广州市心理援助热线2008年-2019年未成年人自杀高危来电分析

目的分析广州市心理援助热线2008年-2019年未成年人自杀高危来电情况及特征,为预防未成年人自杀提供资料。方法对广州市心理援助热线2008年-2019年的3219例未成年人来电进行回顾性研究。对未成年人自杀高危来电数量随年份变化的趋势进行描述,并对未成年人自杀高危来电者的一般人口学信息、咨询问题和情绪状态进行分析。结果未成年人高危来电在同期高危来电中的占比呈线性上升趋势(Kendall's tau-b=0.150,P<0.01)。未成年人自杀高危组和非高危组在性别(χ2=52.97,P<0.01)、所在地区(χ2=13.22,P=0.004)、是否为学生(χ2=20.48,P<0.01)、受教育程度(χ2=23.20,P<0.01)、咨询问题(χ2=215.17,P<0.01)、情绪状态(χ2=357.69,P<0.01)等方面差异均有统计学意义。多因素非条件Logistic回归分析结果显示,女性(OR=1.33,95%CI:1.07~1.66)、咨询问题为恋爱与婚姻(OR=3.04,95%CI:1.08~8.57)、家庭矛盾(OR=4.44,95%CI:1.79~11.02)、工作与学习(OR=3.19,95%CI:1.23~8.27)、心理健康(OR=8.18,95%CI:3.57~18.47)、精神疾病(OR=14.90,95%CI:6.43~34.54)的未成年人是自杀高危来电者。结论性别、咨询问题和情绪状态是未成年人自杀高危来电的影响因素。

Analysis of high suicide risk calls among minors in Guangzhou psychological assistance hotline from 2008 to 2019

Objective To analyze the situation and characteristics of high suicide risk calls among minors in Guangzhou psychological assistance hotline from 2008 to 2019,and to provide information for the prevention of juvenile suicide.Methods A retrospective study was conducted on 3219 callers of Guangzhou psychological assistance hotline from 2008 to 2019.The variation trend of the number of high suicide risk calls among minors over the years was described,and the general demographic information,counseling question types and emotional status of the high-risk callers were analyzed.Results The proportion of high-risk calls from minors in the same period showed a increasing linear trend(Kendall's tau-b=0.150,P<0.01).The gender(χ2=52.97,P<0.01),region(χ2=13.22,P=0.004),students or not(χ2=20.48,P<0.01),education background(χ2=23.20,P<0.01),counseling question types(χ2=215.17,P<0.01)and emotional status(χ2=357.69,P<0.01)had significant differences between high-risk group and non-high-risk group.Multivariate unconditional Logistic regression analysis showed that the minors of female(OR=1.33,95%CI:1.07~1.66)as well as the minors who consulted about love and marriage problems(OR=3.04,95%CI:1.08~8.57),family conflicts(OR=4.44,95%CI:1.79~11.02),work and study problems(OR=3.19,95%CI:1.23~8.27),mental health(OR=8.18,95%CI:3.57~18.47)and mental illness(OR=14.90,95%CI:6.43~34.54)were the callers with high risk of suicide.Conclusion Gender,counseling question types and emotional status are the influencing factors of high suicide risk calls.