探究与大学生抑郁症自杀未遂行为相关的社会心理因素

目的:探究与大学生抑郁障碍患者自杀未遂行为相关的童年创伤、家庭功能及社会支持。方法:招募大学生抑郁障碍患者156例,根据既往是否存在自杀行为分为自杀未遂组(n=78)和非自杀未遂组(n=78)。采用儿童创伤问卷中文版(CTQ)、家庭功能量表(FAD)、社会支持量表(SSRS)对2组进行评估。结果:与非自杀未遂组相比,自杀未遂组的情感虐待(P0.001)、情感忽视(P=0.001)、性虐待(P=0.002)、躯体虐待(P0.001)、躯体忽视(P=0.001)因子评分及总分(P0.001)更高;角色(P=0.039)、情感介入(P=0.023)、家庭总功能(P=0.010)及总分(P=0.018)更高;主观支持(P=0.007)、支持利用率(P=0.005)因子评分及总分(P=0.011)更高。情感虐待、性虐待、支持利用率是导致自杀行为发生的独立危险和保护因素。结论:伴自杀未遂行为的大学生抑郁障碍患者存在更严重的童年创伤、更差的家庭功能以及更少的社会支持。

Social and Psychological Factors Related to Suicide Attempt in College Students with Depression

To explore childhood trauma, family functioning, and social support related to attempted suicide in college students with depression. Methods: A total of 156 college students with depressive disorder were recruited and divided into the attempted suicide group (n=78) and non-attempted suicide group (n= 78) according to previous suicidal behavior. The two groups were evaluated with the Childhood Trauma Questionnaire (CTQ), Family Assessment Device (FAD), and Social Support Rating Scale (SSRS). Results: Compared with the non-attempted suicide group, the attempted suicide group had higher scores of emotional abuse (P<0.001), emotional neglect (P=0.001), sexual abuse (P=0.002), physical abuse (P<0.001), and physical neglect (P=0.001) and a higher total score (P<0.001); role (P=0.039), emotional intervention (P=0.023), total family function (P=0.010), and total (P=0.018) scores were higher; the subjective support (P=0.007), support utilization rate (P=0.005), and total (P=0.011) scores were higher. Emotional abuse, sexual abuse, and support utilization are independent risk and protective factors for suicidal behavior. Conclusion: College students with attempted suicide have more serious childhood trauma, worse family functioning, and less social support.