安徽省某农村地区中小学生自杀意念及其影响因素  

Suicide ideation and its influential factors among primary and junior high school students in rural areas of Anhui province

作　　者：陈健[1] 陈明春[2] 孙业桓[1] 赵雪[1] 孙良[1] 蒋玉红[1] 吕晓玲[1] 吴振强[1] 

机构地区：[1]安徽医科大学流行病与卫生统计学系,合肥230032 [2]安徽省长丰县疾病预防控制中心

出　　处：《中华流行病学杂志》2013年第3期245-249,共5页Chinese Journal of Epidemiology

基　　金：国家自然科学基金（81172763）;安徽省自然科学基金（090413131）;教育部高校博士点基金（生物类）（200803660007）

摘　　要：目的了解农村中小学生自杀意念及其影响因素，为心理健康的早期干预提供科学依据。方法采用整群抽样方法抽取安徽省长丰县3所初中、5所小学所有在籍学生作为研究对象。运用中小学生身心健康状况与相关生活经历调查问卷（包括自杀意念评定表、儿童抑郁量表、家庭功能量表、特质性应对问卷、儿童自尊量表、儿童社交焦虑量表、生命质量量表）进行调查。采用F险验分析不同性别、不同留守状态中小学生自杀意念的差别，使用非条件logistic回归模型方法筛选自杀意念的主要影响因素。结果调查儿童自杀意念发生率为8．64％（252／2917），其中留守儿童自杀意念发生率为9．80％（166／1694），非留守儿童自杀意念发生率为7．03％（86／1223），不同留守状态儿童自杀意念差异有统计学意义（P=0．009），多因素logistic回归分析显示社交焦虑、消极应对方式是自杀意念的危险因素（P〈O．05），生命质量评分高、家庭功能良好是保护因素（P〈O．05）。结论农村儿童自杀意念发生率较高，家庭、学校、社会应该针对自杀意念的危险因素和保护因素采取综合防控措施，预防儿童自杀行为的发生。Objective To explore the suicide intention and its influential factors among primary and junior high school students in rural areas of Anhui province, in order to provide evidence for early intervention related to mental health problems. Methods All students from 3 junior high and 5 primary schools in Changfeng county of Anhui were recruited as the study subjects using the cluster sampling method. Data were collected by using Children＇ s Depression Inventory, the Family APGAR Index, the Trait Coping Style Questionnaire, the Children＇ s Self-Esteem Scale, Social Anxiety Scale for Children, and the Quality of Life Scale. Chi-square test and Logistic regression were used to analyze the suicidal ideation and its influential factors respectively. Results 8.64% （252/ 2917） of the studied children had suicidal ideation. Out of them, 9.80% （166/1694） and 7.03% （86/ 1223） were left-behind or non-left-behind children. There was statistically significant difference on suicide ideation between the left-behind children and non-left-behind children （P= 0.015）. Data from the multivariate logistic regression analysis showed that social anxiety and negative coping style were the risk factors for suicidal ideation （P〈0.05） while better family function and quality of life were the protective factors of suicidal ideation （P〈0.05）. Conclusion Suicide ideation was relatively prevalent among rural children in Anhui province. Family, school and society should carry out different kinds of preventive measures to prevent suicide related behaviors in children from this area.

关 键 词：自杀意念 儿童 危险因素 

分 类 号：B846[哲学宗教—心理学]