医学院校大学生自杀意念及其危险因素分析  

Analysis on Suicide Ideation and Its Risk Factors among Medical College Students

作　　者：杨传维[1] 施申超[1] 刘静霞[1] 贾闪闪[1] 炊婉婉[1] 张金胜[1] 李玉凤 

机构地区：[1]新乡医学院第二临床学院,河南新乡453003 [2]河南省精神卫生中心,河南新乡453002

出　　处：《中国社会医学杂志》2013年第3期193-195,共3页Chinese Journal of Social Medicine

基　　金：新乡医学院大学生科研课题(DXSKYKT2011-037)

摘　　要：目的了解医学院校大学生焦虑、抑郁、自杀意念的发生率,探讨自杀意念的危险因素。方法应用自杀意念自评量表、焦虑自评量表、抑郁自评量表、青少年生活事件量表,采取分层整群抽样方法抽取豫北某医学院校本科1～4年级在校大学生1 372名进行调查,利用单因素和多因素Logistic回归分析探讨自杀意念的危险因素。结果医学院校大学生焦虑、抑郁、自杀意念的发生率分别为38.99%、50.07%、8.02%;单因素Logistic回归分析结果显示:年级、是否独生子女、焦虑、抑郁、专业满意度、就业压力、学习压力因子、受惩罚因子、健康适应因子、丧失因子及其他因子是自杀意念的影响因素;多因素Logistic回归分析结果显示:焦虑、抑郁、学习压力大、就业压力大是自杀意念的主要危险因素。结论医学院校大学生自杀意念的发生率较综合性大学低,心理问题和应激事件是医学院校大学生自杀意念的主要危险因素。Objectives To investigate the incidence of anxiety, depression and suicide ideation and explore risk factors for suicide ideation among medical college students. Methods By multistage stratified random clustered sampling, a total of 1 372 undergraduate students from a medical college in North of Henan were surveyed with Self-Rating Idea of Suicide Scale （SIOSS）, SelLRating Anxiety Scale （SAS） , Self-Rating Depression Scale （SDS） and Adolescent Self-Rating Life E vents Check List（ASLEC）. Risk factors for suicide ideation were analyzed with one-way and multivariate logistic re gression. Results The incidence of anxiety, depression and suicide ideation was 38.99%, 50.07G and 8.02% re- spectively among medical students. One-way logistic regression indicated that the influencing factors for suicide ideation were grade, whether or not only-child, anxiety, depression, major satisfaction degree ,job-hunting pressure, factor of study pressure, factor of punishment, factor of health to adapt to, factor of loss and factor of other negative life events. Multivariate logistic regression indicated that anxiety, depression, high study pressure and high jobhunting pressure were primary risk factors for suicide ideation. Conclusions The incidence of suicide ideation among medical college students was lower than that of students in comprehensive universities. Psycho problems and stressful life events were the main risk factors for suicide ideation among medical college students.

关 键 词：医学院校 大学生 自杀意念 焦虑 抑郁 LOGISTIC回归分析 

分 类 号：R395.6[哲学宗教—心理学]