Chen Jian, Chen Ming-chun, Sun Ye-huan, Zhao Xue, Sun Liang, Jiang Yu-hong, Lü Xiao-ling, Wu Zhen-qiang
Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei 230032, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2013 Mar;34(3):245-9.
To explore the suicide intention and its influential factors among primary and junior high school students in rural areas of Anhui province, in order to provide evidence for early intervention related to mental health problems.
All students from 3 junior high and 5 primary schools in Changfeng county of Anhui were recruited as the study subjects using the cluster sampling method. Data were collected by using Children's Depression Inventory, the Family APGAR Index, the Trait Coping Style Questionnaire, the Children's Self-Esteem Scale, Social Anxiety Scale for Children, and the Quality of Life Scale. Chi-square test and Logistic regression were used to analyze the suicidal ideation and its influential factors respectively.
8.64% (252/2917) of the studied children had suicidal ideation. Out of them, 9.80% (166/1694) and 7.03% (86/1223) were left-behind or non-left-behind children. There was statistically significant difference on suicide ideation between the left-behind children and non-left-behind children (P = 0.015). Data from the multivariate logistic regression analysis showed that social anxiety and negative coping style were the risk factors for suicidal ideation (P < 0.05) while better family function and quality of life were the protective factors of suicidal ideation (P < 0.05).
Suicide ideation was relatively prevalent among rural children in Anhui province. Family, school and society should carry out different kinds of preventive measures to prevent suicide related behaviors in children from this area.
探讨安徽省农村地区中小学生自杀意念及其影响因素,为心理健康问题的早期干预提供依据。
采用整群抽样方法,选取安徽省长丰县3所初中和5所小学的所有学生作为研究对象。通过儿童抑郁量表、家庭APGAR指数、特质应对方式问卷、儿童自尊量表、儿童社交焦虑量表和生活质量量表收集数据。分别采用卡方检验和Logistic回归分析自杀意念及其影响因素。
8.64%(252/2917)的受研究儿童有自杀意念。其中,留守儿童和非留守儿童的自杀意念发生率分别为9.80%(166/1694)和7.03%(86/1223)。留守儿童和非留守儿童在自杀意念方面存在统计学显著差异(P = 0.015)。多因素Logistic回归分析数据显示,社交焦虑和消极应对方式是自杀意念的危险因素(P < 0.05),而较好的家庭功能和生活质量是自杀意念的保护因素(P < 0.05)。
自杀意念在安徽省农村儿童中相对普遍。家庭、学校和社会应采取不同的预防措施,以防止该地区儿童出现与自杀相关的行为。