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农村自杀者心理解剖条件Logistic回归分析
引用本文:胡冬梅,姜潮,刘启贵,孙月吉,贾树华,周莉,张杰.农村自杀者心理解剖条件Logistic回归分析[J].中国心理卫生杂志,2005,19(2):131-133.
作者姓名:胡冬梅  姜潮  刘启贵  孙月吉  贾树华  周莉  张杰
作者单位:1. 大连医科大学,辽宁,大连,116027
2. 美国纽约州立大学布法罗分院
基金项目:本课题得到NIMH资助(R03MM60828-01A1)
摘    要:目的:应用心理解剖的方法探讨农村自杀的危险因素。方法:选择2000年~2001年辽宁省大连金州和庄河地区自杀死亡者66例,并按1:1选取对照组进行问卷调查。结果:本次研究的结果有3个因素作为自杀的重要危险因素保留在最后的方程中,分别为社会支持总分(OR=0.66,95%CI=0.48~0.91)、汉密顿抑郁总分(OR=1.18,95%CI=1.03~1.35)、神经症(OR=2594.59,95%CI=6.29~1069550)。结论:自杀并不是单一因素作用的结果,预防自杀要对多个因素共同干预。

关 键 词:农村  自杀者  心理解剖  条件Logistic回归分析
修稿时间:2004年6月8日

A Psychological Autopsy Study on Rural Suicides Using Conditional Logistic Regression Model
HU Dong-Mei,JIANG Chao,LIU Qi-Gui et al. Dalian Medical University,Dalian,Liaoning.A Psychological Autopsy Study on Rural Suicides Using Conditional Logistic Regression Model[J].Chinese Mental Health Journal,2005,19(2):131-133.
Authors:HU Dong-Mei  JIANG Chao  LIU Qi-Gui Dalian Medical University  Dalian  Liaoning
Institution:HU Dong-Mei,JIANG Chao,LIU Qi-Gui et al. Dalian Medical University,Dalian,Liaoning 116027
Abstract:Objective: To discuss the risk factors of suicide with psychological autopsy method. Methods: 66 complete suicides from Jinzhou and Zhuanghe of Dalian , LiaoNing province, which were individually matched with control population. Results: Three main risk factors of suicide remained in the final conditional logistic regression model. They were social support (OR = 0.66, 95%CI = 0.48 - 0.91 ), depression (OR=1.18, 95%CI=1.03-1.35) and neurosis (OR=2594.59,95%CI=6.29-1069550) . Conclusion: The combined effect of multiple factors increases the risk of suicide but not the unique effect of single factor. The suicide preventive efforts should focus on individuals exposed to multiple risk factors.
Keywords:mental health suicide case-control study psychological autopsy risk factors conditional Logistic Regression
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