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中国农村青年自杀的季节性及其相关因素。

Seasonality of Chinese rural young suicide and its correlates.

机构信息

Shandong University School of Public Health, China.

出版信息

J Affect Disord. 2011 Nov;134(1-3):356-64. doi: 10.1016/j.jad.2011.05.030. Epub 2011 Jun 12.

Abstract

BACKGROUND

There had been few studies on seasonality of Chinese suicide especially for Chinese rural youths. In this research, we wanted to find the seasonal pattern and the relationship between personal and behavioral characteristics and seasonal variation of suicide.

METHOD

We examined Chinese rural young adults aged 15 to 34 years who died by suicide using Psychological Autopsy method to gather information from the informants of suicide victims. Altogether 330 suicide victims were collected among which 144 were female and 186 were male. The χ(2) test was used for comparison, and the multiple logistic regressions and Odds Ratios were adopted to analyze the seasonal preferences of suicide victims.

RESULT

Seasonal summer peak of suicide emerged in total population and in each subgroup. Four logistic regression models were constructed: in spring, six variables were included in the regression model, which were Gender (OR = 1.627), Pesticide Used (OR = 1.622), Life Events (OR = 2.764), Suicide Intent (OR = 1.641), Marital Status (OR = 0.574) and Family Conflicts (OR = 0.590); in summer, only Marital Status (OR = 1.927) was accepted; in autumn, four variables including Marital Problems (OR = 1.924), Trait Anxiety (OR = 1.758), Gender (OR = 0.518) and Religion (OR = 0.534) were retained; in winter, Pesticide Used (OR = 0.486) and Suicide Intent (OR = 0.614) were retained.

CONCLUSION

Seasonal variations of personal and behavioral characteristics, combined with social activities, might also play very important roles in suicide seasonality.

摘要

背景

关于中国自杀的季节性,尤其是针对中国农村青年,研究甚少。在这项研究中,我们希望找到季节性模式,以及个人和行为特征与自杀季节性变化之间的关系。

方法

我们使用心理解剖法,对 15 至 34 岁的中国农村青年自杀者进行了研究,从自杀受害者的知情人那里收集信息。共收集到 330 名自杀受害者,其中女性 144 人,男性 186 人。采用卡方检验进行比较,采用多逻辑回归和优势比分析自杀者的季节性偏好。

结果

总人群和各亚组均出现夏季自杀高峰。构建了四个逻辑回归模型:在春季,回归模型中纳入了六个变量,分别是性别(OR=1.627)、农药使用(OR=1.622)、生活事件(OR=2.764)、自杀意图(OR=1.641)、婚姻状况(OR=0.574)和家庭冲突(OR=0.590);在夏季,只有婚姻状况(OR=1.927)被接受;在秋季,纳入了四个变量,包括婚姻问题(OR=1.924)、特质焦虑(OR=1.758)、性别(OR=0.518)和宗教信仰(OR=0.534);在冬季,农药使用(OR=0.486)和自杀意图(OR=0.614)被保留。

结论

个人和行为特征的季节性变化,结合社会活动,可能在自杀季节性中也起着非常重要的作用。

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本文引用的文献

1
Seasonality of suicide attempts: association with gender.自杀企图的季节性:与性别相关。
Eur Arch Psychiatry Clin Neurosci. 2010 Aug;260(5):393-400. doi: 10.1007/s00406-009-0086-1. Epub 2009 Nov 15.
2
Seasonality of violent suicides in the Athens greater area.雅典大区暴力自杀事件的季节性特征。
Suicide Life Threat Behav. 2009 Jun;39(3):321-31. doi: 10.1521/suli.2009.39.3.321.
6
Seasonality of suicide in Sweden: relationship with psychiatric disorder.瑞典的自杀季节性:与精神障碍的关系。
J Affect Disord. 2009 Dec;119(1-3):59-65. doi: 10.1016/j.jad.2009.02.020. Epub 2009 Mar 26.
9
Seasonal variation of suicide in Brazil.巴西自杀行为的季节性变化。
Chronobiol Int. 2007;24(4):727-37. doi: 10.1080/07420520701535795.

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