急诊及住院自杀未遂者危险因素的病例对照研究
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摘要
目的:探讨急诊及住院自杀未遂者危险因素,提出自杀未遂预防建议。方法:收集2013-2015年山东省内10个县级医院急诊或住院登记系统自杀未遂病例,按照与病例同社区、同性别、年龄相仿(±2岁)原则选择社区对照;采用调查问卷收集数据。单因素初步筛选自杀未遂影响因素,多因素logistic回归分析建立影响因素模型。结果:本研究病例组424例,男性148 (34. 9%),女性276 (65. 1%);对照组434例,男性158 (36. 4%),女性276 (63. 6%)。单因素和多因素logistic回归分析均显示,有精神疾病、家庭经济状况差、夫妻关系差、有自杀未遂家族史、社会关系差、个体受教育机会差是自杀未遂的危险因素,家庭人口数多是自杀未遂的保护因素。结论:鉴于筛选危险因素,应采取相应对策降低自杀未遂发生。
Objective: To investigate the risk factors of suicide attempt and offer the prevention measures.Methods: This study collected the suicide attempters from 10 county hospitals through the hospital emergency and patient registration system in Shandong province from 2013-2015,and community control for the case was selected matched with community,gender,age( ± 2 years). Questionnaire was used to collect data. The univariate statistical methods were adopted to preliminarily screen the influencing factors,and multivariate Logistic regression analysis was used to establish the model. Results: There were 424 cases including148( 34. 9%) males and 276( 65. 1%)females,434 controls including 158( 36. 4%) males and 276( 63. 6%) females. Univariate and multivariate analysis both indicated that mental illness,poorer family economic status,poorer conjugal relationship,family history of attempted suicide,worse social relationships and poorer individual education opportunity were the risk factors of suicide attempt,but larger family member was the protective factor for the suicide attempts. Conclusion: Preventive measures should be taken to reduce suicide attempts.
Objective: To investigate the risk factors of suicide attempt and offer the prevention measures.Methods: This study collected the suicide attempters from 10 county hospitals through the hospital emergency and patient registration system in Shandong province from 2013-2015,and community control for the case was selected matched with community,gender,age( ± 2 years). Questionnaire was used to collect data. The univariate statistical methods were adopted to preliminarily screen the influencing factors,and multivariate Logistic regression analysis was used to establish the model. Results: There were 424 cases including148( 34. 9%) males and 276( 65. 1%)females,434 controls including 158( 36. 4%) males and 276( 63. 6%) females. Univariate and multivariate analysis both indicated that mental illness,poorer family economic status,poorer conjugal relationship,family history of attempted suicide,worse social relationships and poorer individual education opportunity were the risk factors of suicide attempt,but larger family member was the protective factor for the suicide attempts. Conclusion: Preventive measures should be taken to reduce suicide attempts.
引文
[1]吕军城.山东省农村居民自杀未遂预警BP神经网络及指标体系的构建[D].济南:山东大学,2015:12.
[2]Bertolote JM,Fleischmann A.A global perspective in the epidemiology of suicide[J].Suicidology,2002,7(2):6-8.
[3]张杰,景军.中国自杀率下降趋势的社会学分析[J].中国社会科学,2011,(5):97-113.
[4]刘肇瑞,黄悦勤,马超,等.2002-2015年我国自杀率变化趋势[J].中国心理卫生杂志,2017,31(10):756-767.
[5]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.
[6]Lyu J,Shi H,Wang S,et al.The effect of communitystress and problems on psychopathology:a structural equation modeling study[J].Compr Psychiatry,2015,65:24-31.doi:10.1016/j.comppsych.2015.09.008.
[7]张杰,吕军城.社区环境与自杀行为的关联性研究[J].中华行为医学与脑科学杂志,2013,22(11):1024-1027.
[8]段艳平,陈林,刘艳红,等.伴精神病性特征抑郁症患者自杀未遂的危险因素[J].中国心理卫生杂志,2013,27(5):357-361.
[9]Li Y,Li Y,Cao J.Factors associated with suicidal behaviors in mainland China:a meta-analysis[J].BMC Public Health,2012,12:524.doi:10.1186/1471-2458-12-524.
[2]Bertolote JM,Fleischmann A.A global perspective in the epidemiology of suicide[J].Suicidology,2002,7(2):6-8.
[3]张杰,景军.中国自杀率下降趋势的社会学分析[J].中国社会科学,2011,(5):97-113.
[4]刘肇瑞,黄悦勤,马超,等.2002-2015年我国自杀率变化趋势[J].中国心理卫生杂志,2017,31(10):756-767.
[5]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.
[6]Lyu J,Shi H,Wang S,et al.The effect of communitystress and problems on psychopathology:a structural equation modeling study[J].Compr Psychiatry,2015,65:24-31.doi:10.1016/j.comppsych.2015.09.008.
[7]张杰,吕军城.社区环境与自杀行为的关联性研究[J].中华行为医学与脑科学杂志,2013,22(11):1024-1027.
[8]段艳平,陈林,刘艳红,等.伴精神病性特征抑郁症患者自杀未遂的危险因素[J].中国心理卫生杂志,2013,27(5):357-361.
[9]Li Y,Li Y,Cao J.Factors associated with suicidal behaviors in mainland China:a meta-analysis[J].BMC Public Health,2012,12:524.doi:10.1186/1471-2458-12-524.