新兵精神障碍自杀风险临床研究  

Clinical Research on Suicide Risk of Mental Disorders in Military Recruits

作　　者：汤文辉[1] 刘让华[1] 黄芬丽 李逸鸿[2] 孙志国[2] 林汉[3] 罗维肖[3] 

机构地区：[1]解放军303医院191临床部心理科,广西贵港537100 [2]解放军303医院191临床部医务处,广西贵港537100 [3]解放军303医院191临床部精神科,广西贵港537100

出　　处：《华南国防医学杂志》2017年第12期839-841,845,共4页Military Medical Journal of South China

基　　金：全军心理卫生应用性重点建设项目(2015FYJ2015 W01)

摘　　要：目的探讨新兵精神障碍自杀风险及其影响因素。方法以作者医院2016年度精神障碍鉴定的新兵为研究对象,根据有无自杀风险行为及是否符合精神障碍诊断标准确定研究组与对照组。结果共纳入符合条件的研究对象213例,其中研究组99例,对照组114例。有既往史(OR=8.07,95%CI=2.91~22.38)、儿童期受虐经历(OR=3.06,95%CI=1.41~6.62)及非自愿入伍(OR=1.96,95%CI=1.18~3.27),是自杀风险行为发生的危险因素。研究组心理健康状况总体较差,研究组90项症状自评量表(Symptom check list-90,SCL-90)总分与对照组相比存在统计学差异(P<0.05)。与自杀风险行为有关的精神障碍主要为心境障碍与适应障碍。结论新兵入伍前早年不良经历、带病入伍或既往有类似风险行为史、非自愿入伍,入伍后心理健康状况较差、出现精神障碍,是自杀风险行为的危险因素。把好新兵入伍关、提高新兵心理弹性,有利于减少新兵自杀风险行为。Objective To explore the risks of suicide and its attributing factors in military recruits with mental disorders.Methods The recruits who arranged to receive psychiatric identification in authors＇ hospital in2016 were selected as the research subjects.The study group and the control group were determined according to the suicide risk behaviors and whether met the diagnostic criteria for mental disorders.Results A total of 213 eligible subjects were enrolled,including 99 cases in study group and 114 cases in control group.Past medical history（OR=8.07,95%CI=2.91-22.38）,childhood abuse experiences（OR=3.06,95%CI=1.41-6.62）and non-voluntary enlistment（OR=1.96,95%CI=1.18-3.27）were the risk factors of suicidal behavior.The mental health status of study group was generally poor,and the total score of Symptom check list-90（SCL-90）in study group was significantly different than that of control group（P0.05）.The main mental disorders associated with suicidal risk behaviors were mood disorders and adjustment disorders.Conclusion Early-life adverse experiences,pre-enlistment psychiatric disorder or history of similar risk behavior,forced enrollment,poor psychological status and developed mental disorders after admission are risk factors of suicidal behavior.It is effectual to reduce the suicide risk behaviors of military recruits by drafting eligible recruits and improving their psychological resilience.

关 键 词：新兵 精神障碍 自杀 自杀风险 

分 类 号：R749.99[医药卫生—神经病学与精神病学]