广东省居民自杀未遂的流行特征及影响因素分析

目的 了解广东省居民自杀未遂的注行特征,探讨自杀未遂的影响因素.方法 通过分层随机抽样抽取广东省21个县区中街道/乡镇的家庭为调查样本户,对每个住户用KISH法确定1名15～69岁的家庭成员进行问卷调查,获得自杀未遂及相关的危险因素.采用SPSS 16.0软件对数据进行分析,筛选自杀未遂的危险凶素.结果 共调查6625人,过去一年内自杀未遂的发生率为0.8%,其中女性(1.1%)高于男性(0.5%),25～35岁女性自杀未遂率最高(1.6%),城市农村间差异无统计学意义.多因素分析显示,女性(OR=2.1)、经历负性事件(OR=15.5)、睡眠状况差(OR=1.6)、孤独感(OR=1.5)、焦虑感(OR=1.8)是自杀未遂的危险因素;而饮酒、吸烟、体力活动情况、文化程度、年龄、城乡、家庭农药存放情况与自杀未遂发生无显著相关.结论 广东省自杀未遂发生率高,影响因素复杂,应该采取综合的措施进行预防控制.

Features on suicide attempts and its influencing factors among residents in Guangdong province

Objective To understand the prevalence of suicide attempts and its related risk factors in Guangdong province to provide scientific basis information for suicide intervention.Methods Multi-stage stratified random sampling method was used to select the sample.42 sweets or towns were selected from 21 counties or districts through randomly sampling.4 communities were then chosen from every selected town or district,followed by 40 families chosen from every village or community.Questionnaire was used to collect data on suicide attempts and its related risk factors.SPSS 16.0 was used for data analysis.Results 6625 peoples were participated in the study.The 12-month incidence of suicidal attempts was 0.8%.It was higher for females ( 1.1% ) than that for males(0.5%) ,and the 25-35 years(1.6%) age group was among the highest.There was no significant difference between the prevalence rates in urban or rural residents.Results from multivariate analysis showed that factors as:being female (OR=2.1),experienced negative events of life (OR= 15.5),in poor sleeping condition ( OR = 1.6),feeling lonely (OR=1.5 ) and anxiety (OR = 1.8 ) were high risk for suicide attempts.Conclusion Suicide attempts in Guangdong province exhibited a high prevalence with complicated influencing factors.Comprehensive countermeasures are needed to prevent and reduce suicidal behaviors.