广州市某高校大学生生活事件与自杀意念的相关分析  

STUDY ON THE RELATIONSHIP BETWEEN LIFE EVENTS AND SUICIDAL IDEATION AMONG UNDERGRADUATES IN GUANGZHOU

作　　者：严红虹[1] 刘治民[2] 王声湧[1] 杨光[3] 陈立芳[1] 彭辉[4] 荆春霞[1] 

机构地区：[1]广州暨南大学医学院流行病教研室,广州510632 [2]暨南大学药学院 [3]暨南大学医学院寄生虫教研室 [4]暨南大学医学院病理教研室

出　　处：《现代预防医学》2009年第3期476-479,491,共5页Modern Preventive Medicine

基　　金：广州市医药卫生科技重大项目(2007-ZDa-04)

摘　　要：[目的]了解生活事件对大学生自杀意念的影响,为预防该人群的自杀提供理论依据。[方法]自行设计调查问卷,采用分层整群随机抽样方法抽取广州某高校885名大学生进行调查,通过秩和检验及多因素的logistic回归模型分析生活事件与自杀意念的相关关系。[结果]近1周内大学生的自杀意念发生率为7.4%,学习压力,挫折因子与人际关系矛盾是大学生主要的应激源,自杀意念组在负性生活事件的平均应激量高于无自杀意念组,对所学专业不感兴趣或想转专业(OR=1.257)、与同班同学有矛盾(OR=1.322)、钱物丢失或被盗(OR=1.470)是大学生产生自杀意念的危险因素,而与班级大多数同学能和睦相处(OR=0.701)是保护因素。[结论]根据生活事件对大学生自杀意念的影响特点,有针对性地减少与自杀意念的产生密切相关的生活事件的发生或减轻其影响程度,同时开展相应的心理教育及辅导,预防大学生自杀意念以及自杀行为的发生。[Objective] To evaluate the relationship between life events and suicidal ideation among undergraduates, to make recommendations to prevent suicide. [ Methods] Eight hundred and eighty-five students were investigated with stratified cluster random sampling. Factors associated with suicidal ideation were analyzed with nonparametric tests and logistic regression. [ Results] The prevalence rate of suicidal ideation among the undergraduates in a recent week was 7.4%. The major sources of pressure on undergraduates included study pressure, human relationship and setback factors. The average scores of life events of undergraduates with suicidal ideation were higher than those without suicidal ideation. The results showed that the major risk fac- tors for suicidal ideations were having no interest in major （OR =1.257）, having contradictions with classmates （OR =1.322） and losing or beening stolen money （OR=1.470）, while the protective factor was having good relationship with classmate （OR= 0.701） by multiple logistic regression analysis. [ Conclusion] According to the impact which life events have on suicidal ideation, reducing the incidence of life events or mitigating its impact and making psychological education or counseling should be carried on to prevent suicide ideation and suicide behavior among undergraduates.

关 键 词：生活事件 自杀意念 平均应激量 大学生 

分 类 号：R195[医药卫生—卫生统计学]