Akram Bushra, Nawaz Juwairya, Rafi Zeeshan, Akram Abrar
Psychology Department, Information Technology, University of Gujrat, Pakistan.
Istanbul University, Turkey.
J Pak Med Assoc. 2018 Mar;68(3):388-393.
To investigate social exclusion, mental health and demographic characteristics as risk and protective factors of suicidal ideation among adults with hearing loss. .
This analytical, cross-sectional study was conducted in Lahore, Pakistan, from June 2016 to January 2017, and comprised people with hearing loss. Multistage proportionate stratified sampling procedure was used. Mental Health Inventory, Social Exclusion Scale and Suicidal Ideation Attributes Scale were administered to the participants.
Of the 415 subjects, 246(59.3%) were males and 169(40.8%) females. Suicidal ideation was significantly and positively related to social exclusion (p<0.001), psychological distress (p<0.001), age (p<0.001)) and severity of hearing loss (p<0.05), whereas a significant negative relationship of suicidal ideation (p<0.05) was observed with psychological well-being. Hierarchical regression analysis indicated social exclusion (p<0.001), psychological distress (p<0.001), age (p<0.001), severity of hearing loss (p<0.001) and gender (p<0.001) as significant positive predictors (risk factors), whereas psychological well-being (p<0.05)) was a significant negative predictor (protective factor) of suicidal ideation.
Social exclusion, psychological distress, severity of hearing loss and age were risk factors, whereas psychological well-being was a protective factor regarding suicidal ideation.
调查社会排斥、心理健康和人口统计学特征作为听力损失成年人自杀意念的风险和保护因素。
这项分析性横断面研究于2016年6月至2017年1月在巴基斯坦拉合尔进行，研究对象为听力损失者。采用多阶段按比例分层抽样程序。对参与者进行心理健康量表、社会排斥量表和自杀意念属性量表的评估。
415名受试者中，男性246名（59.3%），女性169名（40.8%）。自杀意念与社会排斥（p<0.001）、心理困扰（p<0.001）、年龄（p<0.001）和听力损失严重程度（p<0.05）呈显著正相关，而与心理健康呈显著负相关（p<0.05）。分层回归分析表明，社会排斥（p<0.001）、心理困扰（p<0.001）、年龄（p<0.001）、听力损失严重程度（p<0.001）和性别（p<0.001）是显著的正向预测因子（风险因素），而心理健康（p<0.05）是自杀意念的显著负向预测因子（保护因素）。
社会排斥、心理困扰、听力损失严重程度和年龄是自杀意念的风险因素，而心理健康是自杀意念的保护因素。
