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重庆市大学生自杀未遂及相关因素分析

A study on suicide attempts and related factors of college students in Chongqing

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【作者】 艾明况利王敏建沈岩李大奇高新学陈建梅黎雪梅牛雅娟费立鹏

【Author】 AI Ming,KUANG Li,WANG Minjian,SHEN Yan,LI Daqi,GAO Xinxue,CHEN Jianmei,LI Xuemei,NIU Yajuan,Philips MR. Center of Psychological Health,First Affiliated Hospital,Chongqing Medical University,No.1 Youyi Road,Yuzhong District,Chongqing.400016.

【机构】 重庆医科大学附属第一医院心理卫生中心北京回龙观医院北京心理危机研究与干预中心

【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。

【Abstract】 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.

【基金】 美国中华医学基金会(CMB)基金课题(编号:Small Grants Pro-gram #02~777和#04~801)
  • 【文献出处】 中国神经精神疾病杂志 ,Chinese Journal of Nervous and Mental Diseases , 编辑部邮箱 ,2008年10期
  • 【分类号】B846
  • 【被引频次】29
  • 【下载频次】410
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