大学生人格障碍症状水平与自杀态度和自杀意念的关系

目的:探讨大学生人格障碍症状水平与自杀态度及自杀意念的关系。方法:随机抽取230名大学生,采用人格诊断问卷、自杀态度问卷以及Beck自杀意念问卷进行测查。结果:①有自杀意念组在人格诊断问卷(PDQ-4+)的偏执型、分裂样型、反社会型、边缘型、依赖型、被动攻击型以及抑郁型等亚型上得分显著高于无自杀意念组;②有自杀意念组与无自杀意念组在自杀态度量表(SPAS)的预防自杀的难度、自杀行为自我不可控制性、自杀问题的社会重要性等因子上得分差异显著,有自杀意念组更倾向于认为自杀不可预防、自杀不可以自我控制、自杀不是重要的社会问题;③PDQ-4+各分量表得分与自杀态度中的预防自杀的难度、自杀行为的自我不可控制性因子呈显著负相关,与自杀问题的社会重要性因子呈显著正相关。结论:大学生人格障碍症状与自杀意念关系密切,关于自杀的某些非理性态度可能是人格障碍与自杀意念之间的中介因素。

Relationships among Personality Disorder Symptoms and Suicide Attitudes and Suicide Ideation in College Students

Objective: To research the relationships among personality disorder symptoms and suicide attitudes and suicide ideation in college students.Methods: A total of 230 college students were randomly sampled and evaluated by the personality diagnostic questionnaire(PDQ+4),the scale of public attitudes about suicide(SPAS) and the Beck Scale for Suicide Ideation(BSI-CV).Results: ①The group with suicide ideation get significantly higher scores in paranoid,schizoid,antisocial,borderline,dependent,passive-aggressive,and depressive sub-scales of PDQ+4 than the group without suicide ideation;②The group with suicide ideation get significantly lower scores in the difficulty in preventing suicide and the extent to which suicide is outside the individual’s personal control factor,and significantly higher score in the social importance of suicide to the community factor of SPAS than the group without suicide ideation;③All subscale scores of PDQ+4 negatively correlated with the SPAS’s factor scores of difficulty in preventing suicide and the extent to which suicide is outside the individual’s personal control,and positively correlated with the factor score of social importance of suicide to the community.Conclusion: Personality disorder symptoms were closely related with suicide ideation in college students,and some irrational suicide attitudes might have a mediating effect between personality disorder symptoms and suicide ideation.