【摘要】 目的:了解河北省自杀未遂的流行病学特点,分析自杀未遂的相关因素。方法:采用2004年10月至2005年3月河北省精神障碍流调样本,以该样本为多阶段分层整群抽样方法随机抽取≥18岁人群,共24000名,以回龙观医院北京心理危机与干预中心编制的自杀未遂调查表记录自杀未遂情况,用美国《精神障碍诊断和统计手册第四版(DSM-Ⅳ)》对各类精神障碍进行诊断。结果:(1)自杀未遂终生发生率为0.82%(95%CI:0.70～0.94);女性发生率为1.17%(95%CI:1.02～1.32),男性为0.47%(95%CI:0.38～0.56),女性明显高于男性(χ2=30.45,P<0.001);城市发生率为0.45%(95%CI:0.36～0.54),农村为0.88%(95%CI:0.75～1.00),农村明显高于城市(χ2=5.26,P<0.05)。(2)服毒药及治疗药为自杀的主要方式(78.2%),使用的药物或工具来源主要是放在家里(73.5%),最主要目的是解脱痛苦(73.5%),41.8%的自杀行为属冲动性,自杀未遂者中精神疾病患病率为52.9%。(3)Logistic回归分析显示:自杀未遂的危险因素为女性(OR=2.19,95%CI:1.55～3.09)、小学教育程度(OR=1.88,95%CI:1.34～2.65)、年龄30～39岁(OR=1.66,95%CI:1.19～2.34)、离婚(OR=3.28,95%CI:1.57～6.89)、再婚(OR=4.57,95%CI:2.00～10.46)、精神疾病(OR=8.72,95%CI:6.37～11.95)。结论:加强农药及治疗药的管理、及时发现、治疗精神疾病对自杀未遂的预防具有重要作用,应对自杀未遂人群进行有效干预,防止再次出现自杀行为。更多还原

【Abstract】 Objective:To describe the prevalence and distribution of attempted suicide in Hebei Province. Methods:From October 2004 to March 2005,a stratified multi-stage cluster randomization method was used to identify 24,000 subjects ≥18 years in Hebei Province. Their attempted suicide was recorded with the investigation list made by Beijing Huilongguan Hospital Beijing Suicide Research and Prevention Center. Psychiatrists determined their diagnoses by administering a structured psychiatric examination(SCID)according to the Diagnostic and Statistical Manual of Mental Disorder 4th edition(DSM-Ⅳ). Results:(1)Totally 20,716 subjects completed the survey. The lifetime prevalence of attempted suicide was 0.82 %(95%CI:0.70%~0.94%),higher in females(1.17%,95%CI:1.02%~1.32%)than in males(0.47%,95%CI:0.38%~0.56%)(P<0.001),and higher in rural population(0.88%,95%CI:0.75%~1.00%)than in urban population(0.45%,95%CI:0.36%~0.54%)(P<0.05).(2)Most of suicide attempters(78.2%)took poison or medicine,and most of poisons/medicines or tools(73.5%)were stored at home. The main aim was to get rid of suffering(73.5%),41.8% of their harmful actions were impulsive. The rate of mental illness in suicide attempters was 52.9%.(3)Logistic analysis showed that related factors of attempted suicide were female(OR=2.19,95%CI:1.55~3.09),primary education level(OR=1.88,95%CI:1.34~2.65),aged 30~39(OR=1.66,95%CI:1.19~2.34),divorce(OR=3.28,95%CI:1.57~6.89),remarriage(OR=4.57,95%CI:2.00~10.46),and mental illness(OR=8.72,95%CI:6.37~11.95).Conclusion:Administration of pesticides and medicine should be strengthened. It is important that mental illness should be diagnosed and treated early. Suicide attempters should be intervened to avoid suicide in future.更多还原