中国大陆大学生自杀计划检出率Meta分析
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摘要
目的通过Meta分析估计中国大陆大学生自杀计划的检出率,为自杀防控提供更多线索和依据。方法计算机检索PubMed、Embase、CNKI(Chinese Database)、Wan Fang Data(Chinese Database)、VIP(Chinese Database)数据库中国内外关于中国大陆大学生自杀计划检出率的研究,检索时间为建库至2018年8月1日。中文检索词包括"大学生""本科生""大学""学院""高校","自杀计划""自杀方案","检出率""流行率""报告率";英文检索词包括"undergraduate""college""university","suicide""suicidality""suicide plans""suicidal plans suicide intending","prevalence""report rate""de-tection rate","China""Chinese"。采用Stata 12.0软件进行Meta分析。结果共纳入18项研究,总样本量47 071人,自杀计划检出率为4.4%,95%CI=3.4%～5.4%。亚组分析显示,中国大陆大学生自杀计划检出率男生为5.4%,女生为4.2%;东、中、西部地区大学生自杀计划检出率分别为5.1%,2.7%,4.5%; 2010年及以后自杀计划检出率为4.4%,2010年以前为4.3%;既往自杀计划检出率为4.9%,过去12月自杀计划检出率为4.0%,亚组内的差异均无统计学意义(P>0.05)。敏感性分析提示Meta分析结果较为稳定,漏斗图分析提示可能存在发表偏倚。结论中国大陆大学生自杀计划检出率较低,且在性别、所属区域、研究时段、发生时限、样本量之间均未发现统计学差异。
Objective The meta-analysis aims to estimate the prevalence of suicide plan among college students in mainland China, and to provide more clues and reference for control and prevention of suicide. Methods The relevant studies were systematically searched via electronic databases( PubMed,Embase,CNKI,Wan Fang Data,VIP). We only selected original articles that either reported on Chinese retrieval words of "college students" "undergraduate" "university" "college" "colleges and universities" "suicide plans" "detection rate" "prevalence" "report rate", and the English retrieval words of "undergraduate" "college" "university" "suicide" " suicidality" " suicide plans" " suicidal plans suicide intending" " prevalence" " report rate" " detection rate" "China" "Chinese". And Stata 12.0 software was used to make a meta-analysis of the data. Results A total of 18 eligible studies,with 47 071 college students, were finally included. The maximum and minimum reported prevalence of suicidal plan among college students in China mainland was 4.4%( 95%CI: 3.4%-5.4%).Subgroup analyses showed that the pooled estimate of suicidal plan of boys( 5.4%) was higher than girls'( 4.2%); The prevalence among college students from earth, middle and west areas were 5.1%,2.7%,4. 5%, respectively; The prevalence among college students in 2010 and after( 4. 4%) was higher than that before 2010( 4.3%), The prevalence among college students of life time suicide plan( 4.9%) was higher than that during the past 12 months( 4.0%), but there was no statistical significance in the subgroup( P>0.05). Sensitivity analysis suggested that the results of metaanalysis were relatively stable, while funnel plot analysis suggested that publication bias might exist. Conclusion Prevalence of suicidal plans among college students in mainland China is respectively low, and there was no statistical significance in gender, region, the period of time and simple size.
Objective The meta-analysis aims to estimate the prevalence of suicide plan among college students in mainland China, and to provide more clues and reference for control and prevention of suicide. Methods The relevant studies were systematically searched via electronic databases( PubMed,Embase,CNKI,Wan Fang Data,VIP). We only selected original articles that either reported on Chinese retrieval words of "college students" "undergraduate" "university" "college" "colleges and universities" "suicide plans" "detection rate" "prevalence" "report rate", and the English retrieval words of "undergraduate" "college" "university" "suicide" " suicidality" " suicide plans" " suicidal plans suicide intending" " prevalence" " report rate" " detection rate" "China" "Chinese". And Stata 12.0 software was used to make a meta-analysis of the data. Results A total of 18 eligible studies,with 47 071 college students, were finally included. The maximum and minimum reported prevalence of suicidal plan among college students in China mainland was 4.4%( 95%CI: 3.4%-5.4%).Subgroup analyses showed that the pooled estimate of suicidal plan of boys( 5.4%) was higher than girls'( 4.2%); The prevalence among college students from earth, middle and west areas were 5.1%,2.7%,4. 5%, respectively; The prevalence among college students in 2010 and after( 4. 4%) was higher than that before 2010( 4.3%), The prevalence among college students of life time suicide plan( 4.9%) was higher than that during the past 12 months( 4.0%), but there was no statistical significance in the subgroup( P>0.05). Sensitivity analysis suggested that the results of metaanalysis were relatively stable, while funnel plot analysis suggested that publication bias might exist. Conclusion Prevalence of suicidal plans among college students in mainland China is respectively low, and there was no statistical significance in gender, region, the period of time and simple size.
引文
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[14]郭乐倩,潘子赟,李继超,等.大学生自杀与心里控制源的关系[J].中国学校卫生,2016,37(12):1837-1840.
[15]SUN L,ZHOU C C,XU L Z,et al. Suicidal ideation,plans,at-tempts among medical college students in China:the effects of theirparental characteristics[J]. Psychiatry Res,2017(247):139-143.
[16]徐慧兰,肖水源,冯姗姗,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.
[17]陈建梅,艾明,况利,等.重庆市大学生自杀意念的调查[J]中华流行病学杂志,2010,31(3):290-293.
[18]ZHAO J B,YANG X L,XIAO R,et al. Believe system,meaningful-ness,and psychopathology associated with suicidality among Chinesecollege students:a cross sectional survey[J]. BMC Public Health,2012,12(668):1-11.
[19]尚玉秀,董桂清,刘婷.银川市大学生自杀意念及抑郁影响因素分析[J].中国公共卫生,2008,24(8):934-936.
[20]GAO T T,XIANG Y T,ZHANG H,et al. Prevalence and correlatesof suicidal behaviors among college students in northeastern China:across sectional study[J]. Psychiatry,2018,2(89):359-370.
[21]刘丹,陈跃辉,隆素素,等.凯斯勒心理量表在大学生自杀风险评估中的价值[J].中华行为医学与脑科学杂志,2013,22(9):856-858.
[22]曾琳娜,陈振业.广州市大学生自杀倾向现状研究[J].中国学校卫生,2006,27(10):863-864.
[23]郭丽.安阳市青少年自杀行为及影响因素分析[J].中国公共卫生,2016,32(11):1520-1523.
[24]赵久波,赵静波,肖蓉,等.中国大学生自杀死亡接触状况及其在生活事件与自杀风险之间的调节效应[J].南方医科大学学报,2013,33(8):1111-1116.
[25]ZWAHLEN M,RENEHAN A,EGGER M. Meta-analysis in medicalresearch:potentials and limitations[J].Urol Oncol,2008,26(3):320-329.
[26]MARTIN S E,LIU R T,MERNICK L R,et al. Suicidal thoughts andbehaviors in psychiatrically referred young children[J]. Psych Res,2016,30(246):308-313.
[27]COREY E P,DANIEL J,RANI A,et al. Premenstrual dysphoricdisorder as a correlate of suicidal ideation,plans,and attempts amonga nationally representative sample[J]. Epidemiol,2013,48(3):437-446.
[28]MORTIER P,AUERBACH R P,ALONSO J,et al. Suicidal thoughtsand behaviors among first-year college students:results from theWMH-ICS Project[J]. Child Adolesc Psychiatry,2018,57(4):263-273.
[29]HOLLY C,AMELIA M,KIMBERLY M,et al. Prevalence and pre-dictors of persistent suicide ideation,plans,and attempts during col-lege[J]. Effect Discord,2010,127(3):287-294.
[30]武雪婷,金一波.不同地理环境和文化背景下人的心理差异研究[J].中共宁波市委党校学报,2008,1(3):87-90.
[31]吴才智,江光荣,段文婷.我国大学生自杀现状与对策研究[J].黑龙江高教研究,2018,36(5):95-99.
[32]王晓明.大连市居民自杀意念、自杀计划和自杀未遂的调查分析[D].辽宁:大连医科大学,2013.
[33]DAPHAN,ZIONA,NECHAMA,et al. Suicide ideation,planningand attempts:results from the israel national health survey[J]. Psy-chia Relat Sci,2007,44(2):136-143.
[2]LLOYD J,KOLBE,LAURA K,et al. Overview of the youth risk be-havior surveillance system[J]. Public Health Rep,1993,1(108):2-10.
[3]汪向东,王希林,马弘.心理卫生评定量表手册:增订版[M].北京:中国心理卫生杂志社,1999:106-319.
[4]ZHAN Z L,YANG M l,XIAN Y L,et al. Prevalence of suicidal ide-ation in chinese college students:a meta-analysis[J]. PLoS One,2014,9(10):1-12.
[5]YANG L S,ZHANG Z H,SUN L,et al. Prevalence of suicide at-tempts among college students in China:a meta-analysis[J]. PLoSOne,2015,10(2):1-13.
[6]REYNOLDS P. Agency for healthcare research and quality[J]. Am JPhys Med Rehabil,2005,84(12):1034-1035.
[7]万宇辉,高荣,陶兴永,等.大学生故意自伤行为与自杀行为的相关性研究[J].中华流行病学杂志,2012,33(5):474-477.
[8]陈燕芬,寇长贵,张迪,等.在校本科大学生自杀倾向问题及相关危险因素分析[J].中华疾病控制杂志,2008,12(5):450-453.
[9]齐凯,王俊,鲁玮,等.大学生自杀相关行为与不同家庭因素之间的关系研究[J].皖南医学院学报,2017,36(5):493-496.
[10]朱奇,李恒娜,蒋冬冬,等.南通市大学生故意伤害行为现况调查[J].江苏预防医学,2015,26(4):27-29.
[11]袁宝君,戴月,史祖民,等.江苏省青少年心理问题现状调查与分析[J].江苏预防医学,2009,17(4):9-12.
[12]王娟丽,周丽,李丽萍.深圳市青少年自杀意念及其与校园暴力等影响因素的关系[J].伤害医学(电子版),2012,1(3):24-28.
[13]田琪,汪晓敏,章荣华,等.杭州市青少年自杀问题现况调查[J].中国心理卫生,2012,26(3):230-234.
[14]郭乐倩,潘子赟,李继超,等.大学生自杀与心里控制源的关系[J].中国学校卫生,2016,37(12):1837-1840.
[15]SUN L,ZHOU C C,XU L Z,et al. Suicidal ideation,plans,at-tempts among medical college students in China:the effects of theirparental characteristics[J]. Psychiatry Res,2017(247):139-143.
[16]徐慧兰,肖水源,冯姗姗,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.
[17]陈建梅,艾明,况利,等.重庆市大学生自杀意念的调查[J]中华流行病学杂志,2010,31(3):290-293.
[18]ZHAO J B,YANG X L,XIAO R,et al. Believe system,meaningful-ness,and psychopathology associated with suicidality among Chinesecollege students:a cross sectional survey[J]. BMC Public Health,2012,12(668):1-11.
[19]尚玉秀,董桂清,刘婷.银川市大学生自杀意念及抑郁影响因素分析[J].中国公共卫生,2008,24(8):934-936.
[20]GAO T T,XIANG Y T,ZHANG H,et al. Prevalence and correlatesof suicidal behaviors among college students in northeastern China:across sectional study[J]. Psychiatry,2018,2(89):359-370.
[21]刘丹,陈跃辉,隆素素,等.凯斯勒心理量表在大学生自杀风险评估中的价值[J].中华行为医学与脑科学杂志,2013,22(9):856-858.
[22]曾琳娜,陈振业.广州市大学生自杀倾向现状研究[J].中国学校卫生,2006,27(10):863-864.
[23]郭丽.安阳市青少年自杀行为及影响因素分析[J].中国公共卫生,2016,32(11):1520-1523.
[24]赵久波,赵静波,肖蓉,等.中国大学生自杀死亡接触状况及其在生活事件与自杀风险之间的调节效应[J].南方医科大学学报,2013,33(8):1111-1116.
[25]ZWAHLEN M,RENEHAN A,EGGER M. Meta-analysis in medicalresearch:potentials and limitations[J].Urol Oncol,2008,26(3):320-329.
[26]MARTIN S E,LIU R T,MERNICK L R,et al. Suicidal thoughts andbehaviors in psychiatrically referred young children[J]. Psych Res,2016,30(246):308-313.
[27]COREY E P,DANIEL J,RANI A,et al. Premenstrual dysphoricdisorder as a correlate of suicidal ideation,plans,and attempts amonga nationally representative sample[J]. Epidemiol,2013,48(3):437-446.
[28]MORTIER P,AUERBACH R P,ALONSO J,et al. Suicidal thoughtsand behaviors among first-year college students:results from theWMH-ICS Project[J]. Child Adolesc Psychiatry,2018,57(4):263-273.
[29]HOLLY C,AMELIA M,KIMBERLY M,et al. Prevalence and pre-dictors of persistent suicide ideation,plans,and attempts during col-lege[J]. Effect Discord,2010,127(3):287-294.
[30]武雪婷,金一波.不同地理环境和文化背景下人的心理差异研究[J].中共宁波市委党校学报,2008,1(3):87-90.
[31]吴才智,江光荣,段文婷.我国大学生自杀现状与对策研究[J].黑龙江高教研究,2018,36(5):95-99.
[32]王晓明.大连市居民自杀意念、自杀计划和自杀未遂的调查分析[D].辽宁:大连医科大学,2013.
[33]DAPHAN,ZIONA,NECHAMA,et al. Suicide ideation,planningand attempts:results from the israel national health survey[J]. Psy-chia Relat Sci,2007,44(2):136-143.