重庆市大学生自杀未遂及相关因素分析  

A study on suicide attempts and related factors of college students in Chongqing

作　　者：艾明[1] 况利[1] 王敏建[1] 沈岩[1] 李大奇[1] 高新学[1] 陈建梅[1] 黎雪梅[1] 牛雅娟[2] 费立鹏[2] 

机构地区：[1]重庆医科大学附属第一医院心理卫生中心,重庆400016 [2]北京回龙观医院北京心理危机研究与干预中心

出　　处：《中国神经精神疾病杂志》2008年第10期594-597,共4页Chinese Journal of Nervous and Mental Diseases

基　　金：美国中华医学基金会(CMB)基金课题(编号:Small Grants Pro-gram #02~777和#04~801)

摘　　要：目的了解重庆市大学生自杀未遂的特征、发生率及其危险因素。方法采用北京回龙观医院北京心理危机研究与干预中心提供的《自杀态度与心理健康状况问卷(大学版-Ⅳ)》在重庆市随机抽取的11所大学中调查了9808名大学生,了解自杀未遂发生情况及相关因素,并通过多因素logistic模型分析其危险因素。结果大学生自杀未遂报告率为1.7%(169/9808),男女性别构成比为1∶1.8;多因素logistic回归分析显示,其危险因素排列为:近一年感到绝望的频率高(OR=4.2,95%CI:3.1～5.9)、一级亲属有过自杀行为(OR=2.8,95%CI:1.7～4.7)、认识的人有过自杀行为(OR=2.8,95%CI:2.1～3.9)、已发生性行为(OR=2.7,95%CI:1.9～3.9)、近1个月心理问题对学习及日常生活的影响(OR=2.5,95%CI:1.8～3.6)、女性(OR=2.5,95%CI:1.8～3.5)、其他血缘关系亲属有自杀行为(OR=2.4,95%CI:1.6～3.4),P值均小于0.001。结论大学生自杀现象并不罕见,应在高校制定和执行有针对性的自杀预防计划。Objective To investigate the prevalence, characteristics and risk factors of selfreported suicide attempt in college students in Chongqing. Methods A multi - stage stratified random sample of 9808 students at 11 colleges in Chongqing city completed the university version of the ＇ Survey Schedule of Suicide ~ Related Behaviors, Risk Factors and Attitudes in China. Results One hundred ond sixty - nine（ 1.7% ） of 9808 students reported suicide attempt and the ratio of boys and girls was 1： 1.8. Risk factors for suicide attempt were ranked as following： high frequency of feeling hope- less in the last year（ OR = 4. 2,95% CI：3.1 -5.9 ） , first degree relative with suicide behavior（ OR = 2. 8, 95% CI 1.7 - 4. 7 ）, other associates with suicide behavior （ OR = 2. 8, 95% CI：2. 1 - 3.9）, having had sex behavior（ OR = 2.7, 95% CI ： 1.9 - 3.9） , influerce on the daily lives and studing because of psychological problems in the last month （ OR = 2.5, 95 % CI ： 1.8 - 3.6 ）, female gender （ OR = 2. 5,95 % CI - 1.8 - 3.5 ） and other relative with suicide behavior （ OR = 2.4, 95% CI ： 1.6 - 3.4 ） （ all Ps 〈 0. 001 ）. Conclusions Suicide attempt is a frequently phenomenon in college students. A suicide prevention program according to the suicide risk factors.

关 键 词：大学生 自杀未遂 危险因素 横断面调查 

分 类 号：B846[哲学宗教—心理学]