广州市艾滋病阳性者自杀行为及社会心理因素分析

  目的  了解广州市艾滋病病毒阳性者自杀意念和自杀行为现状，探讨其影响因素，分析社会心理因素与之的相关性。  方法  在广州市六区抽取HIV阳性成人患者进行横断面调查，收集社会人口学特征、HIV感染情况、自杀意念、自杀行为、社会心理因素等信息，以自杀意念、自杀行为为因变量，进行单因素和多因素Logistic回归分析。  结果  464名调查对象中，5.2%和17.4%分别有过自杀行为与自杀意念。其中，感染途径、抑郁、焦虑、社会歧视、自我歧视与自杀行为的发生有关（均有P < 0.05）；年龄、健康状况、配偶感染、抑郁、焦虑、社会支持、社会歧视、自我歧视与自杀意念的发生有关（均有P < 0.05）。多因素logistic回归分析模型显示抑郁、自我歧视与自杀行为发生有关（均有P < 0.05），抑郁、社会歧视与自杀意念发生有关（均有P < 0.05）。  结论  广州市HIV阳性成人患者的自杀意念与行为发生率较高，应在HIV阳性者中针对性地开展抑郁、社会歧视、自我歧视相关的心理咨询、风险评估并尽早干预治疗。

Analysis of the suicidal behavior and psychosocial factors among HIV positive patients in Guangzhou

  Objective  To investigate the status of suicidal behaviors and suicidal ideation among HIV positive patients in Guangzhou, and to explore its relevant psycho-social factors.  Methods  We conducted a cross-sectional survey of HIV positive adult patients in six districts of Guangzhou to collect social-demographic characteristics, HIV infection time, suicidal ideation, suicidal behaviors and psycho-social factors. Use suicidal ideation and suicidal behaviors as the dependent variables to conduct the univariate analysis and multivariate Logistic regression analysis.  Results  Of the 464 subjects, 5.2% and 17.4% of them had suicidal behaviors and suicidal ideation. Analysis showed that the infection route, depression, anxiety, social discrimination, self-discrimination were correlated with the suicidal behaviors(all P < 0.05), while age, health status, spouse infection, depression, anxiety and social support, social discrimination, self-discrimination were correlated with the suicidal ideation(all P < 0.05). Multivariate Logistic regression model showed that depression and self-discrimination were associated with suicidal behaviors(all P < 0.05), depression and social discrimination were associated with suicidal ideation (all P < 0.05).  Conclusions  HIV-positive adult patients in Guangzhou have a high incidence of suicidal ideation and behaviors. Psychological counseling, risk assessment and timely treatment related to depression, social discrimination self-discrimination and early antiviral treatment should be targeted in HIV-positive adult patients.