苏州某高校大学生童年期虐待经历与自杀心理行为的关联  

Association between childhood abuse experience and suicidal psychological behavior of college students in vocational colleges

作　　者：费俊彦 赵思宇 赵婧宇 孙妍珺[1] 吕逸丽 万宇辉[3] 王伟[1] FEI Junyan;ZHAO Siyu;ZHAO Jingyu;SUN Yanjun;LYU Yili;WAN Yuhui;WANG Wei(Suzhou Vocational Health College,Suzhou 215000,Jiangsu,China;Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,Anhui,China;Anhui Medical University,Hefei 230032,Anhui,China)

机构地区：[1]苏州卫生职业技术学院,江苏苏州215000 [2]安徽省疾病预防控制中心,安徽合肥230601 [3]安徽医科大学,安徽合肥230032

出　　处：《中国校医》2024年第5期352-355,372,共5页Chinese Journal of School Doctor

基　　金：苏州市科技计划项目(SKJYD2021051);苏州卫生职业技术学院青年科技项目(szwzy202013)。

摘　　要：目的了解童年期虐待与高校大学生自杀心理行为的关联,为制订防控大学生自杀心理行为方案提供理论依据。方法2022年10—12月,采用分层整群抽样方法,抽取苏州某高校大一、大二6366名在校大学生,使用“童年期虐待评定量表”评价童年期虐待,建立多元logistic回归模型分析童年期虐待经历对自杀心理行为的影响。结果大学生自杀意念、自杀未遂检出率分别为8.4%、1.4%。其中,有童年期虐待经历的大学生自杀意念、自杀未遂发生率分别为21.8%、3.7%,而无童年期虐待经历的大学生自杀意念、自杀未遂发生率分别为4.3%、0.8%,差异均有统计学意义(χ^(2)=451.419、69.980,P均<0.001)。控制相关混杂因素的影响,建立多元logistic回归分析模型,结果显示:童年期虐待是高校大学生自杀意念、自杀未遂的危险因素(OR=5.790,95%CI:4.800~6.963;OR=4.611,95%CI:3.012~7.061;P均<0.001)。结论童年期虐待是大学生自杀心理行为的重要危险因素,减少童年期虐待有利于大学生自杀心理行为的防控。Objective To investigate the association between childhood abuse and suicidal psychological behavior in college students,and provide a theoretical basis for reducing suicidal psychological behavior in college students.Methods From October to November 2022,6366 freshman and sophomore college students from a vocational college in Suzhou were selected using the cluster sampling method,and the“Childhood Abuse Rating Scale”was used to evaluate childhood abuse.A multivariate logistic regression model was established to analyze the impact of childhood abuse experience on suicidal psychological behavior.Results The detection rates of suicidal ideation and suicide attempts among college students were 8.4%and 1.4%,respectively.The incidence rates of suicidal ideation and suicide attempts among college students with childhood abuse experience were 21.8%and 3.7%,respectively,but the incidence rates of suicidal ideation and suicide attempts among college students without childhood abuse experience were 4.3%and 0.8%,respectively;the differences were statistically significant(χ^(2)=451.419,69.680;P<0.001).After controlling for the influence of relevant confounding factors,a multivariate logistic regression analysis model was established,and the results showed that childhood abuse was a risk factor for suicidal ideation and suicide attempts among college students(OR=5.790,95%CI:4.800~6.963;OR=4.611,95%CI:3.012~7.061;P<0.001).Conclusion Childhood abuse is an important risk factor for suicidal psychological behavior among college students,and reducing childhood abuse is likely to aid in the prevention and control of suicidal psychological behavior in this population.

关 键 词：大学生 童年期虐待 自杀观念 

分 类 号：R395[哲学宗教—心理学]