Zhang Jie, Sun Long
*Shandong University School of Public Health Center for Suicide Prevention Research, Jinan, China; and †Department of Sociology, State University of New York College at Buffalo, Buffalo, NY.
J Nerv Ment Dis. 2014 Feb;202(2):161-6. doi: 10.1097/NMD.0000000000000104.
The suicide rate of females is very close to that of males in China, in contrast to Western societies, in which the rates of male suicide outnumber those of females by three to four times. This study investigated the prevalence of suicidal ideation and prosuicide attitude (acceptability) among females of childbearing age. With the Chinese version of the Scale for Suicide Ideation and the General Social Survey questionnaire, we examined the demographic and psychological risk factors of suicide among Chinese rural young females aged 15 to 34 years. Logistic regression analysis was performed to explore the factors related to suicidal ideation and suicide acceptability. The prevalence rates of suicidal ideation and suicide acceptability among the sampled females are 22.5% and 3.8%, respectively. Education, depression, social support, hopelessness, and negative life events were significantly associated with suicidal ideation. Ethnicity, education, abortion, and depression were significantly associated with suicide acceptability. There is statistical difference between suicide ideation and acceptability. The results indicate that mental disorder remains a major risk factor of suicidal ideation. Sociodemographic and psychological characteristics are associated with suicide acceptability.
在中国,女性自杀率与男性非常接近,这与西方社会不同,在西方社会男性自杀率比女性高出三到四倍。本研究调查了育龄女性中自杀意念和自杀赞同态度(可接受性)的流行情况。使用中文版自杀意念量表和综合社会调查问卷,我们研究了15至34岁中国农村年轻女性自杀的人口统计学和心理风险因素。进行逻辑回归分析以探索与自杀意念和自杀可接受性相关的因素。抽样女性中自杀意念和自杀可接受性的患病率分别为22.5%和3.8%。教育程度、抑郁、社会支持、绝望和负面生活事件与自杀意念显著相关。种族、教育程度、流产和抑郁与自杀可接受性显著相关。自杀意念和可接受性之间存在统计学差异。结果表明,精神障碍仍然是自杀意念的主要危险因素。社会人口统计学和心理特征与自杀可接受性相关。