Gao Hong-sheng, Qu Cheng-yi, Miao Mao-hua
Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan 030001, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Sep;24(9):765-8.
To evaluate psychosocial factors and patterns on suicidal ideation of the undergraduates in Shanxi province.
Four thousand eight hundred and eighty-two undergraduates in Shanxi province were investigated with multistage stratified random clustered samples. Factors associated with suicidal ideation were analyzed with logistic regression and Path analysis by scores of Beck Scale for Suicide Ideation (BSSI), Suicide Attitude Questionnaire (QSA), Adolescent Self-Rate Life Events Check List (ASLEC), DSQ, Social Support Rating Scale, SCL-90, Simple Coping Modes Questionnaire and EPQ.
Tendency of psychological disorder was the major factor. Negative life events did not directly affect suicidal ideation, but personality did directly or indirectly affect suicidal ideation through coping and defensive response.
Personality played a stabilized fundamental role while life events were minor but "triggering" agents. Mental disturbance disposition seemed to be the principal factor related to suicidal ideation. Above three factors were intergraded and resulted in suicidal ideation in chorus.
评估山西省大学生自杀意念的心理社会因素及模式。
采用多阶段分层随机整群抽样法对山西省4882名大学生进行调查。通过贝克自杀意念量表(BSSI)、自杀态度问卷(QSA)、青少年自评生活事件量表(ASLEC)、防御方式问卷(DSQ)、社会支持评定量表、症状自评量表(SCL - 90)、简易应对方式问卷及艾森克人格问卷(EPQ)得分,运用逻辑回归和路径分析方法分析与自杀意念相关的因素。
心理障碍倾向是主要因素。负性生活事件并不直接影响自杀意念,但人格特质通过应对和防御反应直接或间接影响自杀意念。
人格特质起稳定的基础性作用,而生活事件虽作用较小却是“触发”因素。心理障碍倾向似乎是与自杀意念相关的主要因素。上述三个因素相互作用,共同导致自杀意念的产生。