浏阳市农村成年人自杀风险及相关因素

摘要

目的:了解农村成年人自杀风险的现状,探讨其相关因素.方法:采用分阶段整群抽样方法,调查浏阳市2052名农村成年人(年龄18 ～60岁),以简明国际神经精神访谈(MINI)自杀筛选问卷评估自杀风险,并施测自编一般人口学问卷、病人健康问卷抑郁量表(PHQ-9)、简易应对方式问卷(SCSQ).结果:浏阳市农村成年人当前的自杀风险总发生率为13.8％,其中低、中度和高度自杀风险的发生率分别为13.0％、0.4％、0.4％.有序多分类logistic回归分析显示,女性(OR =2.06,95％CI=1.54～2.76)、小学及以下(OR=1.80,95％CI:1.07～3.05)、消极应对方式(OR=1.07,95％ CI:1.03～1.11)及重、中和轻度抑郁(OR=24.61、5.98、2.75,95％ CI:12.63～47.99、3.95～9.07、2.01 ～3.76)为自杀风险的危险因素.结论:浏阳市农村成年人当前自杀风险的发生率处于较高水平,女性、受教育程度较低、抑郁、消极应对方式评分高的人更容易发生自杀风险.%Objective:To investigate the prevalence and related factors of suicide risk among rural adults in Liuyang.Methods:A total of 2052 rural adults were sampled by multi-staged cluster sampling.The suicide risk was evaluated with the suicide questionnaire section of the Mini-International Neuropsychiatric Interview (MINI).The Self-designed General Information Inventory,Patient Health Questionnaire (PHQ-9),and Simplified Coping Style Questionnaire (SCSQ) were used to assess the symptoms.Results:Among the 2052 participants,13.8％ reported suicide risk,in which 13.0％ of mild risk,0.4％ of moderate risk and 0.4％ of severe risk.Ordinal logistic regres sion analysis showed that female (OR =2.06,95％ CI:1.54-2.76),primary school education and below (OR =1.80,95％ CI:1.07-3.05),negative coping styles (OR =1.07,95％ CI:1.03-1.11),and severe,moderate and mild depression (OR =24.61,5.98,2.75,95％ CI:12.63-47.99,3.95-9.07,2.01-3.76) were main risk factors of suicide risk.Conclusion:It suggest that the current rate of suicide risk among rural adults in Liuyang is higher.Female,those with lower education level,depression and higher scores of negative coping styles may be more likely to have suicide risk.