自杀未遂者及亲友假定困境下考虑自杀的可能性  

Likelihood of considering suicide under supposed adversities among individuals attempting suicide and their family members and acquaintance

作　　者：杨兴洁[1,2,4] 伍梦洁 童永胜[2,3,4] 殷怡 肖春玲[2] 刘华清 YANG Xingjie;WU Mengjie;TONG Yongsheng;YIN Yi;XIAO Chunling;LIU Huaqing(Clinical Psychology Department,Beijing Huilongguan Hospital,Beijing 100096,China;Beijing Suicide Research and Prevention Center,Beijing Huilongguan Hospital,Beijing 100096,China;WHO Collaborating Center for Research and Training in Suicide Prevention,Beijing 100096,China;Peking University Huilongguan Clinical Medical School,Beijing 100096,China)

机构地区：[1]北京回龙观医院临床心理科,北京100096 [2]北京回龙观医院北京心理危机研究与干预中心,北京100096 [3]WHO心理危机预防研究与培训合作中心,北京100096 [4]北京大学回龙观临床医学院,北京100096

出　　处：《中国心理卫生杂志》2020年第11期920-925,共6页Chinese Mental Health Journal

基　　金：北京市卫生系统高层次卫生技术人才培养计划(2015-3-111)。

摘　　要：目的:比较自杀未遂者及其家属在不同假定困境下考虑自杀的可能性。方法:自杀未遂者120例及分层随机抽样获得正常对照140例纳入研究。未遂者与对照者及其家属和亲友各1名,共6类受访者报告自己在假定困境下考虑自杀的可能性。运用重复测量方差分析比较6类受访者考虑自杀的可能性,并列出考虑自杀可能性最大的几类假定困境。结果:在假定困境下,6类受访者考虑自杀的可能性不同,未遂者本人在困境下考虑自杀的可能性高于对照者本人(P<0.001)和未遂者家属(P<0.05),未遂者家属高于对照者家属(P<0.05)。6类受访者在“患不治之症”、“感染艾滋病病毒”、“吸毒成瘾”的假定困境下肯定考虑自杀可能性大的比例排名靠前。结论:自杀未遂者及亲属在假定困境下考虑自杀的可能性较大,因此要对他们进行有关自杀预防的健康教育,以降低未来的自杀风险。Objectives:To analyze the likelihoods of suicide under different supposed adversities among individuals attempting suicide and their family members and acquaintance.Methods:Individuals attempting suicide(120cases)and stratified random sampling of living community residents as normal controls(140cases)were recruited.For each cases,suicide attempter and normal control themselves,a co-habitat family member,and an acquaintance were interviewed by different interviewers independently.During the interview,all interviewees reported to what extent they would consider suicide if they encountered supposed adversities,in their own opinion.The total scores of likelihoods of suicide under 25supposed adversities and proportions of most likely or definitely considering suicide were compared between 6groups of respondents.Results:The total scores of likelihoods of suicide under 25supposed adversities were higher in the individuals attempting suicide than in the normal controls(P<0.001)and suicide attempts'family members(P<0.05).The suicide at-tempters'family members had higher total scores than the normal controls'family members(P<0.05).Suffering from incurable diseases,being infected with HIV,and drug addicted were the three leading supposed adversities under which the individuals across the 6 group most likely or definitely considering suicide.Conclusion:Individuals attempting suicide and their relatives are more likely considering suicide under the supposed adversities than community residents.It is necessary to provide health education on suicide prevention to persons attempting suicide and their relatives,in order to reduce their suicide risk in the future.

关 键 词：自杀未遂 假定困境 自杀可能性 

分 类 号：C913.9[经济管理]