自杀未遂者社会心理因素的病例对照研究  

A paired case-control study on psychosocial factors of suicide attempters

作　　者：苏中华[1] 李婕[1] 高慧敏[1] 柳群方[1] 张现峰[1] 王志青[1] 

机构地区：[1]济宁医学院第二附属医院,济宁272051

出　　处：《中华行为医学与脑科学杂志》2011年第10期904-906,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：美国中华医学基金会项目（CMB05-813） 志谢嘉祥县人民医院、嘉祥县中医院、兖州市人民医院、汶上县人民医院、汶上县中医院对本研究给予大力支持,特此致谢!

摘　　要：目的 探讨心理社会因素在自杀未遂患者自杀行为中的作用,为制订可行的干预措施提供科学依据.方法 应用WHO健康问卷、生命质量、Beck抑郁和焦虑问卷、Braatte冲动问卷和Buss攻击问卷、社会支持量表和应付方式等问卷对在急诊室留观诊治的132例自杀未遂患者和按1：1匹配筛选的躯体疾病对照患者进行调查.结果 （1）单因素分析结果显示,自杀未遂组患者的生命质量和健康状况差于对照组[自杀未遂组（17.07±3.07）分和（9.76±7.11）分；对照组（13.42±3.31）分和（17.08±3.81）分,均P＜0.05],Beck抑郁和焦虑评分高于对照组[自杀未遂组（15.22±11.22）分和（27.87±7.24）分；对照组（6.87±6.36）分和（26.22±5.44）分,均P＜0.05]；自杀未遂患者的冲动性和攻击性高于对照组[自杀未遂组（ 87.67±20.08）分和（73.74±19.61）分；对照组（73.34±14.54）分和（63.78±16.44）分,均P＜0.05]；社会支持利用评分低于对照组[（6.53±1.84）分和（7.78±1.72）分,P＜0.05]；自杀未遂组患者自责因子评分高于对照组[（3.42±2.44）分和（2.35±2.04）分,P＜0.05],而解决问题、求助和合理化等因子评分低于对照组（均P＜0.05）.（2）Logistic多因素回归分析表明,性别、受教育年限、生命质量、健康状况、Beck抑郁评分、冲动性评分、合理化、支持利用度、计划性评分、躯体冲动、愤怒等11个因素进入回归模型.结论 自杀未遂者的健康状况、生命质量、焦虑抑郁、冲动和攻击性人格特征,以及不同的应对方式在自杀行为中扮演着重要作用.Objective To explore the roles on psychosocial factors of suicide behavior in the suicide attempters.Methods 132 suicide attempters and 132 matched controls treated in the emergency department were assessed using certain psychosocial questionnaires,such as Health Questionnaire of WHO,Questionnaire of Life Measure （ QLM）,Beck Depression Inventory （BDI） and Beck Anxiety Inventory （ BAI）,Barratt Impulsiveness Scale （BIS） and Buss Aggressiveness Scale （ BAS）,Social Surpport Rate Scale and Questionnaire of Coping Style （QCS）.Results （ 1 ） The results of single-factor analysis showed that the scores of Health Questionnaire of WHO and QL were lower in the suicide attempter group than those in the control group（ suicide attempter group：17.07±3.07 and 9.76 ±7.11; control group：13.42 ±3.31 and 17.08 ±3.81,all P〈0.05）,otherwise the scores of BDI,BAI,BIS and BAS were higher（ suicide attempter group：15.22 ± 11.22,27.87 ± 7.24,87.67 ±20.08 and 73.74 ± 19.61 ; control group：6.87 ± 6.36,26.22 ± 5.44,73.34 ± 14.54 and 63.78 ± 16.44,all P 〈 0.05 ）.Among QCS,the sub-score of self-blaming was higher（ 3.42 ± 2.44 VS 2.35 ± 2.04,P 〈 0.05 ）,otherwise the sub-scores of question solvation,asking for help and rationalization were lower（ all P 〈 0.05 ）.（ 2 ） The result of multi-factors analysis showed that gender,mean education times,the scores of QL,HQ,BDI,and BIS,sub-score of rationalization,and so on,entried the Logistic aggressive equaltion.Conclusion The status of health,quality of life,depressive and anxious mood,impulsive and aggressive personality,and certain coping style play important role.

关 键 词：自杀未遂 社会心理因素 病例对照研究 

分 类 号：R395[哲学宗教—心理学]