【作者】 石文娟；

【导师】 马绍斌；

【作者基本信息】 暨南大学 ， 流行病与卫生统计学， 2005， 硕士

【摘要】 目的 了解广州市大学生自杀意念、尝试自杀的现状,分析其影响因素,为高校进行有针对性的健康教育提供理论依据。 方法 采用分层整群随机抽样的方法抽取样本,对广州市2564名本、专科大学生进行问卷调查,问卷包括一般情况、自杀行为发生情况及可能影响因素、青少年生活事件量表、社会支持评定量表、简易应对方式量表等五部分,使用SPSS 11.5统计软件包对资料进行统计处理,通过多因素logistic回归分析找出影响自杀行为的因素,在问卷调查的基础上结合专题小组讨论的定性研究方法来初步探讨自杀预防策略。 结果 大学生近一年内自杀意念报告率为11.6%,其中完全符合者为2.0%。不同性别、专业、生源的学生之间自杀意念报告率差别无统计学意义(P>0.05),不同学校学生之间自杀意念报告率差别有统计学意义(x~2=11.208,P=0.004);大学生近一年内尝试自杀报告率为6.0%,其中完全符合者为0.7%。不同性别、学校、专业的学生尝试自杀报告率差别无统计学意义(P>0.05),不同生源之间尝试自杀报告率之间差别有统计学意义,城镇学生尝试自杀报告率6.6%高于农村学生4.2%(x~2=4.71,P=0.032)。对自杀行为的态度是自杀意念和尝试自杀最重要的危险因素之一,喝酒,朋友有过自杀行为,家庭成员有过暴力行为,很少体育锻炼,消极应对,负性生活事件等也是自杀意念和尝试自杀的危险因素;社会支持是自杀意念和尝试自杀的保护因素。通过定性访谈我们发现学生认为自杀行为离自己很遥远,学校几乎没有开展过预防自杀行为健康教育活动,绝大部分学生对自杀行为持中立态度,有些学生持宽容甚至是赞赏态度,只有极少数学生持反对态度。更多还原

【Abstract】 Objective To probe into prevalence of the suicide idea and attempted suicide and their related factors in the college students of Guangzhou to lay basis for school health education.Method 2564 undergraduates from 8 universities in Guangzhou were investigated with stratified random cluster sampling. First, through Questionnaire found factors associated with suicide idea and attempted suicide were analyzed with Logistic Regress by portion that Common condition, Suicide behavior and related factors , Adolescent Self-Rate Life Events Check List (ASLEC), Social Support Rating Scale (SSRS), Simple Coping Modes. Then, we took the Focus group discussions to discuss the tackle of the prevention of suicide behavior.Results 11.6% of subjects reported they had suicide idea in the latest year, only 2.0% of them completely accord with the standards of suicide idea. Among different school, the suicide idea ratio have difference; 6.0% of the subjects reported they attempted suicide in the latest year, only 0.7% of them completely accord with the standard of attempted suicide. The students coming from urban areas had more high risk with attempting suicide than the students coming from suburban areas. The attitude towards to suicidal behavior is the most important risk factor. Alcohol consumption, friends of subjects had suicidal behavior, domestic violence, seldom exercise, negative coping and negative life event are the risk factors of suicide idea and attempted suicide. Social support is a protective factor. Through focus group discussion, we found that the students thought suicidal behavior was so far away from them, most of them had a tolerant attitude towards the suicidal behavior, a fewof them opposed to the suicidal behavior.Conclusion There is high reported ratio of suicide idea and attempted suicide in the latest year, but only 2.0% of them complete accord with the standards of suicide idea, and 0.7% of them complete accord with the standard of attempted suicide. The students coming from urban areas had more high risk with attempting suicide than the students coming from suburban areas. The attitude towards to suicidal behavior, Alcohol consumption, fiends of subjects had suicidal behavior, domestic violence, seldom exercise, negative coping and negative life event are the risk factors of suicide idea and attempted suicide. Social support is a protective factor. Though the cause of suicide is complicated, do what we can do through health education, remove the risk factors and enforce the protective factors, suicidal behavior can prevent.更多还原