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Introduction: Depression affects almost a third of postgraduate medical students worldwide, which in turn translates into higher suicide rates and frequencies of other phases integrated into the suicidal process. The objective was to identify risk factors associated with depressive symptoms with clinical importance in resident physicians of medical surgical specialties. Materials and method: Cross-sectional analytical study, universe of 250 residents of medical-surgical specialties. A sociodemographic and risk factor survey was used; depressive symptoms were investigated with the Zung Test for depression. Univariate analysis was performed and subsequently logistic regression. Results: 131 residents participated, aged between 20 and 40 years, 46.6% (61) presented symptoms. These depressive symptoms were associated with low socioeconomic status OR 2.05 (95% CI: 1.21 to 4.13), family history of mood disorders OR 2.4 (95% CI: (1.2 – 4.8 ), having children OR 4.510 (95% CI: 1.132 to 17.974) and attending the third or fourth year of specialization OR 4.350 (95% CI 1.677 to 11.284). Having a partner was a protective factor OR 0.4 (95% CI: 0 .2 – 0.9) against depressive symptoms, as well as being male OR 0.327 (95% CI: 0.13 to 0.81). Conclusion: residents of medical-surgical specialties have a high prevalence of symptoms depressive disorders of clinical importance and are related to risk factors such as low socioeconomic status, having children during residency, attending the third or fourth year of specialization.

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