重庆市大学生自杀未遂及相关因素分析
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摘要
目的了解重庆市大学生自杀未遂的特征、发生率及其危险因素。方法采用北京回龙观医院北京心理危机研究与干预中心提供的《自杀态度与心理健康状况问卷(大学版-Ⅳ)》在重庆市随机抽取的11所大学中调查了9808名大学生,了解自杀未遂发生情况及相关因素,并通过多因素logistic模型分析其危险因素。结果大学生自杀未遂报告率为1.7%(169/9808),男女性别构成比为1∶1.8;多因素logistic回归分析显示,其危险因素排列为:近一年感到绝望的频率高(OR=4.2,95%CI:3.1~5.9)、一级亲属有过自杀行为(OR=2.8,95%CI:1.7~4.7)、认识的人有过自杀行为(OR=2.8,95%CI:2.1~3.9)、已发生性行为(OR=2.7,95%CI:1.9~3.9)、近1个月心理问题对学习及日常生活的影响(OR=2.5,95%CI:1.8~3.6)、女性(OR=2.5,95%CI:1.8~3.5)、其他血缘关系亲属有自杀行为(OR=2.4,95%CI:1.6~3.4),P值均小于0.001。结论大学生自杀现象并不罕见,应在高校制定和执行有针对性的自杀预防计划。
Objective To investigate the prevalence,characteristics and risk factors of self~reported suicide attempt in college students in Chongqing. Methods A multi~stage stratified random sample of 9808 students at 11 colleges in Chongqing city completed the university version of the 'Survey Schedule of Suicide~Related Behaviors,Risk Factors and Attitudes in China. Results One hundred ond sixty-nine(1.7%)of 9808 students reported suicide attempt and the ratio of boys and girls was 1∶1.8.Risk factors for suicide attempt were ranked as following:high frequency of feeling hopeless in the last year(OR=4.2,95%CI:3.1~5.9),first degree relative with suicide behavior(OR=2.8,95%CI 1.7~4.7),other associates with suicide behavior (OR=2.8,95%CI:2.1~3.9),having had sex behavior(OR=2.7,95%CI:1.9~3.9),influerce on the daily lives and studing because of psychological problems in the last month(OR=2.5,95%CI:1.8~3.6),female gender(OR=2.5,95%CI:1.8~3.5) and other relative with suicide behavior(OR=2.4,95%CI:1.6~3.4)(all Ps<0.001). Conclusions Suicide attempt is a frequently phenomenon in college students.A suicide prevention program according to the suicide risk factors.
Objective To investigate the prevalence,characteristics and risk factors of self~reported suicide attempt in college students in Chongqing. Methods A multi~stage stratified random sample of 9808 students at 11 colleges in Chongqing city completed the university version of the 'Survey Schedule of Suicide~Related Behaviors,Risk Factors and Attitudes in China. Results One hundred ond sixty-nine(1.7%)of 9808 students reported suicide attempt and the ratio of boys and girls was 1∶1.8.Risk factors for suicide attempt were ranked as following:high frequency of feeling hopeless in the last year(OR=4.2,95%CI:3.1~5.9),first degree relative with suicide behavior(OR=2.8,95%CI 1.7~4.7),other associates with suicide behavior (OR=2.8,95%CI:2.1~3.9),having had sex behavior(OR=2.7,95%CI:1.9~3.9),influerce on the daily lives and studing because of psychological problems in the last month(OR=2.5,95%CI:1.8~3.6),female gender(OR=2.5,95%CI:1.8~3.5) and other relative with suicide behavior(OR=2.4,95%CI:1.6~3.4)(all Ps<0.001). Conclusions Suicide attempt is a frequently phenomenon in college students.A suicide prevention program according to the suicide risk factors.
引文
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[9]Rutter PA.Behrendt AE.Adolescent suicide risk:four psychoso-cial factors[J].Adolescence,2004,39(4):295-302.
[10]王东波,赖根祥,夏赣云.抑郁症自杀行为的相关危险因素研究[J].中国神经精神疾病杂志,2002,28(2):88-89.
[11]Gili-Planas M,Roca-Bennasar M,Ferrer-Perez V,et al.Suicide i-deation,psychiatric disorder.and medical illness in a community epidemiological study[J].Suicide Life Threat Behav,2001,31(2):207-213.
[12]Phillips MR,Liu H,Zhang Y.Suicide and social change in Chi-na[J].Cult Med Psychiatry Mar,1999,23(1):25-50.
[13]李献云,费立鹏,及惠郁,等.乡村严重自杀未遂者的特征[J].中国神经精神疾病杂志,2005,31(4):272-277.
[14]Beautrais.Suicides and serious suicide attempts:two populations or one?[J].Psychol Med,2001,31(5):837-845
[2]Phillips MR,Li XY,Zhang YP,et al.Suicide rates in China,1995~1999[J].Lancet,2002,359(9309):835-840.
[3]李献云,费立鹏.1998年我国生育年龄段人群中自杀的死因分析[J].中国公共卫生,2001,17(7):658-659.
[4]徐慧兰,肖水源,冯珊珊,等.中南大学大学生自杀意念及其危险因素研究[J].中华流行病学杂志,2004,25(4):288-291.
[5]张志群,郭兰婷.成都市区中学生自杀未遂的现况调查[J].中华流行病学杂志,2003,24(3):189-191.
[6]Weissman MM,Bland RC,Canino GJ,et al.Prevalence of sui-cide ideation and suicide attempts in nine countries[J].Psychol Med,1999,29(1):9-17.
[7]Phillips MR,Yang GH,Zhang YP,et al.Risk factors for suicide in China:a national case control psychological autopsy stuay[J].Lan-cet,2002,360(9347):1728-1736.
[8]胡泽卿,刘协和,曹莉萍.抑郁症的自杀未遂及其危险因素分析.中华精神科杂志,1997,30(2):70-73.
[9]Rutter PA.Behrendt AE.Adolescent suicide risk:four psychoso-cial factors[J].Adolescence,2004,39(4):295-302.
[10]王东波,赖根祥,夏赣云.抑郁症自杀行为的相关危险因素研究[J].中国神经精神疾病杂志,2002,28(2):88-89.
[11]Gili-Planas M,Roca-Bennasar M,Ferrer-Perez V,et al.Suicide i-deation,psychiatric disorder.and medical illness in a community epidemiological study[J].Suicide Life Threat Behav,2001,31(2):207-213.
[12]Phillips MR,Liu H,Zhang Y.Suicide and social change in Chi-na[J].Cult Med Psychiatry Mar,1999,23(1):25-50.
[13]李献云,费立鹏,及惠郁,等.乡村严重自杀未遂者的特征[J].中国神经精神疾病杂志,2005,31(4):272-277.
[14]Beautrais.Suicides and serious suicide attempts:two populations or one?[J].Psychol Med,2001,31(5):837-845
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