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秘鲁青少年学生自杀行为的患病率及相关因素:对2010年一项调查的分析。

Prevalence of suicidal behaviors and associated factors among Peruvian adolescent students: an analysis of a 2010 survey.

作者信息

Hernández-Vásquez Akram, Vargas-Fernández Rodrigo, Díaz-Seijas Deysi, Tapia-López Elena, Bendezu-Quispe Guido

机构信息

Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Lima, Peru. ORCID: 0000-0003-1431-2526.

Universidad Científica del Sur, Lima, Peru. ORCID: 0000-0002-3310-8689.

出版信息

Medwave. 2019 Dec 26;19(11):e7755. doi: 10.5867/medwave.2019.11.7753.

Abstract

INTRODUCTION

Adolescence is one of the stages in life most affected by suicide. In Peru, 22% of suicides occur in people 10 to 19 years old. However, mental health overall and factors associated with suicidal behaviors have not been well studied.

OBJECTIVE

To determine the prevalence of suicidal behaviors (ideation and ideation plus suicidal planning) and associated factors in Peruvian adolescent students.

METHODS

A cross-sectional study analyzing data from the Global School-based Student Health Survey for Peru in 2010 was conducted to measure the prevalence of suicidal behaviors (ideation and ideation plus suicidal planning) and associated factors in Peruvian adolescent students.

RESULTS

Of the 2521 students evaluated, 19.9% (95% CI: 17.8 to 22.2) presented suicidal ideation and 12.7% (95% CI: 11.1 to 14.5) presented suicidal planning in the last 12 months. Females had a higher prevalence of both ideation (27.5%, 95% CI: 24.9 to 30.4) and ideation plus suicidal planning (18.5%, 95% CI: 16.4 to 20.7). Multivariate analysis found that being female, having little parental support, having felt loneliness, having suffered from physical aggression, having been bullied, and alcohol consumption, were associated with ideation and ideation plus suicidal planning in adolescent students.

CONCLUSION

Ideation and ideation plus suicidal planning is a problem in the Peruvian adolescent population and is associated with several factors. Strategies are needed to identify and register suicide in adolescents in Peru and to develop prevention programs.

摘要

引言

青春期是受自杀影响最严重的人生阶段之一。在秘鲁,22%的自杀事件发生在10至19岁的人群中。然而,整体心理健康状况以及与自杀行为相关的因素尚未得到充分研究。

目的

确定秘鲁青少年学生中自杀行为(自杀意念以及自杀意念加自杀计划)的患病率及其相关因素。

方法

开展一项横断面研究,分析2010年秘鲁全球学校学生健康调查的数据,以测量秘鲁青少年学生中自杀行为(自杀意念以及自杀意念加自杀计划)的患病率及其相关因素。

结果

在接受评估的2521名学生中,19.9%(95%置信区间:17.8%至22.2%)在过去12个月中有自杀意念,12.7%(95%置信区间:11.1%至14.5%)有自杀计划。女性在自杀意念(27.5%,95%置信区间:24.9%至30.4%)和自杀意念加自杀计划(18.5%,95%置信区间:16.4%至20.7%)方面的患病率更高。多变量分析发现,女性、父母支持少、感到孤独、遭受身体攻击、被欺负以及饮酒,与青少年学生的自杀意念和自杀意念加自杀计划有关。

结论

自杀意念以及自杀意念加自杀计划在秘鲁青少年人群中是一个问题,且与多种因素相关。需要制定策略来识别和记录秘鲁青少年中的自杀情况,并制定预防方案。

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