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深圳市中学生自杀相关行为现况调查 被引量:7

Suicidal behavior among middle school students in Shenzhen city:a cross-sectional study
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摘要 目的了解广东省深圳市中学生自杀行为流行现状及影响因素。方法运用二阶段分层整群抽样方法,采用自编青少年健康知识问卷、儿童抑郁症状障碍自评量表、儿童期虐待问卷对于2014年11—12月深圳市3206名中学生进行调查,应用logistic回归分析中学生自杀行为影响因素。结果有665人(20.70%)在过去12个月里有过自杀意念,有127人(3.96%)在过去12个月里存在自杀未遂;中学生自杀意念危险因素包括女性(OR=1.63,95%CI=1.32—2.02)、父母经常吵架(OR=1.99,95%CI=1.15—3.43)、和教师关系一般(OR=4.07,95%CI:2.29—7.23)、经常感到孤独(OR=3.66,95%CI=2.46—5.44)、被欺负(OR=2.51,95%CI=1.67~3.79)、抑郁症状(OR=2.66,95%CI=2.11~3.35)、被躯体虐待(OR=1.99,95%CI=1.41—2.81)、被性虐待(OR=1.73,95%C1=1.33~2.26),自杀未遂的危险因素包括和教师关系一般(OR=7.88,95%CI=3.98~15.62)、抑郁症状(OR=5.16,95%C1=3.31~8.06)、被躯体虐待(OR=2.78,95%CI=1.64~4.72)、被性虐待(OR=2.27,95%(71=1.43~3.60)和饮酒(OR=1.92,95%CI=1.23~2.99)。结论深圳市中学生自杀相关行为较普遍.教师和家长应当在自杀行为预防方面发挥更加积极的干预作用,减少自杀相关行为的发牛。 Objective To investigate the prevalence and influence factors of suicidal behavior among adolescent students in Shenzhen city. Methods Using two-stage random stratified cluster sampling,3 206 students were recruited from 6 junior and 4 senior high schools and 4 vocational schools in Shenzhen city and a self-administered and anonymous survey was conducted among the students with a self-designed adolescent health knowledge questionnaire, Depression Self-Rating Scale for Children, and Childhood Trauma Questionnaire in 2014. Logistic regression analysis was used in data analysis. Results Of the 3 206 eligible respondents ,20. 70% and 3.96% reported suicide ideation and attempt during the previous 12 months. Multivariate analyses showed that female gender( odds ratio[OR] = 1.63,95% confidence interval [95 % CO] = 1.32 - 2. 02 ), frequent quarrel between parents ( OR = 1.99,95 % CI = 1.15 - 3.43 ), poor relationship with teachers( OR = 4.07,95% CI = 2. 29 - 7.23 ), feeling lonely ( OR = 3.66,95% CI = 2.46 - 5.44 ), being bullied (OR =2. 51,95% CI = 1.67 - 3.79 ), depressive symptom ( OR = 2. 66,95% CI = 2. 11 - 3.35 ), physical abuse ( OR = 1.99,95 % CI = 1.41 - 2. 81 ), and sexual abuse ( OR = 1.73,95 % CI = 1.33 - 2. 26 ) were risk factors for suicidal ideation and poor relationship with teachers ( OR = 7.88,95% CI = 3.98 - 15.62 ), depressive symptom ( OR = 5.16, 95 % CI = 3.31 - 8.06), physical abuse ( OR = 2.78,95 % CI = 1.64 - 4. 72 ), sexual abuse ( OR = 2. 27,95 % CI = 1.43 - 3.60), and alcohol drinking ( OR = 1.92,95 % CI = 1.23 - 2. 99 ) were risk factors for suicidal attempt among the students. Conclusion Suicidal behavior is not rare among adolescent students in Shenzhen city. Teachers and parents should play a more active role in suicide prevention interventions to reduce the incidence of suicide-related behavior.
作者 吴虹 邓剑雄 高雪 许燕 黄国良 黄敬辉 卢次勇 WU Hong, DENG Jian-xiong, GAO Xue, et al (School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong Province 510080, China)
出处 《中国公共卫生》 CAS CSCD 北大核心 2015年第11期1373-1376,共4页 Chinese Journal of Public Health
关键词 中学生 自杀行为 影响因素 middle school student suicidal behavior influence factor
作者简介 通讯作者:卢次勇,E-mail:luciyong@mail.sysu.edu.cn
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