| 中学生父母依恋与自杀未遂的关联 |
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| 引用本文： | 丁红丽,汪妍,彭畅,程君菡,荣发娟,余毅震.中学生父母依恋与自杀未遂的关联[J].中国学校卫生,2023,44(2):269-273. |
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| 作者姓名： | 丁红丽 汪妍 彭畅 程君菡 荣发娟 余毅震 |
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| 作者单位： | 华中科技大学同济医学院公共卫生学院儿少卫生与妇幼保健学系，湖北 武汉 430030 |
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| 基金项目： | 国家自然科学基金项目81573172 |
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| 摘 要： | 目的 了解中学生自杀未遂现状，并探讨其与父母依恋的关系，为中学生自杀行为的预防和控制提供依据。方法 采用分层整群随机抽样法，抽取湖北省鄂州市和孝感市4 419名七至十二年级在校学生作为调查对象，使用父母和同评依恋量表(IPPA)、罗森博格自尊量表(RSES)、凯斯勒心理疾患量表(K10)进行问卷调查，并评定中学生自杀未遂情况。结果 中学生自杀未遂检出率为6.8%。自杀未遂检出率在不同年级、家庭类型、父母感情、家庭管教方式、家庭月收入、自尊水平和心理困扰间差异均有统计学意义(χ2/t值分别为3.88,10.12,18.00,52.54,13.90,2.37,8.99,P值均<0.05),有自杀未遂组的父亲依恋和母亲依恋得分(14.64±13.45,14.77±12.26)均低于无自杀未遂组(22.05±16.08,23.79±14.93)(t值分别为-9.07,-12.11,P值均<0.05)。Logistic回归分析表明，父亲依恋和母亲依恋均与中学生自杀未遂负向关联(父亲依恋，OR=0.99,95%CI=0.98～0.99;母亲依恋，OR=0.97,9...
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| 关 键 词： | 客体依恋 自杀未遂 精神卫生 回归分析 中学生 |
| 收稿时间： | 2022-06-13 |
Relationship between adolescent-parent attachment and attempted suicide among middle school students |
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| Affiliation: | Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan(430030), China |
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| Abstract: | Objective To understand the current situation of suicide attempts in middle school students and to explore its relation with adolescent-parent attachment, to provide a basis for the prevention and control of middle school students suicidal behavior. Methods A total of 4 419 students from grades 7 to 12 in Ezhou City and Xiaogan City, Hubei Province were selected by stratified cluster random sampling. The Inventory of Parent and Peer Attachment, Rosenberg Self-Esteem Scale, Kessler Psychological Distress Scale were used to conduct a questionnaire Survey, and evaluated the suicide attempts of middle school students. Results The detection rate of attempted suicide among middle school students was 6.8%. The detection rate of attempted suicide varies among different grades, family types, parental relation, parenting style, family income, self-esteem level, and psychological distress(χ2/t=3.88, 10.12, 18.00, 52.54, 13.90, 2.37, 8.99, P < 0.05). The scores of paternal attachment and maternal attachment (14.64±13.45, 14.77±12.26) in the group with attempted suicide were lower than those without attempted suicide(22.05±16.08, 23.79±14.93)(t=-9.07, -12.11, P < 0.05). Logistic regression analysis showed that both paternal attachment and maternal attachment were associated with lower rate of suicide attempts among middle school students(paternal attachment, OR=0.99, 95%CI=0.98-0.99; maternal attachment OR=0.97, 95%CI=0.96-0.98), with paternal attachment for girls only(OR=0.98, 95%CI=0.97-0.99)(P < 0.05). Conclusion Adolescent-parent attachment may be a protective factor for middle school students suicide attempts. Sex-specific effects are observed in adolescent-father attachment in girls. Parents should pay attention to cultivating a good attachment relationship with their children and promote the healthy growth of middle school students. |
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