Medical Students: A Qualitative Study 1 13 EN Journal Article 2026 07 21 <table> <tbody> <tr> <td> <p><strong>Objective:</strong> This study aimed to explore the risk and protective factors involved in the emergence and progression of suicidal thoughts toward suicidal behavior among medical students.</p> <p><strong>Methods and Materials:</strong> This qualitative study was conducted using an inductive qualitative content analysis approach. Data were collected through semi-structured interviews with medical interns and residents enrolled at universities of medical sciences in Tehran, Iran, during 2025. Participants were recruited using purposive and snowball sampling to ensure access to individuals capable of providing rich and relevant experiences regarding the phenomenon under investigation. Sampling and interviewing continued until theoretical saturation was achieved, resulting in 11 completed interviews. The interviews were analyzed using inductive qualitative content analysis through a systematic process of coding, categorization, comparison, and abstraction. MAXQDA software was used to facilitate systematic data management, coding, retrieval, and organization throughout the analytical process.</p> <p><strong>Findings:</strong> The analysis indicated that the emergence of suicidal ideation and its potential progression toward suicidal action among medical students resulted from an interaction between multiple occupational, educational, interpersonal, and psychosocial factors. Occupational and academic pressures, problematic workplace relationships, stress arising from professional responsibilities, and perceived social pressures emerged as major risk factors that intensified psychological distress and vulnerability to suicidal thoughts. Conversely, social and emotional support functioned as important protective mechanisms by reducing psychological strain, strengthening coping capacity, and potentially interrupting the progression from suicidal ideation toward suicidal behavior. The findings therefore suggest that suicidality among medical students develops through a multidimensional and dynamic process rather than as a consequence of a single isolated factor.</p> <p><strong>Conclusion:</strong> Suicidal ideation and its progression toward action among medical students appear to be shaped by the cumulative interaction of academic, occupational, interpersonal, and social stressors, while supportive social and emotional relationships may provide an important protective buffer.</p> </td> </tr> </tbody> </table> https://journals.kmanpub.com/index.php/jayps/article/download/6524/12150