有自杀意念高中生的情绪和行为问题及与家庭环境的关系  

Study on emotional and behavioral problems among the high school students with suicidal ideation and their relations with family environment

作　　者：陈洁 刘金同[1,2] 王旸[1] 杨楹[3] 张燕[3] 

机构地区：[1]山东大学医学院精神卫生研究所,山东济南250014 [2]山东师范大学心理学院,山东济南250014 [3]山东省精神卫生中心,山东济南250014

出　　处：《中国儿童保健杂志》2013年第6期587-590,共4页Chinese Journal of Child Health Care

基　　金：国家十一五科技支撑计划项目(2007BAI17B03)

摘　　要：【目的】了解有自杀意念高中生的情绪和行为问题及其与家庭环境的关系。【方法】采用长处和困难问卷(学生版)、家庭环境量表中文版及中文版贝克自杀意念量表对1 577名高中生进行问卷调查。【结果】高中生自杀意念报告率为18.90%(n=298)。22.82%(n=68)的有自杀意念高中生存在情绪和行为问题,且有自杀意念高中生的困难总分、情绪问题、品行问题、多动注意不能和同伴交往问题得分均高于无自杀意念组,亲社会行为得分低于无自杀意念组,差异均有统计学意义(P<0.01)。在有自杀意念组中,女生情绪问题得分显著高于男生(P<0.01);高二学生同伴交往问题得分显著高于高一学生(P<0.05)。回归分析显示,家庭亲密度、矛盾性、组织性和控制性是有自杀意念高中生情绪和行为问题的影响因素。【结论】有自杀意念高中生的情绪和行为问题发生率较高,家庭环境对其具有重要影响。[Objective] To investigate the emotional and behavioral problems and their relations with tamily environment. [Method] A total of I 577 high school students were investigated using Strengths and Difficulties Questionnaire （SDQ） ,Family Environment Scale （FES-CV） and Beck Scale for Suicide Ideation-Chinese Version （BSI-CV）. [Results] 18.90% （n= 298） of the participants reported suicidal ideation,and 22.82% （n= 68） of the students with suicidal ideation had emotional and behavioral problems. The scores of SDQ on difficult problems, emotional problems, conduct problems, hyperactivity and peer interactions of the suicidal ideation group were higher than those of the non-suicidal ideation group（P~ 0.01） ,and the scores of pro-social behavior of the suicidal ideation group were lower than those of the non-suicidal ideation group（P〈0.01） ,In the suicidal ideation group,girls got significantly higher scores than boys at emotional problems （P〈 0.01） ;senior two students had significantly higher scores than senior one students at peer interactions （P〈0.05）. The regression analysis showed that the such factors as cohesion,conflict,organization and control could affect the emotional and behavioral problems of the high school students with suicidal ideation. [Conclusion] The prevalence of emotional and be- havioral problems are common among the high school students with suicidal ideation and the family environment plays an important role.

关 键 词：自杀意念 情绪 行为 家庭环境 高中生 

分 类 号：R749.94[医药卫生—神经病学与精神病学]