重庆市大学生自杀意念的调查  

Suicide ideation among college students in Chongqing

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

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

出　　处：《中华流行病学杂志》2010年第3期290-293,共4页Chinese Journal of Epidemiology

基　　金：美国中华医学基金会（CMB）（02-777）

摘　　要：目的了解重庆市大学生自杀意念的报告率及其危险因素。方法采用自制量表在重庆市随机抽取的11所大学中调查9808名大学生，了解自杀意念发生情况及相关因素，并通过多因素logistic模型发现其危险因素。结果大学生自杀意念报告率为13．0％，有自杀意念的男、女学生构成比为3：4；多因素分析显示其危险因素排列为：近一年感到绝望频率高（OR=5．07，95％CI：4．27～6．02）、近一个月心理问题对学习及日常生活的影响（OR=2．07，95％CI：1．79～2．38）、已发生性行为（OR：1．95，95％CI：1．65～2．30）、亲属有过自杀行为（OR=1．77，95％CI：1．52～2．08）、女性（OR=1．66，95％CI：1．45～1．90）、认识的人中有过自杀行为（OR=1．46，95％CI：1．28～1．67）、近一个月因疾病对学习及日常生活影响（OR=1．29，95％CI：1．08～1．52）。结论大学生样本中自杀意念报告率较高。应根据大学生自杀意念的危险因素，在高校制定和执行有针对性的自杀预防计划。Objective To describe the prevalence and risk factors for suicide ideation among college students in Chongqing city. Methods Data on suicide ideation and related factors were collected from 9808 college students at 11 colleges randomly selected in Chongqing. A multiple logistic regression model was used to identify risk factors for suicide ideation. Results 1279 （ 13.0% ） of the 9808 students reported suicide ideation and the constituent ratio of boys and girls was 3：4 whilerisk factors for suicide ideation were ranked as follows ： high frequency of feeling hopeless in prior year （OR=5.07,95%CI：4.27-6.02） ; having psychological problems in recent 1 month that affecting daily lives and learning（2.07,1.79-2.38） ; relatives having suicide behavior （1.77, 1.52-2.08） ; having had sexual experience （1.95, 1.65-2.30） ; being female （1.66, 1.45-1.90） and friends who had had suicide attempts （1.46, 1.28-1.67） ;having diseases in the last 1 month that affecting daily lives and learning （1.29, 1.08-1.52）. Conclusion The prevalence of suicide ideation among these college students was high that calls the development, implementation and assessment of suicide prevention plans for college students that focusing on the risk factors identified for suicide ideation.

关 键 词：自杀意念 危险因素 大学生 横断面调查 

分 类 号：B846[哲学宗教—心理学]