2003-2007年某医学院新生自杀意念及心理因素对其影响分析

[目的]了解医学院新生自杀意念及其心理危险因素，提出相应的预防对策。[方法]2003-2007年，采用SCL-90症状自评量表和Beck自杀意念量表对潍坊医学院2003～2007级新生进行调查，并采用非条件Logistic回归分析自杀意念与心理因素的关系。[结果]调查1154名新生，有自杀意念的27例，自杀意念检出率为2．33％。自杀意念检出率．男生为3．37％。女生为1．45％（P〈0．05）；2003～2007年级分别为1．28％、2．34％、3．32%、3．37%、1．63％（P〈0．01）。SCL-90症状自评量表中，躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、偏执、精神病性8个分量表均分均为有自杀意念者高于无自杀意念者（P〈0．01）。多因素非条件Logistic回归分析结果，人际关系敏感和抑郁是自杀意念产生的危险因素，OR分别为2．24、11．42。[结论]医学院新生自杀意念检出率不高。有自杀意念的医学院新生心理健康水平较低。

Suicidal Ideation and Influence of Psychological Factors among Freshmen in a Medical College from 2003 to 2007

[Objective]To learn the suicidal ideation and its dangerous psychological factors among medical freshman, and advance related preventive methods. [Methods]From 2003 to 2007, some freshman of 2003-2007 grades in Weifang medical university were investigated with SCL-90 and Beck scale for suicide ideation. Psychological factors associated with suicidal ideation were analyzed by binary logistic regression. [Results] 1 154 freshman were investigated, and 27 of them had suicidal ideation. The positive ratio was 2.33%. The positive ratio of boys and girls was 3.37% and 1.45% （ P〈 0.05）. The positive ratio of 2003,2004,2005,2006,2007 grades was 1.28%,2.34%,3. 32%,3. 37% and 1.63% respectively（ P 〉0.05）. Except Phonic anxiety, the other factors＇ score of freshmen who have suicidal ideation is higher than normal students（ somatization, obsessive-compulisive, interpersonal sensitivity, depression, anxiety, paranoid, ideation and psychoticism） . The logistic regression result indicates that the psychological risk factor of suicidal ideation was depression and interpersonal sensitivity. OR is 2.24,11.42. [Conclusion]The positive ratio of suicidal ideation in medical freshmen was low. The psychological health of students who has suicidal ideation was lower than normal students.