天水市农村女性自杀未遂者危险因素研究  

Study of risk factors of attempted suicides for women in rural Tianshui

作　　者：何蕊芳 李忠义 麻赪 张子明 王军 马元业 温钧 王志青[3] 李献云[4] 费立鹏[5] 陈琼琼 孙伟伟 张静倩 

机构地区：[1]甘肃省精神卫生防治中心,730000 [2]天水市三院 [3]北京广安门医院 [4]北京回龙观医院 [5]上海精神卫生中心

出　　处：《临床精神医学杂志》2017年第3期161-164,共4页Journal of Clinical Psychiatry

基　　金：美国纽约中华医学基金会资助项目(2007);甘肃省卫计委(GSSWST2010-13)

摘　　要：目的:探讨甘肃天水市农村自杀未遂女性的自杀危险因素。方法:对天水市3个县区23个乡镇自杀未遂报告系统2007年6月至2009年1月报告的年龄≥14岁的自杀未遂女性150人(自杀未遂组)及由同一报告者提供的近1年内无自杀行为、年龄、居住地相匹配的正常女性150人(正常对照组)分别采用自编《伤害幸存者研究问卷》和《正常对照者研究问卷》进行自由访谈及问卷调查;分析自杀行为的危险因素。结果:自杀未遂组在文盲、人均年收入低、现患精神障碍、有人格障碍、对自杀接受性高、自杀意念强、既往有自杀未遂史、近1个月有过失眠、近1个月因心理问题难以工作、近1年有生活事件、急/慢性应激高、生命质量低、冲动性及攻击性高、家庭亲密性及家庭适应性低、社会支持差的发生率上明显高于正常对照组(χ~2=5.051~71.082,P<0.05或P<0.001);自杀行为特征为冲动性、服农药、家庭纠纷或为解脱痛苦。Logistic回归分析显示年龄<40岁、文盲、现患精神障碍、对自杀接受性高、近1月因心理问题难以工作、近1年有生活事件、急性应激高、攻击性高、家庭亲密性低进入方程。结论:服药是天水市农村女性最常见的自杀方式;年龄<40岁、文盲、现患精神障碍、对自杀接受性高、近1月因心理问题难以工作、近1年有生活事件、急性应激高、攻击性高、家庭亲密性低是天水农村女性自杀行为的危险因素。Objective：To explore the general characteristics and related risk fecfors of female suicide attempts in rural areas of Tianshui. Method：The unstructured interview and survivors as well as normal control research questionnaire were administered to 150 suicide attempt women （suicide attempt group） aged ≥14 years from 23 township suicide attempt reporting system in June 2007 to January 2009 in Tianshui County and 150 age, residency-matched normal women （normal control group）. Results：Suicide attempt group involved more illiteracy, mental disorders and personality disorders and lower annual income;presented higher acceptance of suicide and suicide ideation, more suicide attempts ; showed more insomnia and work difficulty duo to psychological problem recently a month,more life events recently 1 year, more acute stress and chronic stress, higher impulsivity and aggression, lower family intimacy and social support than normal control woman （χ^2 = 5. 051-71. 082 ;P 〈0. 05 or P 〈 0. 001 ）. Suicide behaviors were impulsive and conducted by ingesting pesticide. The suicide reason was family disputes; the purpose was to release the pains. Logistic regression analysis result indicated that aged 〈 40 years,illiteracy, mental disorders, high suicide acceptance,work difficulty duo to psychological problem recently a month, life events recently 1 year, acute stress, aggression,low family closeness were the risk factors for attempted suicide. Conclusion：Ingesting pesticide is the main suicide behavior among Tianshui rural women. Aged 〈 40 years, illiteracy, mental disorders, high suicide acceptance, work diffi- culty duo to psychological problem recently a month, life events recently 1 year, acute stress, aggression,low family closeness are the risk factors for attempted suicide.

关 键 词：农村妇女 自杀未遂 危险因素 

分 类 号：C913.9[经济管理]