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Abstract
Objective: This cross-sectional study aims to assess the perception of ragging and its effects on first-year students across various departments, including MBBS, Dentistry (BDS), Physiotherapy (DPT), and Nursing (BSN).
Methods: A total of 293 students from four departments (MBBS, BDS, DPT, and BSN) participated in this study. Data was collected using a self-structured questionnaire, covering perceptions of ragging, mental health impacts, physical and verbal abuse, academic consequences, and anti-ragging policies. Chi-Square tests were applied to analyse associations between ragging experiences and gender, between physical and verbal abuse, and between reporting of such practices and policies against them. Chi-square analysis between gender and the academic impacts of ragging showed different score distributions among males and females.
Results: The results revealed that 94.5% of students reported experiencing ragging (Figure 1), with 46.7% viewing it as a highly negative experience. Significant impacts on mental health were reported, including upsetting memories (35%) and suicidal thoughts (6.5%). Physical and verbal abuse were prevalent, affecting 16.6% and 43% of students, respectively. Gender analysis showed significant differences in academic impact (p = 0.025), physical and verbal abuse (p = 0.021), and reporting practices (p = 0.034). Departmental analysis also showed significant variation, with Physiotherapy students reporting the highest prevalence of negative experiences (p = 0.00001) (Table 4). Only 17.3% of students lodged formal complaints, and 58.5% found anti-ragging policies ineffective.
Conclusion: This study highlights the pervasive nature of ragging and its detrimental effects on students' mental health and academic performance, emphasising the need for more stringent anti-ragging measures across departments.
References
Dasari H, Chauhan M, Singh A. Zero tolerance for ragging - a juridical must-know for all. Med Leg J. 2025 Mar;93(1 Suppl):82–5. https://doi.org/10.1177/00258172221144161
Wickramasinghe A, Essén B, Ziaei S, Surenthirakumaran R, Axemo P. Ragging, a form of university violence in Sri Lanka: prevalence, self-perceived health consequences, help-seeking behaviour and associated factors. Int J Environ Res Public Health. 2022 Jul 8;19(14):8383. https://doi.org/10.3390/ijerph19148383.
Dasgupta R, Tomley F, Alders R, Barbuddhe SB, Kotwani A. Adopting an intersectoral One Health approach in India: time for One Health Committees. Indian J Med Res. 2021 Mar;153(3):281–6. https://doi.org/10.4103/ijmr.IJMR_537_21.
Waterman EA, Wesche R, Leavitt CE, Lefkowitz ES. Fraternity membership, traditional masculinity ideologies, and impersonal sex: selection and socialisation effects. Psychol Men Masc. 2020;21(1):58–68. https://doi.org/10.1037/men0000209.
Sezer F, Gürtepe A. Investigation of attachment social exclusion and risky behaviors in adolescents. BMC Psychol. 2025;13:487. https://doi.org/10.1186/s40359-025-02822-w.
Kristensen AK, Kristensen ML, Mikkelsen EG. Workplace hazing in nursing: an integrative literature review. Health Sci Rev. 2023;9:100120. https://doi.org/10.1016/j.hsr.2023.100120
Wickramasinghe A, Essén B, Surenthirakumaran R, Axemo P. Prevalence of depression among students at a Sri Lankan University: a study using the Patient Health Questionnaire-9 (PHQ-9) during the COVID-19 pandemic. BMC Public Health. 2023 Mar 20;23(1):528. https://doi.org/10.1186/s12889-023-15427-y.
Gunatilaka H. Ragging; Its Evolution and Effects: a Literature Review with a Special Reference to Sri Lanka. drlibsjpaclk [Internet]. 2019;3(10).
Sasso PA, Joyce B, Veldkamp SJ. Addressing hazing using a horizontal campus hazing model and matrix. New Dir Stud Serv. 2024 Aug;(187):85-97. https://doi.org/10.1002/ss.20529.
Rasheduzzaman M, Al-Mamun F, Hosen I, Akter T, Hossain M, Griffiths MD, Mamun MA. Suicidal behaviors among Bangladeshi university students: prevalence and risk factors. PLoS One. 2022 Jan 13;17(1):e0262006. https://doi.org/10.1371/journal.pone.0262006.
Zhang X. Problems and countermeasures of college students’ mental health education. J Healthc Eng. 2022;2022:6430855. https://doi.org/10.1155/2022/6430855
Allan E, Kerschner D, Payne J. College student hazing experiences, attitudes, and perceptions: implications for prevention. J Stud Aff Res Pract. 2018 Sep 17;56:1–17. https://doi.org/10.1080/19496591.2018.1490303
Rathnayake N, Abhayasinghe K, De Silva J, Guruge GND. A health promotion intervention to address youth violence among students in a technical college in Sri Lanka guided by the participatory action research approach: a study protocol. Res Involv Engagem. 2022 Oct 22;8(1):57. https://doi.org/10.1186/s40900-022-00393-3.
Reid GM, Holt MK, Felix ED, Greif Green J. Perceived consequences of hazing exposure during the first year of college: associations with childhood victimization. J Am Coll Health. 2019 Jul;67(5):402-409. https://doi.org/10.1080/07448481.2018.1484363.
Armitage R. Bullying in children: impact on child health. BMJ Paediatr Open. 2021;5(1):e000939. https://doi.org/10.1136/bmjpo-2020-000939
Finning K, Ukoumunne OC, Ford T, Danielsson-Waters E, Shaw L, Romero De Jager I, et al. The association between child and adolescent depression and poor attendance at school: a systematic review and meta-analysis. J Affect Disord. 2019;245:928-38. https://doi.org/10.1016/j.jad.2018.11.055
Ibrahim FM, Rashad Dabou EA, AbdelSamad S, Abuijlan IAM. Prevalence of bullying and its impact on self-esteem, anxiety and depression among medical and health sciences university students in RAS Al Khaimah, UAE. Heliyon. 2024 Feb;10(3):e25063. https://doi.org/10.1016/j.heliyon.2024.e25063
Haj-Yahia MM, de Zoysa P. Rates and psychological effects of exposure to family violence among Sri Lankan university students. Child Abuse Negl. 2008;32(10):994-1002. https://doi.org/10.1016/j.chiabu.2008.05.001
Athanasiades C, Stamovlasis D, Touloupis T, et al. University students' experiences of sexual harassment: the role of gender and psychological resilience. Front Psychol. 2023;14:1202241. https://doi.org/10.3389/fpsyg.2023.1202241
Taseen S, Shah SMA, Abbas M, et al. Ragging: a harmless tradition or menace? Perspective of newly admitted medical students of Karachi, Pakistan. Eur Sci J. 2021;17(8):123. https://doi.org/10.19044/esj.2021.v17n8p123
Zeba D, Rahman MM, Uddin ATMF, Rahman MSU, Sarker MN, Ahmed MFU, Barai N. Ragging: the psychology and perspectives of students from a medical college in Bangladesh. Bangabandhu Sheikh Mujib Med Coll J. 2023;2(1):14–21. https://doi.org/10.3329/bsmmcj.v2i1.69471.
Srabstein J. Deaths linked to bullying and hazing. Int J Adolesc Med Health. 2008;20(2):235–9. https://doi.org/10.1515/ijamh.2008.20.2.235.
Sainz V, Martín-Moya B. The importance of prevention programs to reduce bullying: a comparative study. Front Psychol. 2023 Jan 12;13:1066358. https://doi.org/10.3389/fpsyg.2022.1066358.
Rinaldi CM, Bulut O, Muth T, Di Stasio M. The influence of parenting dimensions and junior high school students’ involvement in bullying. J Sch Violence. 2023;22(2):183–97. https://doi.org/10.1080/15388220.2022.2162534.
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