目的 调查就业压力对医学院校毕业生心理健康状况的影响,为开展有针对性的就业指导及心理健康教育提供依据.方法 对某医学院校毕业生的就业去向情况进行调查,并采用Beck压力量表(BSSI)及症状自评量表(SCL-90)对不同就业去向毕业生的压力及心理健康状况进行对比.结果 853名参与调查的医学院校毕业生中,398名毕业生有了较为明确的就业去向,占参与调查医学生总数的46.66％.无明确就业去向毕业生BSSI 4个因子平均得分及总分平均得分均高于有明确就业去向毕业生(P＜0.05).医学院校毕业生在SCL-90的9个因子平均得分均高于中国正常成人SCL-90 9个因子平均得分,且在强迫、抑郁、焦虑、敌对性、恐怖、偏执及精神病性7个因子得分差异有统计学意义(P＜0.05).在就业去向方面,无明确就业去向毕业生SCL-90的9个因子平均得分均高于有明确就业去向毕业生,且在躯体化、强迫、抑郁、焦虑、敌对性、恐怖及精神病性7个因子差异有统计学意义(P＜0.05).在性别方面,无明确就业去向男毕业生在SCL-90的9个因子平均得分均高于有明确就业去向男毕业生,但差异无统计学意义(P＞0.05).无明确就业去向女毕业生在SCL-90的9个因子平均得分均高于有明确就业去向女毕业生(P＜0.05).结论 就业压力会对医学院校毕业生的心理健康产生一定影响,且对女性毕业生心理健康的影响要大于男生对男生的影响.“,”Objective Investigate the employment pressure to the mental health of medical college graduates, to provide the relevant basis for the development of targeted employment guidance and mental health education. Methods Investigate the employment destination of medical college, further use Beck-srivastava stress inventory (BSSI) and symptom check list - 90 (SCL-90) to compare the stress and mental health of graduates with different employment destination. Results Among the 853 medical college graduates surveyed, 398 graduates had a clear employment destination, accounting for 46.66％ of the total number of medical students participating in the survey. All the 4 average factor score and total score of BSSI of medical college graduates with no definite employment destination were all higher than those of graduates with definite employment destination (P＜0.05). All the 9 average factor score of SCL-90 of medical college graduates were higher than those of the average scores of SCL-90 of Chinese normal adults, and the differences in Compulsion, Depression, Anxiety, Hostility, Fear, Paranoid and psychosis-like symptoms has statistically significant (P＜0.05). In terms of employment, all the 9 average factor score of SCL-90 of medical college graduates with no definite employment destination were higher than those of graduates with definite employment destination, and the differences in somatization, compulsion, depression, anxiety, hostility, fear and psychosislike symptoms has statistically significant (P＜0.05). In terms of gender, all the 9 average factor score of SCL-90 of male medical college graduates with no definite employment destination were higher than those of males with definite employment destination, but all the differences has no statistically significant (P＞0.05). All the 9 average factor score of SCL-90 of female medical college graduates with no definite employment destination were higher than those of females with definite employment destination (P＜0.05). Conclusion The employment pressure will have a certain impact to the mental health of medical school graduates, and the impact to the mental health of female graduates would greater than these of males.