中国八城市大中学生自杀未遂心理社会因素研究

摘要

Objective This paper aimed to report the rate of suicide attempts among adolescent and young students of eight cities in China, and to examine the impact of related psychosocial factors on suicide attempts. Methods The investigation was obtained in senior and junior high school and college students in eight cities of China. All of the 17 622 participants were recruited to complete anonymous questionnaires regarding their experiences of suicide attempts and related psychosocial factors. Results Overall, 2.2 percent of the respondents reported that they had experienced attempted suicide during the previous year. Scores on high anxiety (OR=2.61,95%CI: 1.64-4.16),high depression (OR=2.05, 95%CI: 1.35-3.10),suicide idea (OR= 14.21, 95%CI: 9.88-20.43),suicide plan(OR=3.50,95%CI:2.59-4.73) were revealed as common risk factors while the whole time span being accompanied by mothers during juvenile years (OR=0.38, 95% CI: 0.20-0.74) seemed to be protective factor for suicide attempts through multivariate logistic regression analysis. Conclusion Our results showed that emotional symptom, idea and plans for suicide were statistically associated with suicide attempted in high school and college students.%目的 了解中国城市大中学生自杀未遂发生的报告率及其与心理社会因素的关系.方法 选取全国8城市17 622名大学、高中、初中的一年级和二年级学生,进行问卷调查,收集自杀未遂及其相关心理社会因素等资料.结果 8城市大中学生中自杀未遂报告率为2.2%,多因素logistic回归分析显示,焦虑程度高(OR=2.61,95%CI:1.64～4.16)、抑郁程度高(OR=2.05,95%CI:1.35～3.10)、有自杀意念(OR=14.21,95%CI:9.88～20.43)、有自杀计划(OR=3.50,95%CI:2.59～4.73)是自杀未遂发生的危险因素.少年阶段母亲陪伴长大是自杀未遂发生的保护因素(OR=0.38,95%CI:0.20～O.74).结论 情绪症状和既往自杀心理与大中学生自杀未遂相关联.