深圳市中学生自杀相关行为现况调查  

Suicidal behavior among middle school students in Shenzhen city: a crosssectional study

作　　者：吴虹[1] 邓剑雄[2] 高雪[2] 许燕[2] 黄国良[2] 黄敬辉[2] 卢次勇[1] 

机构地区：[1]中山大学公共卫生学院,广东广州510080 [2]广东省药品不良反应监测中心

出　　处：《中国公共卫生》2015年第11期1373-1376,共4页Chinese Journal of Public Health

摘　　要：目的了解广东省深圳市中学生自杀行为流行现状及影响因素。方法运用二阶段分层整群抽样方法，采用自编青少年健康知识问卷、儿童抑郁症状障碍自评量表、儿童期虐待问卷对于2014年11—12月深圳市3206名中学生进行调查，应用logistic回归分析中学生自杀行为影响因素。结果有665人（20．70％）在过去12个月里有过自杀意念，有127人（3．96％）在过去12个月里存在自杀未遂；中学生自杀意念危险因素包括女性（OR=1．63，95％CI=1．32—2．02）、父母经常吵架（OR=1．99，95％CI=1．15—3．43）、和教师关系一般（OR=4．07，95％CI：2．29—7．23）、经常感到孤独（OR=3．66，95％CI=2．46—5．44）、被欺负（OR=2．51，95％CI=1．67～3．79）、抑郁症状（OR=2．66，95％CI=2．11～3．35）、被躯体虐待（OR=1．99，95％CI=1．41—2．81）、被性虐待（OR=1．73，95％C1=1．33～2．26），自杀未遂的危险因素包括和教师关系一般（OR=7．88，95％CI=3．98～15．62）、抑郁症状（OR=5．16，95％C1=3．31～8．06）、被躯体虐待（OR=2．78，95％CI=1．64～4．72）、被性虐待（OR=2．27，95％（71=1．43～3．60）和饮酒（OR=1．92，95％CI=1．23～2．99）。结论深圳市中学生自杀相关行为较普遍．教师和家长应当在自杀行为预防方面发挥更加积极的干预作用，减少自杀相关行为的发牛。Objective To investigate the prevalence and influence factors of suicidal behavior among adolescent students in Shenzhen city. Methods Using two-stage random stratified cluster sampling,3 206 students were recruited from 6 junior and 4 senior high schools and 4 vocational schools in Shenzhen city and a self-administered and anonymous survey was conducted among the students with a self-designed adolescent health knowledge questionnaire, Depression Self-Rating Scale for Children, and Childhood Trauma Questionnaire in 2014. Logistic regression analysis was used in data analysis. Results Of the 3 206 eligible respondents ,20. 70% and 3.96% reported suicide ideation and attempt during the previous 12 months. Multivariate analyses showed that female gender（ odds ratio[OR] = 1.63,95% confidence interval [95 % CO] = 1.32 - 2. 02 ）, frequent quarrel between parents （ OR = 1.99,95 % CI = 1.15 - 3.43 ）, poor relationship with teachers（ OR = 4.07,95% CI = 2. 29 - 7.23 ）, feeling lonely （ OR = 3.66,95% CI = 2.46 - 5.44 ）, being bullied （OR =2. 51,95% CI = 1.67 - 3.79 ）, depressive symptom （ OR = 2. 66,95% CI = 2. 11 - 3.35 ）, physical abuse （ OR = 1.99,95 % CI = 1.41 - 2. 81 ）, and sexual abuse （ OR = 1.73,95 % CI = 1.33 - 2. 26 ） were risk factors for suicidal ideation and poor relationship with teachers （ OR = 7.88,95% CI = 3.98 - 15.62 ）, depressive symptom （ OR = 5.16, 95 % CI = 3.31 - 8.06）, physical abuse （ OR = 2.78,95 % CI = 1.64 - 4. 72 ）, sexual abuse （ OR = 2. 27,95 % CI = 1.43 - 3.60）, and alcohol drinking （ OR = 1.92,95 % CI = 1.23 - 2. 99 ） were risk factors for suicidal attempt among the students. Conclusion Suicidal behavior is not rare among adolescent students in Shenzhen city. Teachers and parents should play a more active role in suicide prevention interventions to reduce the incidence of suicide-related behavior.

关 键 词：中学生 自杀行为 影响因素 

分 类 号：R395.6[哲学宗教—心理学]