农村自杀未遂人群对自杀行为的认知与态度研究  

Research on cognition and attitude towards suicide among attempted suicides in rural area

作　　者：王琳琳[1] 贾存显[1] 邱惠敏[2] 徐爱强[3] 韩梅[1] 刘慧[1] 

机构地区：[1]山东大学公共卫生学院流行病与卫生统计学研究所,济南250012 [2]山东省精神卫生中心心理咨询科,济南250014 [3]山东省疾病预防控制中心,济南250014

出　　处：《山东大学学报（医学版）》2012年第9期118-123,共6页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金(30972527)

摘　　要：目的探讨农村自杀未遂人群对自杀行为的认知与态度及其影响因素。方法在山东省6个县及县级市收集发生在2009年10月1日～2011年3月31日的病例409例,采用相关自杀态度问卷进行访谈。结果成功获得386例病例的自杀态度资料。自杀知识3个问题知晓率分别为24.7%、59.6%和52.6%,家庭经济和精神疾病影响自杀知识的知晓率(P<0.05);14.5%的病例对自杀行为持肯定、认可、理解或宽容的态度,51.6%的病例对自杀行为持中立或矛盾的态度,33.9%的病例对自杀行为持反对、否定、排斥或歧视的态度,患精神疾病的病例倾向于肯定、认可的态度(P<0.05);81.3%的病例同意自杀行为对于社会的重要性,但是患有精神疾病的病例倾向于否定自杀的社会重要性。多项式Logistic回归模型显示,不同程度自杀意图的病例对于自杀的态度有所不同。结论不同特征的自杀未遂人群对自杀行为的认知与态度不同,干预时应区别对待。Objective To study the cognition and attitude towards suicide and the influencing factors among attempted suicides in rural area.Methods Four hundred and nine cases occurred from Oct.1,2009 to Mar 31,2011 were collected from 6 cites in Shandong Province.Questionnaires about attitude towards suicide were used.Results The suicide attitude data of 386 cases were obtained successfully.The awareness rates on three items of suicide knowledge were 24.7%,59.6% and 52.6%,respectively.The rates were influenced by family income and mental illnesses（P0.05）.About 14.5% cases took approving,acceptable or tolerant attitudes towards suicide,51.6% cases took neutral or ambiguity attitudes and 33.9% cases took denial,opposed or discriminatory attitudes,while cases suffering mental illnesses tended to regard suicide as an acceptable or tolerant behavior.The majority of cases（81.3%） agreed that suicide was an important social problem,while cases with mental illnesses tended to disagree.Multinomial Logistic regression model analysis suggested that the attitudes towards suicide were significantly different among cases with different suicide intent.Conclusion The cognitions and attitudes towards suicide vary among attempted suicides with different characteristics and different interventions should be taken.

关 键 词：自杀未遂 自杀态度 农村 自杀意图 

分 类 号：R395[哲学宗教—心理学]