[1]操军,艾明,况利,等.重庆市大学生自杀未遂及其影响因素的调查分析[J].第三军医大学学报,2013,35(24 ):2692-2696.
 Cao Jun,Ai Ming,Kuang Li,et al.Survey on suicide attempts and influencing factors of college students in Chongqing[J].J Third Mil Med Univ,2013,35(24 ):2692-2696.
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重庆市大学生自杀未遂及其影响因素的调查分析(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
35卷
期数:
2013年第24期
页码:
2692-2696
栏目:
论著
出版日期:
2013-12-30

文章信息/Info

Title:
Survey on suicide attempts and influencing factors of college students in Chongqing
作者:
操军艾明况利陈建梅陈小容吕臻王恒光牛亚娟费立鹏
重庆医科大学附属第一医院精神科;北京回龙观医院北京心理危机研究与干预中心
Author(s):
Cao Jun Ai Ming Kuang Li Chen Jianmei Chen Xiaorong Lyu Zhen Wang Hengguang Niu Yajuan Michael R.Philips
Department of Psychiatry, First Affiliated Hospital, Chongqing Medical University, Chongqing, 400016; Beijing Suicide Research and Prevention Center, Beijing Huilongguan Hospital, Beijing, 100096, China
关键词:
大学生自杀未遂危险因素保护因素结构方程模型
Keywords:
college students suicide attempt risk factors protective factors structural equation model
分类号:
G645.5;R181.23;R749
文献标志码:
A
摘要:
目的      探讨大学生自杀未遂的影响因素,构建大学生自杀未遂的多因素结构方程模型,进而有针对性地开展自杀的预防与危机干预。      方法      采用分层整群随机抽样方法抽取重庆市9 808名大学生作为调查对象,分析有无自杀未遂大学生的自杀态度(SPAS)、自杀意念(SIS)、冲动性(IBS)、外显攻击性(MAOS)、生命质量(QOL)和社会支持(SSS)间的差异以及自杀未遂的主要影响因素,构建大学生自杀未遂的结构方程模型。      结果      重庆市大学生总体自杀未遂检出率为1.7%,自杀未遂大学生在性别(P<0.05)、家庭经济状况(P=0.042)和SIS(P<0.05)、IBS(P<0.05)、QOL(P=0.02)、SSS(P<0.05)、MAOS(P<0.05)的评分上与无自杀行为大学生之间存在统计学差异,在SPAS评分上无差异(P=0.17)。多因素回归分析表明:大学生自杀未遂的主要风险因素为性别(OR=2.065,95% CI 1.450~2.925)、家庭经济状况(OR=1.423,95% CI 1.062~1.903)、自杀意念(OR=1.269,95% CI 1.054~1.529)、行动冲动性(OR=1.013,95% CI 1.002~1.024)、躯体健康状况(OR=0.815,95% CI 0.772~0.862)、主观支持(OR=0.998,95% CI 0.990~1.006)、对社会利用度(OR=0.982,95% CI 0.970~0.990)、语言攻击性(OR=1.019,95% CI 1.007~1.031)、指向自我攻击性(OR=1.026,95% CI 1.005~1.084)。      结论      重庆市大学生自杀未遂的主要影响因素为性别、家庭经济状况、自杀意念以及躯体健康状况;自杀意念是自杀未遂的中介因素,对自杀未遂有显著的预测作用。
Abstract:
Objective      To investigate influencing factors of attempted suicide and establish a structural equation model (SEM) on suicide attempts in college students, and to develop strategy of suicide prevention and crisis intervention.       Methods      With stratified and cluster sampling method, 9 808 college students with and without suicide attempts in Chongqing were surveyed to analyze the differences in the scale of public attitudes about suicide (SPAS), suicide ideation scale (SIS), impulsive behavior scale (IBS), quality of life (QOL), social support scale (SSS), and modified overt aggression scale (MAOS). A multiple logistic regression model was used to identify the main risk factors influencing attempted suicide in college students, and to construct a structural equation model.       Results      The total screening rate of suicide attempts of college students in Chongqing was about 1.7%. There were statistical differences in gender (P<0.05), family economic status (P=0.042), SIS (P<0.05), IBS (P<0.05), QOL (P=0.02), SSS (P<0.05) and MAOS (P<0.05), but no difference in SPAS (P=0.17). The multiple stepwise regression analysis showed that the main risk factors of suicide attempts were gender (OR=2.065, 95%CI 1.450 to 2.925), family economic status (OR=1.423, 95%CI 1.062 to 1.903), SIS (OR=1.269, 95%CI 1.054 to 1.529), motor impulsiveness (OR=1.013, 95% CI 1.002 to 1.024), physical condition (OR=0.815, 95%CI 0.772 to 0.862), subjective support (OR=0.998, 95% CI 0.990 to 1.006), utilization of social support (OR=0.982, 95% CI 0.970 to 0.990), level of verbal aggression (OR=1.019, 95% CI 1.007 to 1.031), and level of aggression to self (OR=1.026 ,95% CI 1.005 to 1.084).       Conclusion      The main influencing factors of suicide attempts among college students in Chongqing are gender, family economic status, suicidal ideation and physical condition. Moreover, suicidal ideation is a mediator in the occurrence of suicide and has prominent effects on prediction of suicide attempts.

参考文献/References:

操军,艾明,况利, 等. 重庆市大学生自杀未遂及其影响因素的调查分析[J]. 第三军医大学学报,2013,35(24):2692-2696.

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更新日期/Last Update: 2013-12-18