青少年家庭功能、负性生活事件应激量与自杀意念的相关性研究

[Study on the correlation among adolescents' family function, negative life events stress amount and suicide ideation].

作者信息

Zhang Dongdong, Chen Ling, Yin Dan, Miao Jinping, Sun Yehuan

出版信息

Wei Sheng Yan Jiu. 2014 Jul;43(4):581-5.

PMID:25199285

Abstract

OBJECTIVE

To explore the correlation between suicide ideation and family function & negative life events, as well as other influential factors in adolescents, thus present a theoretical base for clinicians and school staff to develop intervention for those problems.

METHODS

By adopting current situation random sampling method, Self-Rating Idea of Suicide Scale, Adolescent Self-Rating Life Events Check List and Family APGAR Index were used to assess adolescents at random in a hygiene vocational school in Changzhou City, Jiangsu Province and a collage in Wuhu City, Anhui Province. 3700 questionnaires were granted, 3675 questionnaires were collected, among which 3620 were valid. Chi-square test, t-test, and univariate logistic regression were employed in univariate analysis, multivariate logistic regression was used in multivariate analysis.

RESULTS

The detection rate of suicide ideation is 7.0%, and the top five suicide ideation characteristics were: poor academic performance (33.6%), serious family functional impairment (25.8%), lower-middle academic performance (11.7%), bad economic conditions (10.8%) and study in Grade Three (9.9%). Multiple logistic regression showed that the following three high-level stress amount in negative life events are most crucial for suicide ideation. They are "relationships" (OR = 1.135, 95% CI 1.071 - 1. 202), "academic pressure" (OR = 1.169, 95% CI 1.101 - 1.241), and "external events" (OR = 1.278, 95% CI 1.187 - 1.376). What' s more, the stress of attending higher grades (OR = 1.980, 95% CI 1.302 - 3.008), poor academic performance (OR = 7.206, 95% CI 1.745 - 9.789), moderate family functional impairment (OR = 2.562, 95% CI 1.527 - 2.892) and its serious level (OR = 8.287, 95% CI 3.154 - 6.917) are also influential factors for suicide ideation.

CONCLUSION

Severe family functional impairment and high-level stress amount of negative life events produced the main factors of suicide ideation. Therefore, necessary and sufficient support should be given to adolescents by families and schools.

摘要

目的

探讨青少年自杀意念与家庭功能、负性生活事件及其他影响因素之间的相关性，为临床医生和学校工作人员针对这些问题开展干预提供理论依据。

方法

采用现状随机抽样法，运用自杀意念自评量表、青少年生活事件自评量表和家庭APGAR指数，对江苏省常州市某卫生职业学校和安徽省芜湖市某高校的青少年进行随机评估。共发放问卷3700份，回收3675份，其中有效问卷3620份。单因素分析采用卡方检验、t检验和单因素logistic回归，多因素分析采用多因素logistic回归。

结果

自杀意念检出率为7.0%，自杀意念的前五位特征为：学习成绩差（33.6%）、家庭功能严重受损（25.8%）、学习成绩中下（11.7%）、经济状况差（10.8%）和三年级学生（9.9%）。多因素logistic回归显示，负性生活事件中以下三个高水平应激量对自杀意念最为关键。它们是“人际关系”（OR = 1.135，95%CI 1.071 - 1. 202）、“学业压力”（OR = 1.169，95%CI 1.101 - 1.241）和“外部事件”（OR = 1.278，95%CI 1.187 - 1.376）。此外，年级升高的压力（OR = 1.980，95%CI 1.302 - 3.008）、学习成绩差（OR = 7.206，95%CI 1.745 - 9.789）、家庭功能中度受损（OR = 2.562，95%CI 1.527 - 2.892）及其严重程度（OR = 8.287，95%CI 3.154 - 6.917）也是自杀意念的影响因素。