重庆市初中生受虐待经历与自杀意念和行为的关联  

Relationship between abuse experience with suicidal ideation and behavior of junior middle school students in Chongqing

作　　者：韦敏 汤永隆 李士颖 傅明成 甘妮娜 谢方露 罗娅 WEI Min;TANG Yonglong;LI Shiying;FU Mingcheng;GAN Nina;XIE Fanglu;LUO Ya(Faculty of Psychology,Southwest University,Chongqing(400715),China;不详)

机构地区：[1]西南大学心理学部,重庆400715 [2]云日创心教育科技有限公司

出　　处：《中国学校卫生》2021年第11期1679-1682,1687,共5页Chinese Journal of School Health

摘　　要：目的探究受虐待经历对初中生自杀意念和自杀未遂的影响,为初中生的自杀预防提供依据。方法采用随机整群抽样方式,从2020年6—9月对重庆市的调研数据中抽取25个区、县的初中生数据,纳入分析10 289人。使用儿童期虐待问卷、中学生心理健康量表等进行调查,并收集人口学信息、自杀意念和自杀行为。结果初中生自杀意念的报告率为20.93%,自杀未遂的报告率为10.83%。多因素Logistic回归分析显示,控制人口学变量及心理健康水平后,情感虐待(OR=2.07)和情感忽视(OR=2.03)的发生与自杀意念的相关高于其他3种类型的儿童期虐待(OR;=1.19,OR;=1.60,OR;=1.37,P值均<0.05);性虐待(OR=2.29)和躯体忽视(OR=1.87)的发生与初中生自杀未遂的相关高于其他3种类型的虐待(OR;=1.63,OR;=1.59,OR;=1.50,P值均<0.01)。结论 5种类型的虐待对初中生的自杀意念和自杀未遂均有重要影响,且情感忽视和情感虐待对自杀意念的影响更大,性虐待和躯体忽视对自杀未遂的影响更大。Objective To explore the relationship between abuse experience with suicidal ideation and suicide attempts of junior middle school students, and to provide a reference for suicide prevention of junior middle school students. Methods Cluster sampling method were used to selct 10 289 junior middle school students from 25 districts and counties of Chongqing were included in the analysis of this study from July to September in 2020. And Questionnaire on Abuse in Childhood and Mental Health Scale for Middle School Students were applied to collect the data about demographic information, suicide ideation and behavior. Results The prevalence of suicidal ideation and suicide attempts among junior middle school students were 20.93% and 10.83%, respectively. Multivariate Logistic regression model found that after controlling for demographic variables and mental health, emotional abuse(OR=2.07) and emotional neglect(OR=2.03) showed higher correlations with suicidal ideation than the other three types of childhood abuse(OR;=1.19, OR;=1.60, OR;=1.37, P<0.05);and sexual abuse(OR=2.29) and physical neglect(OR=1.87) showed higher associations with suicide attempt than the other three types of abuse(OR;=1.63, OR;=1.59, OR;=1.50, P<0.01). Conclusion All five types of child abuse were independent risk factors for suicidal ideation and suicide attempts, and emotional neglect and emotional abuse had a greater effect on suicidal ideation, sexual abuse and physical neglect had a greater effect on suicide attempts.

关 键 词：虐待 自杀 行为 精神卫生 回归分析 学生 

分 类 号：R444[医药卫生—诊断学] B844.2[医药卫生—临床医学]