| 长沙市城乡中学生自杀行为及影响因素分析 |
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| 引用本文： | 严虎, 陈晋东. 长沙市城乡中学生自杀行为及影响因素分析[J]. 中国公共卫生, 2013, 29(2): 163-166. DOI: 10.11847/zgggws2013-29-02-03 |
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| 作者姓名： | 严虎 陈晋东 |
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| 作者单位： | 1.中南大学湘雅二医院精神卫生研究所, 湖南 长沙 410011 |
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| 摘 要： | 目的 了解中学生自杀意念、自杀计划和自杀未遂现况及其危险因素,为有针对性地采取干预措施提供依据。方法 于2011年11月采取分层整群随机抽样方法,在湖南省长沙市抽取2 216名中学生,采用自制一般情况问卷、自杀行为问卷、青少年生活事件量表、交往焦虑量表和自尊量表进行调查。结果 长沙市中学生自杀意念、自杀计划和自杀未遂检出率分别为24.2%、6.0%和2.5%;女生自杀意念和自杀未遂发生率高于男生(χ2=34.814,P=0.000; χ2=5.924,P=0.015);农村中学生自杀计划和自杀未遂发生率高于城市(χ2=16.687,P=0.000; χ2=5.834,P=0.016);高中生自杀计划发生率高于初中生(χ2=8.109,P=0.004);多因素logistic回归分析结果表明,家庭暴力和生物事件总刺激量大是自杀意念、自杀计划和自杀未遂的共同危险因素。结论 中学生自杀行为发生率仍较高,应根据中学生自杀行为的主要危险因素采取必要的预防措施。
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| 关 键 词： | 中学生 自杀行为 横断面调查 社会心理因素 |
| 收稿时间： | 2012-01-09 |
Suicidal behavior and related psychosocial factors among middle school students in urban and rural areas of Changsha municipality |
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| YAN Hu, CHEN Jin-dong. Suicidal behavior and related psychosocial factors among middle school students in urban and rural areas of Changsha municipality[J]. Chinese Journal of Public Health, 2013, 29(2): 163-166. DOI: 10.11847/zgggws2013-29-02-03 |
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| Authors: | YAN Hu CHEN Jin-dong |
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| Affiliation: | 1.Mental Health Institute, the Second Xiangya Hospital, Central South University, Changsha, Hunan Province 410011, China |
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| Abstract: | Objective To investigate prevalences of three specific suicide behaviors and related psychosocial factors among middle school students and to provide basis for suicide prevention and intervention.Methods A stratified cluster sampling survey was carried out with a self-designed questionnaire,suicidal behavior questionnaire,Adolescent Self-Rating Life Events Check List(ASLEC),Interaction Anxiousness Scale(IAS),and Self-Esteem Scale(SES) in 2 216 middle school students in Changsha city.Results In the past one year,24.2% of the students had suicide ideation,6% had made a specific plan to attempt suicide,and 2.5% actually had attempted suicide.The incidences of suicide ideation and suicide attempt in the girls were higher than those in the boys(χ2=34.814,P=0.000;χ2=5.924,P=0.015).The incidences of suicide plan and suicide attempt in the rural students were higher than those in the urban students(χ2=16.687,P=0.000;χ2=5.834,P=0.016).The incidence of suicide plan in the senior high school students was higher than that in the junior school students(χ2=8.109,P=0.004).The main risk factors for the three specific suicide behaviors included with single-parent family,family violence,negative life event,interaction anxiousness,and low self-esteem.Conclusion Suicide ideation is not rare in middle school students and specific intervention on related psychosocial risk factors should be promoted among the students. |
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| Keywords: | middle school student suicidal behavior cross-sectional study psychosocial risk factor |
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