Jia Cun-Xian, Zhang Jie
School of Public Health, Shandong University, Jinan, Shandong, China.
J Forensic Sci. 2012 Mar;57(2):391-7. doi: 10.1111/j.1556-4029.2011.01978.x. Epub 2011 Dec 8.
As the relationship between global functioning and young suicide remains unclear in rural China, this study was aimed to explore the relationship between them. Data of 391 rural suicides and 416 controls, all aged 15-34 years in three provinces in China were used for this study. The Global Assessment of Functioning (GAF) scale was adopted to assess global functioning of suicides and controls. The results showed that GAF score was stronger than mental illness in predicting suicide in China. Different correlates of GAF score were found between suicides and controls. Unsurprisingly, GAF score was significantly correlated with mental illness in both suicides and controls. Different characteristics were also found among three types of suicide which were classified using GAF score. Assessing global functioning is useful and GAF scale should be regularly used in suicide prevention practice.
由于在中国农村地区，整体功能与青少年自杀之间的关系尚不清楚，本研究旨在探讨二者之间的关系。本研究使用了来自中国三个省份的391例农村自杀案例和416例对照的数据，所有研究对象年龄均在15至34岁之间。采用全球功能评估（GAF）量表来评估自杀者和对照者的整体功能。结果表明，在中国，GAF评分在预测自杀方面比精神疾病更为有力。自杀者和对照者之间发现了GAF评分的不同相关因素。不出所料，自杀者和对照者的GAF评分均与精神疾病显著相关。使用GAF评分对三种自杀类型进行分类时，也发现了不同的特征。评估整体功能是有用的，GAF量表应在自杀预防实践中定期使用。
