集训期新兵自杀态度的心理社会相关因素  

Psychosocial factors of suicide attitudes among new recruits in training camp

作　　者：林汉[1] 刘小兵[1] 孙志国[2] 汤文辉[1] 李逸鸿[2] 杨仲利[2] 

机构地区：[1]解放军第三○三医院191临床部精神科,贵港537100 [2]解放军第三○三医院191临床部机关,贵港537100

出　　处：《中华行为医学与脑科学杂志》2016年第1期76-81,共6页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的 探讨集训期新兵自杀态度的心理社会影响因素.方法 采用整群抽样的方法,采用自杀态度问卷（suicide attitude questionnaire,QSA）、90项症状清单（symptom checklist 90,SCL-90）及自编问卷调查了驻华南某片区11个集训点的5 200名新兵,并对自杀态度的心理社会相关因素进行多元线性回归分析.结果 新兵对自杀行为性质的认识分为（3.71±0.58）分,对自杀者的态度为（2.77±0.47）分,对自杀者家属的态度为（2.43±0.43）分,对安乐死的态度为（3.13±0.86）分.多元线性回归分析显示,来自单亲家庭、有家庭暴力史、性格倾向内向、情绪稳定性差、有精神科就医史、经常服用镇静安眠药、过去一年经历的负性生活事件较多、宣泄途径不健康、以及适应部队困难、强迫症状因子分较低、抑郁和偏执因子分较高者,对自杀行为趋向持认可和肯定的态度.结论 集训期新兵总体上不认可自杀行为,其自杀态度受心理健康状况和其他多种心理社会因素影响,预防自杀教育应具有针对性.Objective To explore the psychosocial influencing factors of suicide attitudes among new recruits in training camp.Methods Cluster sampling was conducted and 5 200 new recruits in 11 training camps were investigated with suicide attitude questionnaire（QSA）,symptom checklist 90（SCL-90） and self-designed questionnaire.Influencing factors associated with suicide attitudes were analyzed with muhiple linear regression analysis.Results The score of awareness of property of suicide behavior dimension of QSA were （3.71±0.58）,and （2.77±0.47） of the attitude to the suicide dimension,（2.43±0.43） of the attitude to family members of the suicide dimension and （3.13±0.86） of the attitude to euthanasia dimension.The results of multiple linear regression analysis indicated that recruits who came from single parent family,had a history of family violence,had a introvert character,had poor emotional stability,had a history of psychiatrist visiting,took Sedatives more often,had more negative life events in past year,tended to use unhealthy cathartic method of emotion,had more difficulty in adjusting to the army life,had lower factor score of obsessivecompulsive symptoms in SCL-90,and higher factor score of depression and paranoia,tended to hold an admissive attitude to suicide behavior.Conclusion The recruits in training camp don＇ t accept suicide behavior as a whole,and their suicide attitudes were influenced by mental health states and many other psychosocial factors.Suicide prevention education should be targeted.

关 键 词：新兵 自杀态度 影响因素 多元线性回归分析 

分 类 号：E0-051[军事—军事理论]