Garlow Steven J, Rosenberg Jill, Moore J David, Haas Ann P, Koestner Bethany, Hendin Herbert, Nemeroff Charles B
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Depress Anxiety. 2008;25(6):482-8. doi: 10.1002/da.20321.
The objective of this investigation was to examine suicidal ideation and depression in undergraduate college students who participated in the American Foundation for Suicide Prevention-sponsored College Screening Project at Emory University. The principal measure of depressive symptoms was the nine-item depression module from the Patient Health Questionnaire (PHQ-9). Additional questions were focused on current suicidal ideation, past suicide attempts, and episodes of deliberate self-harm and on symptoms of anxiety and distress. Seven hundred and twenty-nine students participated over a 3-school-year interval (2002-2005). Most notably, 11.1% of the students endorsed current (past 4 weeks) suicidal ideation and 16.5% had a lifetime suicide attempt or self-injurious episode. Students with current suicidal ideation had significantly higher depression symptom severity than those without suicidal ideation (t = -9.34, df = 706, P<.0001, d = 1.9), and 28.5% of the students with PHQ-9 scores of 15 or higher reported suicidal ideation compared to 5.7% of those with lower scores (chi(2) = 56.29, df = 1, P<.0001, two-tailed). Suicidal ideation was prominently associated with symptoms of desperation (odds ratio 2.6, 95% CI 1.5-4.6, P<.001). The vast majority of students with moderately severe to severe depression (85%) or current suicidal ideation (84%) were not receiving any psychiatric treatment at the time of assessment. These results suggest that there is a strong relationship between severity of depressive symptoms and suicidal ideation in college students, and that suicidal feelings and actions are relatively common in this group. This underscores the need to provide effective mental health outreach and treatment services to this vulnerable population. As this analysis was based on data collected at a single institution, the results may not be representative of all college students or young adults.
本调查的目的是研究参与美国预防自杀基金会赞助的埃默里大学大学生筛查项目的本科学生的自杀意念和抑郁情况。抑郁症状的主要测量指标是患者健康问卷（PHQ-9）中的九项抑郁模块。其他问题集中在当前的自杀意念、过去的自杀未遂、故意自我伤害事件以及焦虑和痛苦症状上。在2002年至2005年的三个学年期间，有729名学生参与。最值得注意的是，11.1%的学生认可当前（过去4周）有自杀意念，16.5%的学生有过终身自杀未遂或自我伤害事件。有当前自杀意念的学生的抑郁症状严重程度显著高于没有自杀意念的学生（t=-9.34，自由度=706，P<0.0001，d=1.9），PHQ-9得分在15分或更高的学生中有28.5%报告有自杀意念，而得分较低的学生中这一比例为5.7%（卡方=56.29，自由度=1，P<0.0001，双侧）。自杀意念与绝望症状显著相关（优势比2.6，95%置信区间1.5-4.6，P<0.001）。绝大多数中度至重度抑郁（85%）或当前有自杀意念（84%）的学生在评估时未接受任何精神科治疗。这些结果表明，大学生抑郁症状的严重程度与自杀意念之间存在密切关系，并且自杀情绪和行为在这一群体中相对普遍。这突出了为这一弱势群体提供有效的心理健康外展和治疗服务的必要性。由于该分析基于在单一机构收集的数据，结果可能不代表所有大学生或年轻人。
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