高中生亚健康状况与自杀行为关系

目的 了解城市高中生亚健康状况和自杀行为发生情况,探讨亚健康状况对自杀行为的影响,为中学生自杀风险评估和干预措施提供科学依据.方法 采用自杀行为问卷和青少年身心健康问卷对安徽省蚌埠市3784名城市高中生进行问卷调查,运用多因素回归分析法分析影响蚌埠市城市高中生自杀行为的亚健康状况因子.结果 蚌埠市高中生亚健康状况检出率为52.70%,自杀意念和自杀未遂报告率分别为30.5%和3.5%;有亚健康状况的高中生自杀意念和自杀未遂报告率均高于无亚健康状况的高中生,差异均有统计学意义,且随着亚健康状况的加重自杀意念和自杀未遂检出率也逐渐增加;多因素回归分析结果显示,情绪问题、品行问题、社会适应困难维度和躯体活力不足维度为自杀意念的危险因素;躯体抵抗力下降、情绪问题、品行问题为自杀未遂的危险因素.结论 蚌埠市高中生亚健康状况检出率和自杀意念报告率均较高,亚健康和亚健康状况因子对高中生自杀意念、自杀未遂有显著的影响.

Suicidal behavior and subhealth among high school students in Bengbu city

Objective To understand subhealth status and its influenceon suicidal behavior among urban high school students in Bengbu city,to provide evidence for promoting mental health and early intervention for suicide behavior in secondary school students.Methods The survey was conducted among 3784 students in urban high school students.Suicidal Behavior Questionnaire and Physical and Mental Health Questionnaire of Young People were adopted and the multi-factor regression was used in the analysis.Results The subhealth detection rate was 52.70%.The reported rates of suicide ideation and suicide attempt were 30.5% and 3.5%,respectively.Suicide ideation and suicide attemptrates were higher in students with a subhealth symptoms than in the students without the symptomswith significant difference.The suicide ideation and attempt were positively correlated with subhealth symptoms.Multi-factor regression analysis showed that emotional problem,behavior problem,social adaptation difficulty,and lower body vitality were risk factors for suicide ideation,and emotional problem,behavior problem were the risk factors of suicide attempt.Conclusion There were high prevalence of subhealth and suicide ideation among high school students in Bengbu city.Subhealth and subhealth symptoms have obvious impact on suicide ideation and attempt among high school students.