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[墨西哥学生自杀行为的患病率及相关因素]

[Prevalence and factors associated with suicidal behavior among Mexican students].

作者信息

Pérez-Amezcua Berenice, Rivera-Rivera Leonor, Atienzo Erika E, Castro Filipa de, Leyva-López Ahidee, Chávez-Ayala Rubén

机构信息

Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

出版信息

Salud Publica Mex. 2010 Jul-Aug;52(4):324-33.

Abstract

OBJECTIVE

To identify the prevalence of and factors associated with suicidal ideation and intent in adolescent students in Mexico.

MATERIAL AND METHODS

A cross-sectional study was conducted with a sample of 12,424 students from public schools in 2007. We used logistic regression to obtain odds ratios (OR) with 95% confidence intervals.

RESULTS

A total of 47% of the students reported at least one suicidal ideation symptom and 9% reported an antecedent of suicidal intent. Factors associated with suicide ideation and intent include low confidence in communication with parents (OR=1.30; OR=1.54), sexual abuse (OR=1.92; OR=1.57), depressive symptoms (OR=5.36; OR=1.51), tobacco use (OR=1.30; OR=2.57), alcohol use (OR=1.60; OR=1.31) and, for women, having had sexual relations (OR=1.28; OR=1.65).

CONCLUSIONS

Roughly 50% of high school students had at least one symptom of suicidal ideation. To lessen this problem, associated factors should be considered, including consumption of addictive substances, gender, history of sexual abuse and depression.

摘要

目的

确定墨西哥青少年学生自杀意念和自杀意图的患病率及相关因素。

材料与方法

2007年对来自公立学校的12424名学生进行了横断面研究。我们使用逻辑回归分析来获得95%置信区间的比值比(OR)。

结果

共有47%的学生报告至少有一项自杀意念症状,9%的学生报告有自杀意图史。与自杀意念和意图相关的因素包括与父母沟通时信心不足(OR = 1.30;OR = 1.54)、性虐待(OR = 1.92;OR = 1.57)、抑郁症状(OR = 5.36;OR = 1.51)、吸烟(OR = 1.30;OR = 2.57)、饮酒(OR = 1.60;OR = 1.31),对于女性而言,有过性行为(OR = 1.28;OR = 1.65)。

结论

大约50%的高中生至少有一项自杀意念症状。为减轻这一问题,应考虑相关因素,包括成瘾物质的使用、性别、性虐待史和抑郁症。

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