四川省6~16岁儿童少年自杀风险及相关因素调查  

Suicide risk and their related factors among children and youth aged between 6 and 16 years in Sichuan province

作　　者：蒋宏云[1] 屈远[1] 郭兰婷[1] 

机构地区：[1]四川大学华西医院心理卫生中心,610041

出　　处：《临床精神医学杂志》2015年第5期292-295,共4页Journal of Clinical Psychiatry

基　　金：国家"十二五"科技支撑计划项目(2012BAI01B02)

摘　　要：目的：了解四川省6~16岁儿童少年自杀风险的现况,探索自杀风险的相关危险因素。方法：采用分层整群随机抽样方法,随机选取四川省20所小学、20所中学进行问卷调查,问卷包括自编一般情况问卷、家长用Achenbach儿童行为量表和简明儿童少年国际神经精神访谈父母版。自杀风险的相关因素分析采用多因素Logistic回归模型。结果：1本研究共纳入19 711名儿童少年,其中男生9 938人,女生9 773人;2 6~16岁儿童少年自杀风险为4.7%,6~11岁儿童自杀风险为0.3%,12~16岁少年自杀风险为8.8%;3 6~11岁儿童自杀风险的危险因素是单亲家庭、留守儿童、退缩行为、焦虑抑郁、注意缺陷和攻击行为;12~16岁少年自杀风险的危险因素是女性、单亲家庭、所在地区经济落后、家庭经济差、留守儿童、家长打骂孩子、对孩子不管不问、精神疾病家族史、退缩行为、躯体主诉、焦虑抑郁、社交问题、思维问题、注意缺陷和攻击行为,自杀风险的保护因素是家庭和睦。结论：四川省6~16岁儿童少年自杀风险的现况不容乐观,需引起家庭、学校和社会的高度重视,积极干预儿童少年存在的行为问题及其他危险因素。Objective： To investigate the prevalence of suicide risk and their related factors among chil- dren and youth aged between 6 and 16 years in Sichuan province. Method：Stratified random cluster sample method was used in the study. Aehenbach~ child behavior checklist （CBCL） ,mini international neuropsychiat- fie interview for children and adolescents （MINI KID） and a general questionnaire were administrated to 40 schools in Sichuan province. Logistic regression model was applied to identify the factors associated with suicide risk. Results：19 711 children and youth were included in our study. Male 9 938,female 9 773. There were 4.7% of children and youth aged between 6 and 16 years had suicide risk ,0.3 % of children aged between 6 and 11 years had suicide risk and 8.8 % of youth aged between 12 and 16 years had suicide risk. Among chil- dren aged between 6 and 11 years, suicide risk was related to single-parent family, unattended children and syn- drome of withdraw, anxious/depress,attention problem, aggressive behavior. Among youth aged between 12 and 16 years, suicide risk was related to female ,single-parent family, unattended children ,backward city, poor fami- lies, beat kids, child neglect, family history and syndrome of withdraw, somatic, anxious/depress, social problern, thought problem, attention problem, delinquent behavior, aggressive behavior. Protecting factor of suicide risk was harmony of family member. Conclusion：Suicide risk among children and youth aged between 6 and 16 years in Siehuan province should be seriously concerned by family, school and society. Clinicians, teachers and parents should discover behavior problems and try to prevent possible suicide as early as possible.

关 键 词：自杀 儿童少年 自杀风险 行为问题 

分 类 号：R749.4[医药卫生—神经病学与精神病学]